Payments will be considered charitable contributions where there is no arrangement that the sponsor will receive 'any substantial return benefit in exchange for the payment'
Offering potential donors simple ways to make relatively small commitments may encourage them to make more significant gifts when they do their estate plans
Final regulations permit switch to fixed percentage payout in certain situations outside the control of the trustee, and give one-time option for reformation
Proposed changes would expand factors to be considered for standard of care, would allow donors to enforce restrictions, and ease process of removing restrictions in certain cases
A simple one-page document can formalize the relationship, help reduce potential for liability, and give a graceful way to decline help from problem people.