WASHINGTON — The Internal Revenue Service has determined that bonds issued by a university medical school to finance or refinance items used by a nonprofit hospital are considered obligations of a state governmental unit and therefore tax-exempt, the IRS said in a private-letter ruling released this week.

According to the ruling, which was dated July 13 but only recently released, the bonds qualify as tax-exempt because the hospital’s activities are treated as carried out by the university, which stated that the proceeds would not be used in any trade or business unrelated to the university or hospital.

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