Tuesday & Wednesday, January 28‐29, 2020
Hya Regency Columbus, Columbus, Ohio
Workshop D
Unique Tax Issues in the Healthcare and Non-Profit Entities
Tuesday, January 28, 2020 1:45 p.m. to 2:45 p.m.
Workshop D Unique Tax Issues in the Healthcare and Non-Profit - - PDF document
Tuesday & Wednesday, January 2829, 2020 Hya Regency Columbus, Columbus, Ohio Workshop D Unique Tax Issues in the Healthcare and Non-Profit Entities Tuesday, January 28, 2020 1:45 p.m. to 2:45 p.m. Biographical Information Jeffrey L.
Tuesday & Wednesday, January 28‐29, 2020
Hya Regency Columbus, Columbus, Ohio
Tuesday, January 28, 2020 1:45 p.m. to 2:45 p.m.
Biographical Information Jeffrey L. Stansberry, CPA, MT - Tax Manager, OhioHealth 80 E. Broad St, Columbus, OH 43215 jeffrey.stansberry@ohiohealth.com (614) 544-4336 Fax (614) 544-4470 Jeff started his career in public accounting and was at GBQ Partners for over four years. He then transitioned into industry and was at BISYS/Citi for over six years. After being in public and industry for nearly two decades, he decided to shift his focus into the tax-exempt sector. For over three years, Jeff has led up the tax department at OhioHealth, central Ohio’s largest healthcare
compliance process while providing oversight and communication to the entire system of over 20,000 employees. Jeff is a graduate of The Ohio State University with a BS in Business Administration (Honor Classes) and received a Master’s in Taxation from Capital University Law School. Christopher J. Swift, Partner, Baker Hostetler LLP 1900 East 9th Street, Suite 3200, Cleveland, OH 44114-3482 cswift@bakerlaw.com 216.861.7461 Chris Swift is a healthcare and tax lawyer who counsels the healthcare industry and other businesses by guiding them through governmental, tax and regulatory issues. He keeps non-profit organizations tax-exempt, assists all taxpayers in reducing state and local taxes and finds tax and regulatory incentives to grow companies. He currently serves both as a National Co-Leader of the firm’s Healthcare Industry Team and as Coordinator of the Cleveland office’s Tax, Personal Planning and Employee Benefits Group. He served as a member of the firm’s Policy Committee, 2004 through 2009. Chris has lectured on state and local taxes to several organizations, including the Cleveland Metropolitan Bar Association, the Columbus Bar Association and the Committee on State Taxation. In 1988, he was the Chair of the Cleveland Bar Association’s State and Local Tax Institute. In 1990-91, he served as Chair of the Cleveland Bar Association’s General Tax Committee. Chris has also served as Chair of the 2008 Cleveland Tax Institute and the CMBA’s 1998 Health Law Institute. Chris is a member of the American, Ohio and Cleveland Metropolitan Bar Associations, as well as the American Health Lawyers Association. Since 1997, Chris has been listed annually in the Best Lawyers in America. He was named by Best Lawyers as “2010 Cleveland Tax Lawyer of the Year” and “2011 Cleveland Health Care Lawyer of the Year.” Both honors are bestowed upon only one lawyer per specialty in each community. Chris has been named an “Ohio Super Lawyer” for the past ten years. Stephen M. Palmer, CPA, Senior Manager, SALT Plante Moran, 250 S. High St., Ste. 100, Columbus, OH 43215 614-222-9137 Fax: 248.327.8537 Stephen.Palmer@plantemoran.com Stephen spent more than 6 years at the Ohio Department of Taxation primarily involved in auditing various Ohio taxes. The Ohio tax auditing experience crossed multiple industries and included pass- through entity tax, sales and use tax, the former Ohio franchise and personal property taxes, income tax, and withholding tax. For more than ten years, Stephen has provided value added service to clients in the private sector. His experience includes multi-state taxation in the manufacturing, distribution, healthcare, and service industries. Value-added services include audit resolution, nexus reviews, sales and use tax studies, voluntary disclosure representation, tax planning, and tax structuring, and due diligence. Additionally, Stephen frequently writes state and local tax alerts and presents at various tax conferences. Stephen is a graduate of Cedarville University, is a member of the Ohio Society of CPAs, and is a member of the tax committees for the Ohio Chamber of Commerce, the Ohio Manufacturer’s Association, and the Ohio Society of CPAs.
Jeffrey Stansberry ‐ OhioHealth Christopher Swift ‐ Baker Hostetler Stephen Palmer ‐ Plante Moran
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TAX REFORM SALES AND USE TAX COMMERCIAL ACTIVITY TAX PROPERTY TAX EXEMPTIONS IMPORTANT RISK CONSIDERATIONS
educational purposes” and that “no part of the net earnings of which inures to the benefit of any private shareholder or individual.”
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companies, partnerships, or disregarded entities
‒ While many nonprofits are tax‐exempt for federal income tax purposes under Section 501(c)(3), there are many subsections like Section 501(c)(4) ‒ Some nonprofits are taxable ‒ Some for‐profit corporations are tax‐exempt
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‒ Federal Income Tax ‒ FUTA/SUTA
‒ Ohio Sales & Use Tax ‒ Ohio Real Property Tax ‒ Ohio Commercial Activity Tax
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certain highly compensated employees of tax‐exempt organizations (effective 1/1/2018)
‒ Applicable tax‐exempt organizations ‒ Covered Employees ‒ Excess Compensation ‒ Excess Parachute payment
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the tax year, or any prior year
performance of medical services
fiscal year end with payment with a 6 month extension
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dollar life insurance)
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must calculate the tax separately for each T/B
extension)
month) after fiscal year end with payment (with a 6 month extension)
expected.
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December 20, 2019 and made retroactive to the enactment of the tax.
nonprofit entities.
(i.e. filing amended returns to claim a refund of the tax) to see if the IRS will issue a streamlined procedure for requesting refunds.
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alleviates the need to track, monitor, and maintain charitable distributions for that purpose
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‒ EMTALA and other Safety Net Acts applicable to for‐profit providers ‒ Affordable Care Act ‒ Expansion of Medicaid ‒ Schedule H of Form 990
‒ Percentage of Charitable Care is decreasing
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“corporation that is formed otherwise than for the pecuniary gain
distributable to, its members . . . .”
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recognized as exempt from federal income taxation under section 501(c)(3) . . . . Or is organized for a public or charitable purpose . . . .” Ohio Rev. Code (“ORC”) 1702.01(P).
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501(c)(3) are generally exempt from Ohio sales and use tax. Ohio
‒ Some states like Florida and Kentucky require tax‐exempt hospitals to include current federal determination letter in application.
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‒ *Safe harbor – ORC 5739.02(B)(9) ‒ Cafeteria and other food sales
‒ Online sales or non‐core revenue streams ‒ Who is the consumer? ORC 5739.01(D)
‒ Proper use of exemption certificates ‒ Communication with vendors ‒ Intercompany transactions
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‒ Sales of services or tangible personal property, other than motor vehicles, mobile homes, and manufactured homes, by organizations exempt from taxation under section 501(c)(3) of the Internal Revenue Code of 1986, or nonprofit organizations operated exclusively for charitable purposes, provided that the number of days
items never subject to the tax, are sold does not exceed six in any calendar year. If the number of days on which such sales are made exceeds six in any calendar year, the organizations shall be considered to be engaged in business and all subsequent sales by it shall be subject to the tax.
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‒ Sales of tangible personal property or services to organizations exempt from taxation under section 501(c)(3) of the Internal Revenue code of 1986, and to any other nonprofit organizations
the net income of which inures to the benefit of any private shareholder or individual, and no substantial part of the activities of which consists of carrying on propaganda or otherwise attempting to influence legislation; sales to offices administering one or more homes for the aged or one or more hospital facilities exempt under section 140.08 of the Revised Code; and sales to organizations described in division (D) of section 5709.12 of the Revised Code.
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‒ “Charitable purposes” includes the relief of poverty; the improvement of health through the alleviation of illness, disease, or injury; the operation of an organization exclusively for the provision
hospitals or charitable institutions and the operation of a home for the aged, as defined in section 5701.13 of the Revised Code.
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‒ Revenue stream evaluation ‒ Potential areas for consideration
‒ Admissions tax
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construction contractors for incorporation into a building under a construction contract with a section 501(c)(3) entity when the building is used exclusively for exempt purposes.
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‒ Municipal income tax 20 day occasional entrant rule ‒ Courtesy withholding ‒ Common paymasters ‒ Payroll amounts reported on city withholding versus payroll factor on city income tax returns
‒ Sales factor – source services to where performed ‒ Payroll factor – see above ‒ Alternate apportionment requests ‒ Centralized filing can create significant savings
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‒ Organized other than for pecuniary gain or profit ‒ Operates consistent with its organization
1716, 1717, 1719, 1721, 1724, 1725, 1727, or 1733
trust loses its nonprofit status when the grantor passes away
does not deprive the nonprofit status
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were responsible for alleviation of poverty and providing health care for the poor. ‒ Local governments owned and operated hospitals, requiring public expenditures
1601.
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is used exclusively for charitable purposes shall be exempt from taxation . . . .” Ohio Rev. Code 5709.12(B).
charitable use for ad valorem exemption.
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sections [Revised Code §5709.12(B) and §5709.121] employing the general law
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Court has consistently found through various decisions that the property of charitable hospitals is exempt, even if the hospital charges for its services: ‒ “This Court has embraced an expansive view of charity that involves the provision of public benefit without regard to the ability to pay.” [Planned Parenthood Assoc. v. Tax Comm’r, 5 Ohio St.2d 117 (1966)] ‒ “The provision of medical or ancillary healthcare services qualifies as charitable if those services are provided on a nonprofit basis to those in need, without regard to race, creed, or ability to
without regard to race, color, creed or ability to pay. It is the use of the property rather than the fact that revenues are collected and received from property which is controlling.” [Church of God in N. Ohio v. Levin, 124 Ohio St.3d 36 (2009)] ‒ “The generation of profit by the property ‘does not remove it from the statutory category of exempt property,’ because ‘the evidence shows that the parking lot is an essential and integral part of the hospital’s function and not property used mainly for income purposes.’” [Girl Scouts‐Great Trail Council v. Levin, 113 Ohio St.3d 24 (2007), citing Bowers v. Akron City Hosp., 16 Ohio St.2d 94 (1968)]
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attack exemption of Chapter 140‐bond financed properties under Ohio Revised Code §140.08(A).
OhioHealth is to use the exemption for hospital facilities financed with Chapter 140 bonds whenever possible.
from all taxes, including real property taxes if: ‒ (i) the facilities are "hospital facilities” (a very broadly defined term), ‒ (ii) the facilities are financed in whole or in part with "obligations" issued by a "public hospital agency," and ‒ (iii) the facilities are actually used as hospital facilities.
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acquired, constructed, or owned by a public hospital agency, or financed in whole or in part by obligations issued by a public hospital agency, and used, or to be used when completed, as hospital facilities” … “shall be exempt from all taxation.”
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additions thereto and extensions thereof, furnishings, equipment, and real estate and interests in real estate, used or to be used for or in connection with one or more hospitals, emergency, intensive, intermediate, extended, long‐term, or self‐care facilities, diagnostic and treatment and out‐patient facilities, facilities related to programs for home health services, clinics, laboratories, public health centers, research facilities, and rehabilitation facilities, for or pertaining to diagnosis, treatment, care, or rehabilitation of sick, ill, injured, infirm, impaired, disabled, or handicapped persons, or the prevention, detection, and control of disease, and also includes education, training, and food service facilities for health professions personnel, housing facilities for such personnel and their families, and parking and service facilities in connection with any of the foregoing; and includes any one, part of, or any combination of the foregoing; and further includes site improvements, utilities, machinery, facilities, furnishings, and any separate or connected buildings, structures, improvements, sites, utilities, facilities, or equipment to be used in, or in connection with the operation or maintenance of, or supplementing or otherwise related to the services or facilities to be provided by, any one or more of such hospital facilities”
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adequate evidence.
5709.12).
5709.12.
under 5709.12. Too late to seek exemption under 5709.08 or 4582.46.
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tax purposes.
because LLC used the property to lease to others.
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Appeals Case #28271 (8/23/2019).
complaint being filed.
nonprofit corporation but never filed for exemption.
provisions of Ohio Constitution.
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‒ United Community Brethren Church, BTA 2018‐450 (7/18/2019). Only $8,000 raised toward $40,000 of renovations. No substantive plan for raising needed funds. ‒ Authentic Life Ministries, Inc., BTA 2018‐1171 (3/04/2019). The record showed no evidence of substantive plans for use of property. ‒ Islamic Foundation of Central Ohio, Inc., BTA 2017‐1732 (3/25/2019).
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‒ OTR Living Water Ministry, BTA 2018‐571 (9/01/2019). Residential portions taxable, but other floors also taxable because OTR did not establish that the administrative functions primarily benefitted the community. ‒ Board of Education of the Columbus City School District, BTA 2017‐2147 and 2048 (7/29/2019). Leasing residential properties to “disadvantaged” persons did not qualify. ‒ Heartland Christian Center, Inc., BTA 2017‐1172 (2/05/2019). A husband and wife formed a ministry and lived on the property.
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Life‐Care Requirement for Homes for the Aged.
(January 7, 2020).
because resident agreement permitted removal for failure to pay, in violation of Life‐Care Requirement.
resident for failure to pay.
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‒ Fresh Fruits, Inc., BTA 2017‐1086 (2/25/2019). Property operated as a Christian‐based daycare. To be exempt under 5709.07 (house of public worship), property cannot be merely supportive of or incidental to public worship. ‒ The Literary Club, BTA 2017‐985 (7/22/2019). Activities are not charitable in nature because property is not open to the public and activities solely benefit Club members. ‒ Islamic Foundation of Central Ohio, Inc., BTA 2017‐1732 (3/25/2019). Islamic Center met burden of proof under 5709.07 because primary purpose was for public worship. Contention by Tax Commissioner and BOE that building is more community‐based than religious based was rejected.
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it moved into a new facility. The BTA affirmed the denial, but the Ohio Supreme Court
Ohio‐1527 (April 14, 2016) ‒ The 4‐3 majority found that the exemption should be allowed for property used to
worship and not for profit. O.R.C. 5709.07(A)(2) ‒ Justice Sharon L. Kennedy wrote in her opinion that the radio station “has dedicated all its land and buildings to charity and religion, and … [has] the necessary attributes of a church.” ‒ Public worship for purposes of the exemption is “the open and free celebration or
‒ The Court found that the real property must be used in a “principal, primary, and essential way to facilitate public worship” which can be met even when there are “auxiliary buildings or portions of building” when the primary building qualifies. ‒ Dissenting opinion written by Chief Justice Maureen O’Connor disagreed that the radio station was really a house of worship.
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not because of ownership before and after the sale
and BOE along with actual gross income from the prior year
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Appeals 2019‐Ohio‐2022 (5/23/2019).
method was required
(5/9/2019).
exemption
Commissioner appellees; ORC 5717.04
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‒ Partial exemption for child care centers enacted by the recent Budget Bill (H.B. 166). ‒ Effective for tax year 2019 and thereafter ‒ Phased partial exemption applies if serving families that receive public assistance
households receiving public assistance
receiving public assistance ‒ Previously, child care centers needed to qualify under other exemptions such as charitable purpose
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‒ Computer cabling change – updated Info. Rel. ST 1999‐01 ‒ New nexus standards – updated Info. Rel. ST 2001‐01/ H.B. 166
‒ New nexus standards – updated Info. Rel. CAT 2005‐02
‒ Centralized filing election – 1st day of 3rd month
‒ See Info. Rel. XT 2019‐02 and H.B. 166
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Jeffrey L. Stansberry, CPA, MT Tax Manager, Corporate Finance Ohio Health Jeffrey.Stansberry@ohiohealth.com Chris Swift Partner Baker Hostetler Cswift@bakerlaw.com Stephen Palmer Senior Manager, SALT Plante Moran Stephen.Palmer@plantemoran.com
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