Tax News & Views: Health Care Edition


Tax News & Views: Health Care Edition

December 2022

Tax News & Views: Health Care Edition is a timely news summary bulletin authored by the Health Care Industry Group, Deloitte Tax LLP. The newsletter contains highlights from the latest tax developments in health care on Capitol Hill, at the White House, at the Internal Revenue Service, at the Treasury Department and in the courts. It is a valuable resource for tax and other professionals involved in the tax-exempt health care providers and health plans sectors, helping them remain current on tax developments that stand to have an impact on their businesses.

TE/GE Strategic Goals for FY2023

The Tax Exempt and Government Entities (TE/GE) released Publication 5313 with its priorities for fiscal year 2023. With the allocation of an additional $80 billion in funding over the next 10 years from the Inflation Reduction Act, TE/GE acknowledges the responsibility to strategically plan the most effective way to utilize that increased funding. In fiscal year 2023, TE/GE priorities are focused on the following areas:

  • Enhance taxpayer service
  • Strengthen compliance activities
  • Workforce development
  • Transform operations
Tax News & Views: Health Care Edition - December 2022

2022-2023 Priority Guidance Plan

On November 4, 2022 the Department of Treasury and Internal Revenue Service released its 2022-2023 Priority Guidance Plan. The priority guidance plan provides a list of tax issues that the Department of Treasury and Internal Revenue Service will address through regulations, revenue rulings, revenue procedures, notices and other published administrative guidance. The following items are included on the priority guidance plan for tax-exempt organizations:

  • Guidance revising Rev. Proc. 80-27 regarding group exemption letters. Notice 2020-36 was published on May 18, 2020.
  • Final regulations on §509(a)(3) supporting organizations. Proposed regulations were published on February 19, 2016.
  • Regulations under §512 regarding the allocation of expenses in computing unrelated business taxable income and addressing how changes made to §172 net operating losses by section 2303(b) of the CARES Act apply for purposes of §512(a)(6).
  • Guidance under §4941 regarding a private foundation’s investment in a partnership in which disqualified persons are also partners.
  • Regulations under §4966 regarding donor advised funds, including excise taxes on sponsoring organizations and fund management.
  • Regulations under §4967 regarding prohibited benefits, including excise taxes on donors, donor advisors, related persons, and fund management.
  • Regulations under §4958 regarding donor advised funds and supporting organizations.
  • Guidance regarding the public-support computation with respect to distributions from donor advised funds.
  • Regulations under §6104(c). Proposed regulations were published on March 15, 2011.
    • PUBLISHED 08/16/22 in Federal Register as TD 9964 (FILED on 08/15/22).
  • Regulations designating an appropriate high-level Treasury official under §7611. Proposed regulations were published on August 5, 2009.

Did you know?

IRS Advisory Council 2022 Annual Report
The IRS Advisory Council serves as advisor to the IRS commissioner in regard to relevant tax administration issues between IRS officials and representatives of the public. The IRS Advisory Council has a subgroup for Tax Exempt/ Government Entities that addresses a variety of issues pertaining to employee plans, exempt organizations, Indian tribal governments, state and local government entities and tax-advantaged bonds. See the 2022 Annual Report for an update on the latest issues and recommendation from the IRS Advisory Council.

2023 Essential Tax and Wealth Planning Guide
The Deloitte Essential tax and wealth planning guide has been released. The guide provides updates to tax policy, family enterprises, philanthropy and post-mortem planning.

Did you know?

Additional Resources

Deloitte Center for Health Solutions
The source for health care insights: The Deloitte Center for Health Solutions (DCHS) is the research division of Deloitte’s Life Sciences and Health Care practice. The goal of DCHS is to inform stakeholders across the health care system about emerging trends, challenges, and opportunities.

Health Forward blog
Connect to the forces of change across life sciences and health care today. Explore our latest leadership insights to stay ahead of industry trends and key issues on health care, medtech, and biopharma.

Subscribe and archives

Subscribe to receive Tax News & Views: Health Care Edition directly via email.

For recent archives please visit the archive page.


Rachel Becker
+1 414 977 2567

Jim Sowar 
+1 513 784 7242

Fran Bedard
+1 615 259 1811

Alicia Janisch
+1 313 324 1442

Jeff Frank
+1 317 656 6921

Christine Kawecki
New York and Boston
+1 516 918 7138

John W. Sadoff, Jr
Costa Mesa
+1 714 913 1281

Kristina Rasmussen
+1 612 397 4178

Joan McMahon
San Francisco
+1 415 783 5568

Anne Fulton
+1 612 397  4242

Mary Rauschenberg
Chicago and Washington National Tax 
+1 312 486 9544


Related highlights

State pass-through taxation: Considerations in an ever-changing landscape
State and local jurisdictions continue to enact new legislation and regulations affecting pass-through entities. Tax departments should act now to understand the implications and potential opportunities of these evolving rules. Participants will obtain a better understanding of the tax implications relating to these state pass-through entity tax developments.

Global employment tax and equity compensation: Year-end hot topics
As 2022 comes to a close, this year’s employment tax and equity compensation reporting may be especially complex. What should companies factor into their planning? Participants will examine the complexities of year-end employment tax reporting, identify time-sensitive compliance issues, and recognize ways that compliance can impact employee experience.

Financial accounting and reporting for income taxes: Important updates
As 2022 draws to an end, calendar-year companies are preparing for the year-end tax provision, working through common ASC 740 challenges. Additionally, many are analyzing impacts of the new US tax legislation contained in the Inflation Reduction Act and Creating Helpful Incentives to Produce Semiconductors (CHIPS) Act and reporting requirements. Participants will gain valuable insights into accounting for income taxes and the latest developments affecting financial reporting for taxes.

Dec 6
2 p.m. ET | 19 GMT

Tax Accounting & Provisions
Dec 16
2 p.m. ET | 18 GMT

Did you find this useful?