Tax News & Views: Health Care Edition
November 2016 | Vol. 12 No. 31
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.
- IRS releases Tax Exempt & Government Entities Work Plan for FY2017
- Did you know?
- Additional Resources
- Subscribe and Archives
IRS releases Tax Exempt & Government Entities Work Plan for FY2017
The IRS Commissioner of the Tax-Exempt and Government Entities (TE/GE) division, Sunita Lough, recently released the work plan for fiscal year 2017 outlining TE/GE’s priorities and focus for the coming year. Per the release, TE/GE continues to focus on five key areas, including:
- Continuous improvement;
- Knowledge management;
- Employee engagement and development;
- Data-driven decision-making; and
- Risk management.
As TE/GE moves forward with new initiatives, the activities are evaluated based on transparency, efficiency, and effectiveness.
The program letter includes a Workplace Briefing, which highlights the focus areas for the Exempt Organizations (EO) unit. The briefing highlights two areas of focus: Examinations and Rulings & Agreements.
Examinations — The Commissioner states that EO’s overarching compliance strategy is to ensure organizations enjoying tax-exempt status comply with the requirements for exemption and adhere to all applicable federal tax laws. TE/GE plans to continue its utilization of data-driven decisions. In 2017, TE/GE plans to:
- Leverage feedback from field employees to improve upon the 990-EZ and 990-PF case selection models;
- Implement 990-T, 5227, and post compliance determination review models;
- Develop a Referral Model to aid in integrating the next best referral case into its work stream;
- Utilize data to identify organizations at risk for private inurement and private benefit issues, including 400 returns already identified;
- Identify anomalies on the return field by private foundations, including 100 returns already identified; and
- Implement a statistical sampling methodology to assess compliance in the Exempt Organization Population.
The work plan also discussed the results in the context of the prior fiscal year work plan. In FY2016, TE/GE completed 4,984 examinations which resulted in 43 revocations. TE/GE completed 692 Form 990, Schedule H reviews and referred 166 of those organization for field examinations as part of the review of hospitals’ IRC Section 501(r) compliance under the Patient Protection and Affordable Care Act. Finally as part of the post determination compliance program, exams were closed for 1,051 organizations which filed Form 1023 or 1024 (39% change rate, 5 organizations revoked or terminated), and 36 organizations which filed Form 1023-EZ (2 required organizing document amendments).
Determinations — In FY2017, EO Rulings and Agreements anticipates an overall increase in total applications attributable almost totally to the Form 1023-EZ as a result of the user fee changes. A slight increase in Forms 1024 and 8940 is also expected. As a result, TE/GE is estimating an increase of approximately 400 cases to its end-of-year open inventory.
TE/GE plans in 2017 to continue to prepare and post technical issue snapshots for employees and the general public. To date, 5 issue snap shots are available and posted to the electronic reading room and another 20 issue snap shots are in process based on issues raised to the knowledge management team.
Did you know?
CMS issues final MACRA rule
On October 14, 2016, the US Centers for Medicare and Medicaid Services released its final rule outlining the new payment programs under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). For more information on the final rule, see Health Care Current, October 18, 2016, Going to school on MACRA: Building a foundation for success.
Final Section 385 Regulations Released
On October 13, 2016, Treasury and the IRS issued final regulations under Section 385 addressing whether a purported debt instrument that is issued to a related party is treated as stock, debt, or in part stock and in part debt for US federal income tax purposes.
Social Security Wage Base Increased
The Social Security Administration announced that the wage base used to calculate Social Security tax will increase from $118,500 in 2016 to $127,200 in 2017.
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.
Weekly insights to keep you informed and ahead. This weekly series explores breaking news and developments in the US health care industry, examines key issues facing life sciences and health care companies and provides updates and insights on policy, regulatory, and legislative changes.
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IRS releases Tax Exempt & Government Entities Work Plan for FY2017
Did you know?
- CMS issues final MACRA rule
- Final Section 385 Regulations Released
- Social Security Wage Base Increased
John W. Sadoff, Jr
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