ARTICLE
15 February 2019

Hospitals Should Note New IRS Notice On Highly Compensated Employee Excise Tax

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The Tax Cuts and Jobs Act added Section 4960 to the Internal Revenue Code, which imposes an excise tax on remuneration paid to certain highly compensated employees of tax-exempt organizations.
United States Food, Drugs, Healthcare, Life Sciences

The Tax Cuts and Jobs Act added Section 4960 to the Internal Revenue Code, which imposes an excise tax on remuneration paid to certain highly compensated employees of tax-exempt organizations.  The excise tax rate is equal to the corporate tax rate (currently 21%) and applies to remuneration in excess of $1 million and any excess parachute payments made to covered employees.  The group of covered employees includes the five highest compensated employees for the current taxable year and anyone who was a covered employee in any prior taxable year beginning after December 31, 2016.

The Internal Revenue Service recently released Notice 2019-9, which provides certain important clarifications that tax-exempt hospital systems should take note of:

  • Amounts paid for the performance of medical services by a licensed medical professional are excluded from the definition of remuneration subject to the excise tax.  If a covered employee is compensated for both medical and non-medical services, the employer must use a reasonable, good faith method of allocating remuneration between medical and other services.  For example, an employer may use a reasonable allocation method set forth in a covered employee's employment agreement, or it may look to billing or time reports to determine what portion of compensation is excluded from covered remuneration.
  • Each tax-exempt organization subject to Code Section 4960 must separately determine its group of covered employees.  As a result, a hospital system comprised of multiple tax-exempt organizations will likely have more than five covered employees.
  • Remuneration paid to a covered employee includes amounts paid to the employee for employment with any related organization, including a related taxable organization.  Any excise tax owed is allocated among the covered employee's employers.

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