Who’re the actual prospects of GP firms: medical doctors or sufferers? – VAT

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Your guide to the questions at the heart of the millions

Dollars legal between Healius and the tax office.

In recent years there has been a legal battle between the general practitioner

Company Healius and the Australian Tax Office are up and running

through the courts.

It is of interest to many doctors because it appears to be related

on a subject that is associated with many emotions for medicine

Job.

When GPs sign up for a company, they are customers

The facilities and services required to practice their are offered

Vocation – for example, the medical center that

Administrative staff, the nursing staff?

Or are they actually part of the commercial infrastructure used?

by the company to operate and attract its medical centers

Patient?

It is important to emphasize that the real legal issues at stake

The heart of Healius' struggle is a little more monetary

Nature.

What did Healius buy?

The courts were asked to decide whether the historic

Advance payments by the operator of the medical center to his doctors

were of a capital nature and as such not deductible against theirs

estimable income.

And that is a complex area of ​​tax law. It is known there without a doubt

to all, Healius (

formerly known as Primary Health Care

Limited
) is in the field of development and

Operation of medical centers.

Doctors in the centers run their own practice,

but all the facilities and support services they need, including

The reception and billing service is provided entirely by Idameneo

own subsidiary of Healius.

Historically, the typical Healius arrangement should be used

populating its centers with doctors was to make a sale of

Practice certificate and an agreement on the provision of services.

Doctors who have made such arrangements in the past are usually in the past

agreed to conduct her medical practice from an Idameneo center

for an agreed period (usually five years) and received lump sums

run to several hundred thousand dollars.

Between June 2003 and June 2007 the Australian Income Tax Office (ATO)

assessed Healius' income on the basis of this flat rate

The expenditures were "capital or capital" within the

Importance of the Income Tax Assessment Act 1997.

This meant that Healius was not entitled to deduct the lump sums

against his estimable income, which leads to Healius being confronted

significantly higher tax claims.

Capital or not?

Healius appealed to the Federal Court of Australia and in 2019

it won at least initially.

The court examined the purpose of the lump sums and

found:

  • The medical centers did not provide health services to them

    Publicity. They ran a business providing a comprehensive

    Offer of services and facilities for doctors at Idameneo

    medical centers.
  • The doctors were the customers of the medical centers. The more

    Doctors who were employed in the medical centers, the more so

    these medical centers would be profitable for Idameneo and

    ultimately Healius.
  • Although the doctors each have a sales contract, they have

    did not sell her practice to Idameneo. Any doctor

    continued to run her own medical practice at Idameneo

    medical centers; and so it was the doctors who provided services

    Patient.
  • The lump sums weren't capital, and so were those

    Deductions claimed by Healius were available.

Reversal of fate

However, the ATO (to be precise, the tax commissioner)

appealed against this judgment to the entire Federal Supreme Court; and in a decision

handed down last month, the original decision has been reversed.

It is worth looking at the reasons for this.

Here, too, the question at the center of the appeal was whether

The payment of the lump sums to the doctors was duly referred to as

Capital (the general practitioner payments were part of the company

Infrastructure, along with its bricks and mortar?) Or for

Revenue.

According to the full court, the boss is, if not a critical factor

The determination of the nature of the flat-rate payments had to be examined

the advantage that Healius (as a taxpayer) wanted to secure for himself

Make payments.

This required a "practical commercial investigation" and a

"broad survey and precise control of the taxpayer

Activities, "said the court.

In direct contrast to the court's earlier decision, it was

took the view that the nature of the business Idameneo was running was not the case

correctly described as a service company for doctors.

The judges found it was much more than that.

The agreements with practitioners for which they were paid

Lump sums "were not designed to simply secure everyone

Practitioner as a customer of Idameneo ".

The precautions were essential to the doctor's operation

Centers because "they enabled Idameneo to control the path

These doctors ran their practices from the

(Centers) in all essential points except for the specialist

Make judgments on deployment

medical service".

In other words, the lump sums were more than just

Payments to secure GPs as mere customers.

"Essential to Business"

According to the court, each lump sum was a payment for the

Practitioner to: (a) cease operating an existing practice; (b)

Start of trading as part of an Idameneo medical center under that

required type of exercise; and (c) accept reluctance

Building a competing medical practice.

Securing the doctors' commitment in this regard was one thing

The court ruled that this was an integral part of Idameneo's business.

Along with the physical assets that make up every doctor

The center of the commitments was the commercial infrastructure

was then used by Idameneo to earn its income by dressing

Patients to his centers.

Hence the lump sums were capital expenditures; and

Consequently, the tax refunds requested by Healius were not

available.

Historical precedents

The full court distinguished earlier decisions in which

Customer protection expenses were considered deductible

from income.

One case cited was BP Australia Ltd v Federal Commissioner of

Taxation (1965).

In this case, BP has made agreements with the petrol station

Owners only sell BP gasoline.

Each owner agreed to mark their website as a BP website for the term

the agreement. BP paid each owner a flat rate and demanded that

Lump sums as allowable deductions.

It was held in this case:

  • BP was already set up to provide gasoline when it came in

    these agreements, and there was no need for the agreements in this sense

    as part of its profit structure. The agreements weren't

    Part of its infrastructure. In the BP market from

    Operation it was necessary to follow the practices of the BPs

    Competitors and conclude agreements with gas station

    Owners to secure the sale of gasoline.
  • The payments were made within the framework of
  • the cost of conducting income generating operations.
  • These lump sums were therefore paid out to the income account and were

    permitted as deductions.

Another case cited by the federal court was NAB v Commissioner

of Taxation (1997).

Here the NAB made a payment to the Commonwealth to secure that

exclusive right to be a lender under a housing program to the

Australian Armed Forces.

It was held in this case:

  • The bank did not have to secure the contract with

    Commonwealth to be in business. It already had that

    Resources and funding options to support the

    Loans.
  • The advance payment was only used to secure a bundle of loans

    Contracts as part of NAB's business operations.
  • The payment was therefore made as part of the trade

    Activities of the bank and thus a permissible deduction.

The current verdict

In short, BP and NAB paid for future habits

Idameneo paid for something that was part of his being

commercial infrastructure.

In the words of the federal court, "It wasn't enough for

Idameneo to build the centers and offer services to make it go

to build up the business of running the centers.

"Agreements had to be made with the medical profession

Practitioners to whom they would commit (Idameneos

Operating model … Without these obligations, there would be none

Companies."

Every time Idameneo paid a doctor a lump sum, it did

hence "maintaining the structure of his business" and

"Ensure that the required commitments have been met

run his business ".

Without this obligation of his doctors to lead theirs

In a medical center in Idameneo, the company would lack that

Very infrastructure needed to run the business.

Conclusion

There are a long number of jurisdictions that take this into account

Characterization of payments as income or capital expenditure.

As mentioned earlier, this is a complex area of ​​tax law

At the time of writing, Healius had filed an application with the High Court of Australia

Application for special permission to appeal to the entire federal court

Decision.

The content of this article is intended to provide a general overview

Guide to the subject. Expert advice should be sought

about your particular circumstances.