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GST/HST — input tax credits — “medical” company was not making exempt supplies

My client was a company that provided a software platform enabling physicians to provide remote services to hospitals. For every $100 it collected from hospitals and OHIP (the Ontario Health Insurance Plan), it kept 30% and paid 70% over to the doctors.

The company’s CFO reported the $100 as income and the $70 as an expense on its financial statements, and thus treated the income from the hospitals and OHIP as part of its revenues.

For HST purposes, the company claimed full input tax credits (ITCs). The CRA audited it, and denied the ITCs on the ground that the company was making exempt supplies of health care services. The company filed a Notice of Objection, with the CFO handling the matter himself. The Appeals Officers allowed some ITCs, but still denied most.

At this point the company came to me for help. While only one year had been assessed so far, the company was potentially on the hook for over half a million dollars, plus future years’ ITCs.

I analyzed the company’s contracts, payment records and other documents, and concluded it had been reporting incorrectly on its financial statements. It was really acting as agent for the doctors when billing the hospitals and OHIP, and was remitting to the doctors the fees it had collected on their behalf. It was actually making only taxable supplies of services to the doctors, not exempt supplies. (It had correctly charged HST on the $30 it got from the doctor on each transaction.)

Rather than launching an expensive Tax Court appeal, I filed a new Notice of Objection, which I could do because CRA Appeals had reassessed following the earlier objection. I explained in the submission how the legislation (and CRA’s Appeals Manual) permitted this as an alternative to a Court appeal.

In the objection, I took an entirely new approach. I explained that, legally, the company was not entitled to practise medicine, so it could not be supplying medical services to the hospitals. Rather, it was acting as the doctors’ agent. I showed how the company’s contracts, billings and other documents were consistent with this. I also provided an Affidavit from the CFO, swearing that he had made a mistake when showing the company’s revenues as coming from the hospitals and OHIP.

The CRA assigned the file to the same Appeals Officer who had considered it before. He was very dubious about the new argument and was not inclined to accept it. I asked for a conference call with him and his Team Leader, and went through my submission in detail with them. (I also pointed out that official CRA policy is not to send an objection to an officer who has previously dealt with the file.)

Soon after the conference call, the objection was allowed and the ITCs were reassessed to be allowed in full. The Team Leader told me later that the Affidavit from the CFO was important to their conclusion that the facts had changed from what they had earlier understood.

Problem solved!

(2022)