Join us to learn more about how tax reform impacts nonprofits across the industry. By Congress approving the H.R. 1 Tax Cuts and Jobs Act, it significantly alters the U.S. tax code.
Tax Health Check Services, We provide the customer with the tax health check program that focus very much on the compliance position and tax filing procedures of your company
Doanh Duc Tax Consulting Corporation
www.doanhduc.com
Join us to learn more about how tax reform impacts nonprofits across the industry. By Congress approving the H.R. 1 Tax Cuts and Jobs Act, it significantly alters the U.S. tax code.
Tax Health Check Services, We provide the customer with the tax health check program that focus very much on the compliance position and tax filing procedures of your company
Doanh Duc Tax Consulting Corporation
www.doanhduc.com
The FASB met Wednesday, Jan. 10, 2018, and discussed how companies should account for the effects of the new tax law, introduced as H.R. 1 (Tax Cuts and Jobs Act). The discussion addressed six different financial reporting issues related to the new tax law and has already resulted in the issuance of a FASB Staff Q&A.
Idaho Law Foundation Headline News Course - Idaho Falls - Nov. 30, 2018
In this presentation, Mr. Cather reviewed the impact of tax cuts and the Jobs Act on businesses.
Payroll tax rates, filing deadlines and responsibilities in 2019Merchant Advisors
Here is a detailed guide on the payroll taxes withholding, rates, reporting and responsibilities for employers and employees for 2019. For more information, visit at https://www.onlinecheck.com/blog/small-business-resources/payroll-taxes/
Companies with a growing globalized workforce may be incurring significant risks in the operation of their compensation programs. Taxing authorities around the world are looking for additional sources of tax revenues by way of underpaid employment taxes, underpaid withholdings, incorrect payroll deductions, and more. As a result, companies are being scrutinized more than ever creating substantial legal and financial risk.
Join us for an exclusive presentation from the world's leading compensation planning & tax experts, Ernst & Young, as they share inside strategies and best practices they have used to help companies around the world save millions in fines, penalties and judgments.
In this exclusive webinar you will learn:
○ How to minimize employment and labor law risks exposing employers to potential underpaid employment taxes, litigation and related settlement costs;
○ How to identify possible underpaid withholding and employer social security taxes, penalties and fines due to payroll non-compliance;
○ How to avoid payroll reporting errors due to mis-alignment with corporate income tax deduction policy for compensation costs.
Restructuring global compensation pay strategies that ignore regional norms and fail in key emerging markets;
After repeal of ETI exclusion, the IC-DISC is the only option available to obtain export tax benefits. Most companies can increase their after-tax cash flow by incorporating an IC-DISC. IC-DISC structure takes advantage of the 15% tax rate on dividends
The FASB met Wednesday, Jan. 10, 2018, and discussed how companies should account for the effects of the new tax law, introduced as H.R. 1 (Tax Cuts and Jobs Act). The discussion addressed six different financial reporting issues related to the new tax law and has already resulted in the issuance of a FASB Staff Q&A.
Idaho Law Foundation Headline News Course - Idaho Falls - Nov. 30, 2018
In this presentation, Mr. Cather reviewed the impact of tax cuts and the Jobs Act on businesses.
Payroll tax rates, filing deadlines and responsibilities in 2019Merchant Advisors
Here is a detailed guide on the payroll taxes withholding, rates, reporting and responsibilities for employers and employees for 2019. For more information, visit at https://www.onlinecheck.com/blog/small-business-resources/payroll-taxes/
Companies with a growing globalized workforce may be incurring significant risks in the operation of their compensation programs. Taxing authorities around the world are looking for additional sources of tax revenues by way of underpaid employment taxes, underpaid withholdings, incorrect payroll deductions, and more. As a result, companies are being scrutinized more than ever creating substantial legal and financial risk.
Join us for an exclusive presentation from the world's leading compensation planning & tax experts, Ernst & Young, as they share inside strategies and best practices they have used to help companies around the world save millions in fines, penalties and judgments.
In this exclusive webinar you will learn:
○ How to minimize employment and labor law risks exposing employers to potential underpaid employment taxes, litigation and related settlement costs;
○ How to identify possible underpaid withholding and employer social security taxes, penalties and fines due to payroll non-compliance;
○ How to avoid payroll reporting errors due to mis-alignment with corporate income tax deduction policy for compensation costs.
Restructuring global compensation pay strategies that ignore regional norms and fail in key emerging markets;
After repeal of ETI exclusion, the IC-DISC is the only option available to obtain export tax benefits. Most companies can increase their after-tax cash flow by incorporating an IC-DISC. IC-DISC structure takes advantage of the 15% tax rate on dividends
Understanding IND AS 12 – Accounting for Income Taxes.pptxtaxguruedu
Introduction to IND AS 12 IND AS 12, also known as Accounting for Income Taxes, is a standard issued by the Institute of Chartered Accountants of India (ICAI) that prescribes the principles and methods for accounting for income taxes. This standard applies to all entities that are required to prepare financial statements in accordance with Indian Accounting Standards (IND AS).
Scott Mariani, JD, Partner and Practice Leader of WithumSmith+Brown’s Healthcare Services Group, presented his “Healthcare Industry Tax Update 2014″ at the HFMA Annual National Institute (ANI). The session provided an update and overview of current tax issues applicable to integrated healthcare delivery systems, hospitals, physicians, and other healthcare providers.
No matter what field you are in, taxes may not make your business but they can certainly break your business if not handled properly. Get the latest tax tips from Felix Cheng, CPA for managing your small business.
The past year was relatively quiet in terms of tax changes, but the IRS remained active. A number of proposed and final regulations were issued that could significantly impact your tax planning strategies.
Our 2017 Business Tax Planning Supplement recaps these and other major developments from the past year and provides rates, tables and other information for future planning. Highlights include:
Permanent, temporary and expiring tax provisions
Tax form due date changes
Affordable Care Act implementation
Annual update deliver by Paul Rhodes to the IFRS staff group at Crowe Soberman LLP.
Topics covered were estimation and judgment calls for functional currency; strategic investments; business combinations; impairments and going concern
Tax Reform and the Impact to your Franchise by Honkamp Krueger4 2018rhauber
The recent Tax Cuts and Jobs Act aka Tax Reform has made a significant impact on the tax situation of franchise business owners. Our slide deck provides the business tax and individual tax highlights of the Tax Cuts and Jobs Act for franchise organizations.
Tax Cuts and Jobs Act: Latest employer developments as of 3-21-2018Debera Salam, CPP
Following are the slides from the CIC Plus and Ernst & Young LLP webcast that aired on March 21, 2018 where we focused on the latest developments of employer interest in connection with the Tax Cuts and Jobs Act of 2017.
The 2017 tax act (Public Law 115-97) changed the way that the foreign income of U.S. corporations was taxed. Before those changes, many types of foreign income were not taxed by the United States until the income was brought back, or repatriated, to the United States. As part of the transition to the new system, a onetime tax was imposed on the existing unrepatriated foreign earnings of U.S. corporations. Corporations must pay the tax regardless of whether they actually repatriate the earnings to the United States. This presentation explains how estimates of those tax payments affect CBO’s baseline projections of corporate income tax revenues.
As today's not-for-profit organizations shift from being purely mission focused to operating more “like a business,” certain core principles and fundamentals apply to both. To wit, it is vital for audit committee members to stay ahead of relevant changes to legal and regulatory requirements in this challenging environment. Take a look.
Tax Reform - Issues and Opportunities - A Primer for MLPs, PE Funds andPubli...Michael J. Blankenship
Topics to be Covered Include:
Pass-Through Business Income Deduction and Tax Planning for MLPs
New Treatment of Carried Interest
Rethinking Your Compensation and Benefits Plans
Tax Issues and Planning on New Tax Rates, NOLs and Deductions
Public Company Issues and Disclosures
“CARES Act Provider Relief Fund: Opportunities, Compliance, and Reporting”PYA, P.C.
PYA Principal Martie Ross spoke at the virtual North Carolina Healthcare Association Critical Access Hospital Statewide Meeting. The two-day event, “Quality Focus is a Finance Focus,” provided critical access hospital leaders with the opportunity to network and review data-informed strategies as well as updates to the Medicare Flexibility Program Project. It also provided guidance on federal compliance and tracking of Provider Relief Funds.
In “CARES Act Provider Relief Fund: Opportunities, Compliance, and Reporting,” Martie gave an overview of the history of distribution of those funds as well as regulations and guidelines including:
Statutory Language
Reporting Requirements
Use of Funds Calculation
Expenses
Risk Management
Martie presented Thursday, March 4, 2021.
If you would like guidance related to Provider Relief Fund regulations, or for assistance with any matter related to strategy and integration, compliance, or valuation, contact one of our PYA executives at (800) 270-9629.
PYA Presented on 2021 E/M Changes and a CARES Act Update During GHA Complianc...PYA, P.C.
The Georgia Hospital Association (GHA) Compliance Officers Roundtable, an active GHA group that meets quarterly and includes educational sessions featuring government representatives, industry experts, and other thought leaders speaking about compliance-related issues, conducted their latest meeting virtually. PYA Principals Lori Foley, Tynan Kugler, and Valerie Rock were among the presenters at this quarter’s event. In their session, they:
Described key elements associated with 2021 E/M changes, and strategies for preparation and implementation.
Explained the impact of 2021 E/M changes on physician compensation and contracting, including potential mitigation approaches.
Presented key components of Stark Law and Anti-Kickback Statute final rules.
Provided an update on the CARES Act.
The Compliance Certification Board offered CEUs for this event, which took place on Friday, December 4, 2020.
Webinar: “Trick or Treat? October 22nd Revisions to Provider Relief Fund Repo...PYA, P.C.
On October 22nd, the Department of Health and Human Services released revised Provider Relief Fund (PRF) reporting requirements. Under HHS’ September 19 directive, “lost revenue” was defined narrowly as a negative change in year-over-year patient care operating net income. Now, HHS will permit providers to use PRF funds to cover the difference between their 2019 and 2020 actual patient care revenue with some adjustments for COVID-related expenses. The October 22nd notice is available here.
PYA Principals Martie Ross and Michael Ramey hosted a complimentary 30-minute webinar, “Trick or Treat? October 22nd Revisions to Provider Relief Fund Reporting Requirements” on Thursday, October 29th.
“Regulatory Compliance Enforcement Update: Getting Results from the Guidance” PYA, P.C.
PYA Principal and Chief Compliance Officer Shannon Sumner and Consulting Senior Manager Susan Thomas presented “Regulatory Compliance Enforcement Update: Getting Results from the Guidance” at the virtual 2020 Montana Healthcare Conference. They reviewed the sources of regulatory enforcement and investigation information—guidelines, statutory updates, best practices, settlements, case studies, etc.—available to healthcare organizations. They will also discuss how to interpret and implement the guidance in order to strengthen the compliance function and protect the organization. The presentation covered:
Compliance regulatory requirements for healthcare organizations.
Guidance available for consideration in organizational compliance programs.
Internal and external reporting to ensure regulatory requirements are met.
Best practices for implementation of guidance.
Case studies for illustration of guidance implementation.
“Federal Legislative and Regulatory Update,” Webinar at DFWHCPYA, P.C.
The Dallas Fort Worth Hospital Council (DFWHC) and PYA co-hosted an exclusive complimentary webinar, “Federal Legislative and Regulatory Update,” on Wednesday, September 23.
DFWHC President/CEO Stephen Love hosted a discussion with PYA Senior Manager Kathy Reep about concerns that have dropped from the radar during the last four months of COVID-19, addressing issues for which hospitals must prepare in approaching 2021. This session focused on these key areas:
Appropriate use criteria
Transparency
Site neutral payments
The future of the Medicare Trust Fund
The federal budget
Key provisions of the final rule for the inpatient prospective payment system for FY2021 and the proposed outpatient rule for CY2021
On-Demand Webinar: Compliance With New Provider Relief Funds Reporting Requir...PYA, P.C.
On September 19, the Department of Health and Human Services (HHS) published its Post-Payment Notice of Reporting Requirements. The Notice details the reporting requirements for all Provider Relief Fund (PRF) recipients that have received $10,000 or more in aggregate payments.
Under the PRF Terms and Conditions, a recipient may use the funds only for healthcare-related expenses and lost revenue attributable to coronavirus. The Notice provides the clearest direction to date regarding permissible uses of PRF funds.
PYA offered a 45-minute complimentary webinar that explained the new reporting requirements and delved into permissible uses. While many questions remain, we provided practical advice on the next steps in the reporting process.
The webinar took place Monday, October 5 at 11 a.m. EDT.
Webinar: “While You Were Sleeping…Proposed Rule Positioned to Significantly I...PYA, P.C.
You likely know from the headlines that the 2021 Medicare Physician Fee Schedule (MPFS) Proposed Rule slashes payments for surgical specialists. But the impact of the Proposed Rule is far broader, reflecting a fundamental realignment driven by the transition to value-based payments. In our webinar, “While You Were Sleeping…Proposed Rule Positioned to Significantly Impact Physician Compensation,” PYA experts addressed these proposals, helping you understand and prepare for the changes ahead.
Following this presentation, attendees were able to:
Understand how a handful of wRVU changes would alter Medicare reimbursement for nearly all physicians.
Appreciate the operational impact of these changes.
Recognize the challenges to existing physician compensation models.
Identify strategies and tactics to prepare for and manage these impacts.
Presenters include PYA Principals Angie Caldwell, Martie Ross, and Valerie Rock. The webinar took place Thursday, September 10 and was hosted in conjunction with the Florida Hospital Association.
If you have additional questions about the MPFS Proposed Rule and its impact on physician compensation or need assistance with any matter involving physician compensation, valuation, strategy and integration, or compliance, contact a PYA executive below at (800) 270-9629.
Webinar: “Cybersecurity During COVID-19: A Look Behind the ScenesPYA, P.C.
Cybersecurity breaches have been in the news almost daily for some time now. COVID-19 has amplified the problem, as “bad actors” seize upon the opportunity to take advantage of hospitals at their most vulnerable time. Given this climate and an aging HIPAA rule, it is difficult to anticipate and prepare for the future.
PYA Principal Barry Mathis presented “Cybersecurity During COVID-19: A Look Behind the Scenes,” on Wednesday, August 12, 2020. This one-hour, complimentary webinar was hosted by PYA in conjunction with the Montana Hospital Association as Part 2 of the Frontier States Town Hall Meeting.
Barry covered information related to HIPAA, cybersecurity, and a special behind-the-scenes view into the tradecraft of bad actors. This unique presentation included:
Recent enforcement trends by the Office for Civil Rights.
The current environment for ransomware.
An opportunity to watch as Barry logs onto the Dark Web and shows you first-hand how bad actors operate.
Ideas for managing cybersecurity threats.
On Friday, August 21, 2020, a webinar co-hosted by PYA prepared hospitals for a new rule taking effect on January 1, 2021, to address price transparency in healthcare. The Centers for Medicare & Medicaid Services published a rule in November 2019 requiring hospitals to establish, update, and make public a list of their standard charges for items and services they provide. In addition to the current requirement to post standard charges on their websites, the Final Rule requires hospitals to publish online, in a machine-readable format, their payer-specific negotiated rates for 300 “shoppable” services and their standard charges for all items and services provided, defined as the gross charge, payer-specific negotiated charges, discounted cash price, and the de-identified minimum and maximum charges.
As we approach January 2021, it is vital that hospitals understand the requirements of the pricing transparency rule and options for compliance. It is unlikely that this rule will “go away”–court decisions are always subject to appeal, and there is even concern that Congress is considering action that would transform these requirements from regulation to legislation.
During the complimentary webinar, PYA Senior Manager Kathy Reep discussed hospital requirements related to pricing transparency, and Chris Kenny, Partner in the Washington, D.C., office of King & Spalding, addressed concerns related to compliance and the legal challenges associated with the final transparency rule.
This webinar was presented in conjunction with:
Dallas-Fort Worth Hospital Council
Florida Hospital Association
Georgia Hospital Association
Kansas Hospital Association
Louisiana Hospital Association
Montana Hospital Association
Not a surprise to most — healthcare is making headlines on an international level. Though not front and center, still of importance to the hospital community are issues working their way through government agencies and the legislature.
As one of the keynote speakers of this year’s virtual Florida Institute of CPAs Health Care Industry Conference, PYA Senior Manager Kathy Reep presented a “Federal Legislative and Regulatory Update.” She covered a number of current issues affecting healthcare providers, including:
Price transparency.
Congressional action on surprise billing.
The Administration’s budget for 2021.
Medicare proposed rules related to hospital inpatient payments and post-acute care for FY2021.
The virtual event took place June 23-24, 2020.
Webinar: Post-Pandemic Provider Realignment — Navigating An Uncertain MarketPYA, P.C.
The COVID-19 pandemic will materially affect U.S. provider industry structure, as financial weaknesses are exposed, risk tolerances are tested, and uncertainties persist. As a result, provider mergers-and-acquisitions (M&A) activities across industry sectors will likely spike in the short- to medium-term future. Providers of all types need to be aware of, and prepared for, the changes they will face.
In this 45-minute joint webinar, PYA Principal Brian Fuller and Juniper Advisory Managing Director Jordan Shields provided a real-time assessment of the COVID-19 pandemic, as well as shared predictions for what the extending crisis means in coming years for M&A activity in the provider space.
The webinar took place Thursday, August 6, 2020, at 11 a.m. EDT.
Since March, PYA experts have closely tracked and carefully evaluated the pandemic’s impact on employed physician compensation. During this complimentary one-hour webinar, PYA Principals Angie Caldwell and Martie Ross highlighted five immediate considerations for hospitals and health systems to manage the storm. They also explored five longer-term considerations impacting future planning.
This webinar took place Friday, July 24, 2020, at 11 a.m. EDT, and was held in conjunction with:
Dallas-Fort Worth Hospital Council
Florida Hospital Association
Kansas Hospital Association
Montana Hospital Association
The COVID-19 pandemic has exposed organizational and industry weaknesses. To build a more resilient delivery system, leaders now must engage their governing boards in re-calibrating strategic plans, re-evaluating investments, and re-imagining hospitals’ and health systems’ roles in their communities.
In this 45-minute webinar, PYA Principals Martie Ross and Brian Fuller provided a framework for these critical discussions including root-cause analysis, market assessment, new realities, guiding principles, and strategic and operational priorities.
This webinar originally took place on Wednesday, June 24, 2020.
Webinar: Free Money with Strings Attached – Cares Act Considerations for Fron...PYA, P.C.
PYA, in conjunction with the Montana Hospital Association, recently co-hosted a Frontier States Town Hall Meeting webinar, “Free Money With Strings Attached: CARES Act Considerations for Frontier States’ Healthcare Provider Organizations.” Principals Lori Foley, Martie Ross, and David McMillan introduced the CARES Act Provider Relief Fund including distribution formulas, the attestation process, the verification and application process, and ongoing recordkeeping requirement. They also answered attendees’ numerous questions regarding these matters.
Webinar: “Got a Payroll? Don’t Leave Money on the Table”PYA, P.C.
Under the CARES Act, every employer with a payroll has an opportunity to retain cash–whether they have a PPP loan or not. What employers need to know right now.
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) along with the Payroll Protection Program (PPP) offer all business owners relief, but the details can be confusing or overlooked.
Perhaps you don’t fully understand how the deferral of the employer’s share of Social Security taxes works. Maybe you wonder if the deferral even applies to you—good news, it does if you have a payroll!
Failure to fully understand your options could cost you money, at a time when “cash is king.”
As part of PYA’s ongoing commitment to sharing helpful guidance, Tax Principals Debbie Ernsberger and Mark Brumbelow outlined issues and opportunities within the CARES Act, and answered questions during a one-hour webinar that originally aired on Wednesday, May 20, 2020.
Webinar: So You Have a PPP Loan. Now What?PYA, P.C.
The CARES Act provides relief to small businesses through Paycheck Protection Program (PPP) loans, but receiving the loan is only the first part of the equation. PYA discussed what businesses need to know and do next.
Failure to fully understand the requirements for PPP loan forgiveness could cost employers money, at a time when every penny counts. Employers need to stay up-to-date on recent activities regarding the PPP loan forgiveness application, necessary documentation, and other best practices to ensure they are well-prepared for the next steps under the PPP.
As part of PYA’s ongoing commitment to sharing helpful guidance, Tax Principals Debbie Ernsberger and Mark Brumbelow outlined PPP loan forgiveness requirements and answered questions during a one-hour webinar on Wednesday, June 3, 2020.
Webinar: “Making It Work—Physician Compensation During the COVID-19 Pandemic”PYA, P.C.
What to do with your physician compensation plan in the face of the COVID-19 pandemic? It’s a question that leaves administrators searching for answers.
PYA Principal Angie Caldwell and Senior Manager Katie Culver introduced several key considerations for provider compensation during and after the COVID-19 pandemic. In PYA’s complimentary webinar, they:
Summarized the current environment impacting physician compensation associated with the pandemic.
Provided an overview of the Stark Blanket Waivers and opportunities created for physician compensation.
Described restoration and recovery strategies for physician resources.
PYA hosted this one-hour webinar Tuesday, April 28, 2020, at 11 a.m. EDT in conjunction with the Florida Hospital Association.
Webinar: “Provider Relief Fund Payments – What We Know, What We Don’t Know, W...PYA, P.C.
The federal government is now making CARES Act Relief Fund payments to Medicare providers. These payments are not loans—they do not have to be repaid or forgiven. However, this money comes with strings attached.
During PYA’s 30-minute webinar, Provider Relief Fund Payments—What We Know, What We Don’t Know, What To Do Now, PYA Principals Martie Ross and Lori Foley discussed:
The source of the funds.
The required attestation process.
Compliance, tax, and audit concerns.
The webinar took place Friday April 17, 2020.
Webinar: “Hospitals, Capital, and Cashflow Under COVID-19”PYA, P.C.
Hospitals and providers need to think creatively, strategically, and long-term about capital and cashflow under the pressures of the COVID-19 pandemic. A one-hour webinar hosted by PYA discussed the current state of capital markets for non-profit healthcare systems, and considerations for capital management, including the role of real estate assets.
PYA Principal Michael Ramey joined Realty Trust Group Senior Vice-President Michael Honeycutt and Ponder & Company Managing Director Jeffrey B. Sahrbeck to present “Hospitals, Capital, and Cashflow, Under COVID-19” In this webinar, they covered:
Hospital industry capital market updates and trends, including how the capital markets are responding to the crisis.
Access to capital under recent regulations.
Cash preservation techniques for hospitals considering real estate operations and assets.
The webinar took place Thursday, April 9, 2020, at 11 a.m. EDT.
PYA Webinar: “Additional Expansion of Medicare Telehealth Coverage During COV...PYA, P.C.
Late on March 30, CMS released an interim rule which, among other things, significantly expands Medicare telehealth coverage, even beyond the initial Section 1135 waivers. PYA’s complimentary one-hour webinar explained these changes and how they make telehealth an even more attractive option in response to the COVID-19 pandemic.
PYA Principals Martie Ross and Valerie Rock addressed the latest developments, including:
New reimbursement for telephone-only services.
Broader coverage for remote patient monitoring.
New payments for rural health clinics and federally qualified health centers.
Use of telehealth to meet supervision requirements.
New rules regarding coding and billing as well as the changed payment rates for telehealth services.
The webinar took place Friday April 3, 2020, at 11 a.m. EDT.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
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Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
ALKAMAGIC PLAN 1350.pdf plan based of door to door delivery of alkaline water...rowala30
Alka magic plan 1350 -we deliver alkaline water at your door step and you can make handsome money by referral programme
we also help and provide systematic guideline to setup 1000 lph alkaline water plant
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Feeding plate for a newborn with Cleft Palate.pptx
Taxing the Tax-Exempt?
1. 2019 Health Care Industry Conference
April 26, 2019
Emily Smithson, CPA, Manager
FLORIDA INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS
Taxing the Tax-Exempt?
Impact of the Tax Cuts and Jobs Act
on Tax-Exempt Organizations
2. Prepared for Florida Institute of Certified Public Accountants Page 1
Tax Cuts and Jobs Act of 2017
Signed into law on December 22, 2017
Sweeping revisions to current tax law impacting
individuals, estates, businesses, and tax-exempt
organizations
“In the news” changes:
Reduction in corporate tax rate and elimination of
corporate Alternative Minimum Tax (AMT)
Lower individual tax brackets
Significant increase to standard deduction for individuals
3. Prepared for Florida Institute of Certified Public Accountants Page 2
Tax Cuts and Job Acts of 2017
Provisions Impacting Tax-Exempt Organizations Include:
Executive Compensation
Unrelated Business Income Activities
Change in Tax Rate
Various Employer-Provided Fringe Benefits
4. Prepared for Florida Institute of Certified Public Accountants Page 3
Background: Executive Compensation –
For-Profit Corporations
Internal Revenue Code (IRC) 162 (m) limits deduction to
$1 million for compensation paid to:
CEO
CFO
Any other covered employee that is one of the three
highest compensated
Applies to publicly traded corporations regulated under
the Securities and Exchange Commission (SEC)
Rule has no impact on non-SEC corporations or tax-
exempt organizations
5. Prepared for Florida Institute of Certified Public Accountants Page 4
An Attempt at Parity
The Tax Cuts and Jobs Act of 2017 (TCJA) adds an
excise tax to tax-exempt organizations that pay
compensation to a covered employee in excess of $1
million per year or on any excess parachute payment
paid
The new corporate tax rate is 21%, therefore the excise
tax rate on excess compensation is also 21%
Excise tax only applies to the compensation over $1
million per covered employee
Applies to taxable years after December 31, 2017
6. Prepared for Florida Institute of Certified Public Accountants Page 5
Definitions: Compensation
Include:
Wages--as defined in Section 3401 (a)
Amounts required to be included in gross income under
Section 457 (f)
Exceptions:
Roth contributions
Renumeration not allowed under Section 162 (m)
7. Prepared for Florida Institute of Certified Public Accountants Page 6
Definitions: Covered Employee
“Any employee (including any former employee) of an
applicable tax-exempt organization if the employee is
one of the 5 highest compensated employees of the
organization for the taxable year” (IRC 4960)
Five year lookback – first applicable year is 2017
8. Prepared for Florida Institute of Certified Public Accountants Page 7
Definitions: Covered Employee
Does not include compensation paid for services
performed as a medical or veterinary professional
A member of the C-suite may provide both medical and
administrative services
Compensation would be allocated to each type of duty
$1M test only applies to compensation for administrative
services
9. Prepared for Florida Institute of Certified Public Accountants Page 8
Definitions: Related Organizations
“A person or government entity shall be treated as related
to an applicable tax-exempt organization if such person
or government entity –
Controls or is controlled by the organization
Is controlled by one or more persons that control the
organization
Is a supporting organization during the taxable year with
respect to the organization”
10. Prepared for Florida Institute of Certified Public Accountants Page 9
Compliance Issues
Period covered in measuring compensation:
Section 4960 references “taxable year” – employer or
employee?
Notice 2019–09 clarifies taxable year is the calendar year
with or within the employer’s taxable year
11. Prepared for Florida Institute of Certified Public Accountants Page 10
Compliance Issues
Form 4720, Return of Certain Excise Taxes Under
Chapters 41 and 42 of the Internal Revenue Code
This form has historically been used for “punitive” taxes
levied on tax-exempt organizations
Proposed regulations issued on November 5, 2018,
indicate Form 4720 be filed by the 15th day of the fifth
month after the end of the organization’s taxable year when
the excise liability was incurred
Form 4720 updated to include Schedule N, Tax on
Executive Compensation
Because this burden is an excise tax, quarterly estimated
payments are not required
12. Prepared for Florida Institute of Certified Public Accountants Page 11
Compliance Issues: Consolidated Groups
Top 5 determination – appears to apply in aggregate to a
consolidated group
Compensation includes that which is paid by all of the
members of the consolidated group to the employee
Liability for excise tax is allocated to each organization
pro rata based on its proportion of compensation paid to
the employee
How does reporting work if employee splits time between
a for-profit related organization and a tax-exempt entity?
13. Prepared for Florida Institute of Certified Public Accountants Page 12
Planning Opportunities
Identify top 5 covered employees and determine if
compensation exceeds or will exceed $1 million
Track former employees (in years after 2016) for post-
termination compensation
Consider consolidating all highly compensated
employees into one employer, such as the parent entity
Carefully review executive employment contracts,
severance agreements, and non-qualified deferred
compensation (NQDC) plans
Vesting in NQDC plans may trigger the tax in future years
(even if the executive is not normally paid in excess of $1M)
Opportunities for longer vesting schedules?
14. Prepared for Florida Institute of Certified Public Accountants Page 13
Planning Opportunities
If applicable, organizations should accrue the 21% tax
on the books (and file necessary excise tax forms,
without need for estimated payments)
Consider licensed medical professionals – track clinical
vs. nonclinical pay
15. Prepared for Florida Institute of Certified Public Accountants Page 14
Planning Opportunities
Regardless of compensation (even if well under $1M),
Intermediate Sanctions still apply
Do not neglect the requirements for reasonable
compensation!
Keep watching for additional guidance on the TCJA
16. Prepared for Florida Institute of Certified Public Accountants Page 15
Taxing the Tax-Exempt?
Is it “parity” if the for-profit corporation incurs a taxable
loss and, therefore, is not harmed by a disallowed
deduction for excess compensation?
Does the 21% excise tax benefit the communities served
by applicable tax-exempt organizations?
Many states are increasing tax assessments of tax-
exempt organizations or revoking tax-exemption for
other state and local taxes, such as property taxes
Will the “requirements” of tax-exemption become too
burdensome?
How will this impact executive compensation and what is
considered fair market value (FMV)?
17. Prepared for Florida Institute of Certified Public Accountants Page 16
Unrelated Business Activities:
New Tax Rate
21%
Executive Compensation
UBI Tax
Tax rate treats tax-exempt entities same as taxable
entities
18. Prepared for Florida Institute of Certified Public Accountants Page 17
Unrelated Business Activities
Historically:
Unrelated business activities aggregated for purposes of
reporting on Form 990-T
Profitable activities may be offset by activities generating
losses
19. Prepared for Florida Institute of Certified Public Accountants Page 18
Unrelated Business Activities
New Rules:
Losses from one unrelated activity may not offset the
income from another unrelated trade or business
Calculate UBI tax separately for each UBI activity
Consistent with IRS position to view perpetual losses as
not maintaining a profit motive
Effective for tax years beginning after December 31, 2017
Create “buckets” for each UBI activity to determine the net
income or loss from each
Unrelated business activities generating losses in one
taxable year may be used to offset income from the same
activity in a subsequent taxable year
20. Prepared for Florida Institute of Certified Public Accountants Page 19
Unrelated Business Activities
No criteria defined for determining separate UBI
activities
Notice 2018-67
Rely on a “reasonable, good-faith interpretation”
NAICS six-digit codes
Aggregate all debt-financed income or all income from
controlled entities
Aggregate investment activities
21. Prepared for Florida Institute of Certified Public Accountants Page 20
Unrelated Business Activities
Net Operating Losses:
May be carried forward indefinitely but eliminated
carryback period
Post 2017 NOLS limited to 80% of taxable income (all
organizations, not just tax-exempt organizations)
Ordering of NOLS
Pre-2018
Post-2017
22. Prepared for Florida Institute of Certified Public Accountants Page 21
Planning Opportunities
Multiple activities? Consider conducting them in a
single taxable corporate subsidiary or within a
subsidiary of a consolidated group
Audit activities to verify all expenses captured
23. Prepared for Florida Institute of Certified Public Accountants Page 22
Parking
Qualified transportation fringe – parking garages
Disallow deductions for “the expense of any qualified
transportation fringe (as defined in Section 132 (f))
provided to the employee of the taxpayer”
24. Prepared for Florida Institute of Certified Public Accountants Page 23
Parking
What is qualified parking?
Qualified parking is defined as either:
On or near the employer’s business premises
At a location from which employee commutes to work
25. Prepared for Florida Institute of Certified Public Accountants Page 24
Parking
Employer’s expense of providing the parking, rather than
the value, determines the amount considered UBI
What is considered expenses?
26. Prepared for Florida Institute of Certified Public Accountants Page 25
Parking
Parking expenses subject to 512 (a) (7)
Included:
Repairs
Maintenance
Utilities
Insurance
Property taxes
Interest
Snow and ice removal
Leaf removal
Trash removal
Cleaning
Landscaping
Parking lot attendant expenses
Security
Rent or lease payments
Contract fees with outside parties to
maintain the parking area
Excluded:
Depreciation
Expenses paid for items not located
on, or in, the parking facility, such as
landscaping and lighting
Expenses for parking area where
employees pay to park
Expenses for parking that is included
as wages in an employee’s W-2
27. Prepared for Florida Institute of Certified Public Accountants Page 26
Parking
Do you have UBI related to providing parking to your
employees?
Step 1: Calculate costs of reserved employee costs
Step 2: Determine primary use of the remaining parking
spots
Step 3: Calculate the allowance for specifically reserved
nonemployee spots
Step 4: Determine remaining use and allowable
expenses
28. Prepared for Florida Institute of Certified Public Accountants Page 27
Parking
Eliminate reserved parking spots?
Mixed use parking
Include the value in compensation to employees?
29. Prepared for Florida Institute of Certified Public Accountants Page 28
Fringe Benefits
Request for Guidance
June 7, 2018, Rep. Mike Conway introduced Nonprofits
Support Act (H.R. 6037) to repeal sections 512 (a) (6)
and 512 (a) (7)
June 21, 2018, National Council of Nonprofits sends
correspondence to Secretary Mnuchin and
Commissioner Kautter
July 11, 2018, Council on Foundations sends
correspondence to Members of the 115th Congress
30. Prepared for Florida Institute of Certified Public Accountants Page 29
Fringe Benefits
On-Site Athletic Facilities
New Law – Value of use of on-site athletic facilities to
employees subject to UBI tax
On-Premises athletic facility is defined as:
Located on premises of the employer
Operated by employer
Substantially all of the use is by employees, their spouses,
and dependent children
31. Prepared for Florida Institute of Certified Public Accountants Page 30
Fringe Benefits
Moving Expenses
New Law
May no longer exclude income reimbursements for moving
expenses from income
May no longer deduct any unreimbursed qualified moving
expenses
Effective in 2018
32. Prepared for Florida Institute of Certified Public Accountants Page 31
Questions
33. Prepared for Florida Institute of Certified Public Accountants Page 32
Emily J. Smithson
Manager – Tax Services
PYA, P.C.
esmithson@pyapc.com
(800) 270-9629
www.pyapc.com