Medical Consultants Northwest, Inc. v. State

947 P.2d 784, 89 Wash. App. 39, 1997 Wash. App. LEXIS 2001
CourtCourt of Appeals of Washington
DecidedDecember 5, 1997
Docket20489-4-II, 20544-1-II
StatusPublished
Cited by21 cases

This text of 947 P.2d 784 (Medical Consultants Northwest, Inc. v. State) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medical Consultants Northwest, Inc. v. State, 947 P.2d 784, 89 Wash. App. 39, 1997 Wash. App. LEXIS 2001 (Wash. Ct. App. 1997).

Opinion

Hunt, J.

The State of Washington appeals the trial court’s order to refund to Medical Consultants Northwest, Inc. (MCN) excess business and occupation taxes collected, plus interest. The trial court ruled that payments received by MCN were not taxable as gross income because they *41 were not compensation for services provided by MCN. We affirm.

FACTS

A. Procedure

MCN filed a lawsuit to recover taxes paid under protest to the State Department of Revenue (“the Department”) in 1991 and 1994. MCN alleged that the Department erroneously assessed a business and occupation tax against certain payments MCN received from its clients. MCN alleged that these payments were not taxable as gross income subject to Washington’s business and occupation (B&O) tax because the payments were not compensation for services provided by MCN. Rather, the payments represented advances from clients to MCN to pay independent physicians who provided services to MCN’s clients.

At trial, MCN and the Department submitted an agreed statement of stipulated facts. Based on these stipulated facts, the trial court concluded that the payments should have been excluded from MCN’s gross income and ordered the Department to refund MCN’s excess tax payments, with interest calculated pursuant to RCW 82.32.060(5).

On appeal, the Department contends that the trial court misinterpreted the stipulated facts and erroneously concluded that the payments should have been excluded from MCN’s gross income. On cross-appeal, MCN argues that the trial court erred in concluding that RCW 82.32.060(5), rather than RCW 4.56.110, applied to the calculation of postjudgment interest. We affirm.

B. Substantive Facts

1. Medical Exams

The following facts are gleaned from the stipulation. MCN is in the business of providing objective medical opinions in the form of written reports. MCN’s opinions are based on medical exams performed by independent physicians.

The physicians perform as independent contractors, not employees of MCN. The physicians maintain their own staffs and practices, independent of MCN, and have absolute independence in their medical opinions. MCN publishes and distributes to the physicians, documents and a manual (MCN’s Manual) which set forth the respective obligations of MCN and the physician. MCN enters into a written agreement with each physician that provides, “MCN will act on [p]hysician’s behalf to facilitate [p]hysician serving as a [c]onsultant in medical matters.”

MCN generally schedules IMEs on behalf of its clients. Most of the IMEs are conducted on MCN’s premises, although some take place in the physicians’ independent offices.

MCN’s staff converts the results of a physician’s completed examination into a final report to be sent to the client. But first MCN resubmits the report to the examining physician for signature. If this examining physician is not available to sign the final report, MCN’s medical director can sign (and on rare occasion has signed) the final report on the examining physician’s behalf.

2. Billing of MCN’s Clients

MCN bills its clients for services provided both by MCN and by the independent physicians. The client pays the total fees for services in one check. Then, MCN forwards the allocable portion to the physician for services rendered. MCN’s clients are aware that a portion of the MCN bill *43 represents the fee due the independent physicians who performed the medical examination.

MCN’s Manual states: “The physician is paid on a per-patient basis, with payment made at the end of the month during which payment is received from the client .... Patient no-shows are not an uncommon occurrence. When this occurs, you will be reimbursed from the client as a no-show fee.”

Prior to 1995, MCN’s administrative staff orally informed the physicians that if a client did not pay MCN for an examination performed, MCN would not be obligated to pay the physicians. MCN’s current agreement with the physicians, effective in 1995, states in pertinent part that:

(8) MCN will make every reasonable effort to collect fees for any consultation services provided by [the physician]. However, if MCN is unable to collect the fee from a client for consultation services provided by Consultant, MCN is not obligated to pay [the physician] for his services.

MCN has never encountered a client who has failed to pay its bill. If a physician is later called upon to testify on behalf of a client, the client arranges and pays for that service directly.

ANALYSIS

A. Standard of Review

Generally, findings of fact that are supported by substantial evidence will not be disturbed on appeal. Bering v. Share, 106 Wn.2d 212, 220, 721 P.2d 918 (1986). But exceptions to this rule have been made in cases where the court’s findings are not based on oral testimony. In re Estate of Reilly, 78 Wn.2d 623, 479 P.2d 1, 48 A.L.R.3d 902 *44 (1970) 1 ; But see In re Marriage of Stern, 68 Wn. App. 922, 928, 846 P.2d 1387 (1993). 2

B. Trial on Stipulated Facts

On appeal, the Department asserts that it stipulated only that MCN made representations to the physicians disclaiming liability, both orally and in written agreements. The Department contends that these representations do not support the trial court’s findings. The Department assigns error to the trial court’s findings that: (1) “only the [plaintiff’s] client has liability for paying the physician and if the client does not pay the physician then the physician understands that [the plaintiff] has no liability either primarily or secondarily for payment,” 3 and (2) MCN has no liability for paying the physicians, except as an agent for its client.

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Bluebook (online)
947 P.2d 784, 89 Wash. App. 39, 1997 Wash. App. LEXIS 2001, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medical-consultants-northwest-inc-v-state-washctapp-1997.