SKAGIT PUBLIC HOSP. v. Dept. of Revenue

242 P.3d 909
CourtCourt of Appeals of Washington
DecidedNovember 9, 2010
Docket39457-0-II, 39658-1-II
StatusPublished
Cited by3 cases

This text of 242 P.3d 909 (SKAGIT PUBLIC HOSP. v. Dept. of Revenue) 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
SKAGIT PUBLIC HOSP. v. Dept. of Revenue, 242 P.3d 909 (Wash. Ct. App. 2010).

Opinion

242 P.3d 909 (2010)

SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, d/b/a Skagit Valley Medical Center; Skagit County Public Hospital District No. 2, d/b/a Island Hospital, Appellants,
v.
STATE of Washington DEPARTMENT OF REVENUE, Respondent.

Nos. 39457-0-II, 39658-1-II.

Court of Appeals of Washington, Division 2.

November 9, 2010.

*911 Carla Marie Dewberry, Garvey Schubert Barer, Seattle, WA, for Appellant.

David M. Hankins, Atty. General's Ofc./Revenue Division, Peter B. Gonick, Asst. Atty. Gen. Revenue Division, Olympia, WA, for Respondent.

BRIDGEWATER, J.

¶ 1 Skagit County Public Hospital District No. 1, d/b/a Skagit Valley Medical Center *912 (Skagit Valley) and Skagit County Public Hospital District No. 2, d/b/a Island Hospital (Island), collectively "the hospitals," appeal from the Board of Tax Appeals (Board) orders requiring them to pay, rather than deduct, business and occupation (B & O) tax under RCW 82.04.220 on amounts received from Medicare beneficiaries[1] and their secondary insurers (Medigap insurers) for Medicare beneficiaries' copayments and deductibles. We hold that under the plain language of former RCW 82.04.4297 (1988), Medicare beneficiaries and Medigap insurers are not instrumentalities of the United States when they pay patient copayments and deductibles. We also hold that Skagit Valley was not entitled to sovereign immunity and any delays were not for the Department of Revenue's (Department) sole convenience. We affirm the Board's decision.

FACTS

I. Medicare Program

¶ 2 Medicare is an insurance program that provides basic protection against the costs of hospital, related post-hospital, home health services, and hospice care for individuals over 65 and those who meet certain conditions. 42 U.S.C. § 1395c. Medicare coverage is available through what are called Medicare part A and B. 42 U.S.C. §§ 1395c-1395w-5. Under both parts, Medicare pays a predetermined amount for covered services provided to Medicare beneficiaries. Regardless of a hospital's standard charges, Medicare prohibits the enrolled hospital provider from charging and receiving more than the operating and capital costs of providing the Medicare beneficiary's inpatient care. 42 C.F.R. § 412.2; 42 C.F.R. § 489.21 (2010).

¶ 3 Medicare does not cover all costs associated with these services. Most pertinently to this case, Medicare beneficiaries pay deductibles and 20 percent coinsurance (copayments) for most services and equipment. 42 U.S.C. § 1395e(b)(1), (2); 42 U.S.C. § 1395l(a)(1), (b). To help cover these costs, Medicare beneficiaries may purchase Medigap plans, which offer gap coverage under one of a fixed number of options specified and regulated by the federal government. 42 U.S.C. § 1395ss(g)(1); 42 C.F.R. 403.200(a) (2010).

¶ 4 The hospitals contract with Medicare to provide services to Medicare beneficiaries. When the hospitals provide services to Medicare beneficiaries, they send a bill to the Centers for Medicare and Medicaid Services (CMS), the governing body for the Medicare program. Regardless of the amount of the hospital bills, CMS sends back remittance advice, which identifies the amount of money (1) Medicare will pay for the claim and (2) the hospital can charge the Medicare beneficiary. The amount the Medicare beneficiary owes is a copayment and/or deductible. The Medicare beneficiary and/or the Medigap insurer pays the hospital directly for amounts owed for copayments and deductibles. The hospitals deposit in their bank accounts any amounts received for copayments and deductibles and do not transfer them to Medicare.

¶ 5 Some Medicare beneficiaries or Medigap insurers fail to pay their copayments and deductibles, and these debts become "bad debts." Board of Tax Appeals Record (BTAR) (Island) at 289. If the hospitals comply with Medicare regulations and first seek payment from patients, Medicare pays a portion of the bad debt. The amounts Medicare pays hospitals for bad debts are discretionary and depend on Medicare's budget each year.

II. Audits

¶ 6 The Department conducted six audits of Skagit Valley for tax years 1993, 1994-96, 1997, 1998, 1999, and 2000. The Department audited Island for the tax years 1997 through 2000. The Department found that the hospitals failed to pay B & O taxes on copayment and deductible amounts received from Medicare beneficiaries and Medigap insurers for each of the tax years and it assessed unpaid taxes and interest. Skagit Valley had use of those funds during the audited periods.

*913 III. Appeal

¶ 7 The hospitals appealed to the Department's appeals division and the Department issued a determination denying the appeals. The hospitals then appealed to the Board.

¶ 8 In Island's appeal, the Department moved for summary judgment, which the Board granted. In Skagit Valley's appeal, the Department issued formal findings of fact and conclusions of law following a hearing. In both instances, the Board found that the Medicare deductibles and copayments were not amounts received from the United States or any instrumentality thereof. The Board found:

Although patients have legal rights in accordance with the statutory provisions of Medicare, it is not a "contractual" relationship where the patients are agreeing to pay the deductibles and co-payments for Medicare. The patients are making the payments for themselves. The patients' insurers are making payment on behalf of the patient (patients voluntarily pay for supplemental insurance policies with their funds), not Medicare. The statutory scheme requiring a Medicare patient to pay a deductible or co-payment makes the patients' payment their individual responsibility, not Medicare's responsibility.

I Administrative Record (AR) (Skagit Valley) at 28; BTAR (Island) at 26. In addition, the Board found that the Department properly imposed pre- and post-assessment interest on Skagit Valley under RCW 82.32.105(3)(b) because the Department had not extended the assessment due dates for its own convenience. The hospitals sought review from the superior court, which affirmed.

ANALYSIS

I. B & O Deduction — Instrumentalities of the United States

A. Standard of Review

¶ 9 We review the Board's decision, not the trial court's decision. Dep't of Revenue v. Sec. Pac. Bank of Wash. Nat'l Ass'n, 109 Wash.App. 795, 802-03, 38 P.3d 354 (2002).

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