title: How intermediate tax sanctions may be applied to IDSs.
abstract: Recently issued proposed regulations describing how the IRS intends to enforce the intermediate tax sanctions statute of the Internal Revenue Code have important ramifications for integrated delivery systems (IDSs). The regulations' interpretation of who within an IDS may be subject to excise taxes under the statute is broad, basing an individual's risk of being taxed on his or her degree of influence over a given entity within the organization, rather than over the organization as a whole. To protect individuals within an IDS from exposure to intermediate tax sanctions, the organization should understand who is likely to be at risk and take steps to ensure that all transactions with such persons are in compliance with the conditions set forth in the proposed regulations.
authors.affiliation: McDermott, Will & Emery, Washington, DC, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Louthian
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000191:economics* / Q000331:legislation & jurisprudence; D019983:Guideline Adherence / Q000331:legislation & jurisprudence; D006759:Hospital-Physician Joint Ventures / Q000191:economics / Q000331:legislation & jurisprudence; D016365:Liability, Legal / Q000191:economics; D008503:Medical Staff / Q000331:legislation & jurisprudence; D009935:Organizational Affiliation / Q000191:economics* / Q000331:legislation & jurisprudence; D011209:Power, Psychological; D012306:Risk; D019464:Tax Exemption / Q000331:legislation & jurisprudence*; D014341:Trustees / Q000331:legislation & jurisprudence; D014481:United States