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Biomedical subjects

B A Theisen

Publications and source records attributed to B A Theisen.

8 recordsLinked to original sources

The impact of IRS-mandated employee reclassification.

The IRS requires healthcare organizations to properly classify their workers as either independent contractors or organizational employees. In order to protect their organizations from IRS-imposed monetary fines, healthcare financial managers must understand how the IRS evaluates employment status and the consequences their organizations will face if they misclassify employees. Changes involving the status of independent contractors and organizational employees instituted by the Small Business Job Protection Act of 1996 are favorable to employers and clarify safehaven provisions under section 530 of the 1978 Revenue Act. Significant changes include requiring the IRS to notify employers of section 530's relief provisions when an audit begins, expanding section 530 relief, clarifying industry practice relief provisions, and shifting the burden of proof to the IRS. In addition to Federal legislation, the IRS introduced administrative initiatives, such as those contained in Announcement 96-13, to clarify worker reclassification issues. In Announcement 96-13, the IRS implemented a three-part plan that includes a test classification settlement program, an appeals process, and a training manual to clarify these issues.

Contract Services↗

Reporting community benefits.

Healthcare organizations increasingly are coming under community and legislative pressure to define and quantify their charity care and community benefits. The results of a survey suggest that healthcare providers are engaged in some of these activities, but that more healthcare organizations need to implement them. Some of the strategies providers can employ are adopting and communicating mission statements, setting goals for the amount and types of charity care and community benefits to be provided, gathering data to support the achievement of those goals, and forming or joining community health boards.

Annual Reports as Topic↗

The advantages and risks of being a tax-exempt, nonprofit organization.

Most nonprofit hospitals enjoy exemptions from income, property, sales, and other taxes. The advantages of the tax exemption generally outweigh any disadvantages. Recent legislative and judicial challenges, however, have reduced the tax benefits of nonprofit hospitals. The authors review tax exemptions as they relate to hospitals, identify the primary advantages and risks, and highlight areas where nurse executives can further the exempt purpose of their institutions.

Financial Management, Hospital↗

Valuing the community benefits provided by nonprofit hospitals.

Nurse executives need to be aware of the changing legislative climate in which nonprofit hospitals operate. Adopting an aggressive stance to protect an institution's tax-exempt status has become increasingly important. One way to provide protection from governmental challenges is to demonstrate the extent of charitable benefits provided by the hospital. The authors identify areas that hospital personnel should analyze to determine the nature and value of these benefits. Nurse executives are a valuable resource for identifying and communicating this information. They can also exert influence on their respective administrations to reassert the charitable nature of their mission.

Charities↗

Using employee benefit plans to fight the nursing shortage.

Employee benefit plans can be a viable tool for recruiting and retaining nurses. By understanding the needs of their staff and the alternatives available, nurse administrators can help their institutions select the benefits that will be most beneficial to their staff. Certain employee benefit plans increase employee after-tax income at little cost to the hospital. The authors discuss these nontaxable and tax-deferred benefits as well as the advantages and disadvantages associated with each.

Employee Incentive Plans↗

Joint ventures in health care.

To remain competitive, many not-for-profit hospitals have turned to joint ventures with for-profit and other not-for-profit entities. The authors examine the organizational structures that are used most often to form joint ventures (contractual agreements, subsidiary corporations, partnerships, and not-for-profit title-holding corporations), as well as the advantages and disadvantages associated with each form. Nurse executives must be aware of the opportunities that joint ventures provide their institutions. These arrangements can help improve and expand services and profitability.

Financial Management↗

Independent contractor arrangements and IRS audits.

As government auditors begin their challenges, nurse executives need to review their operations to remove any potential audit risks. Although a common practice for many institutions, the use of independent contractor arrangements may be ruled inappropriate. As a result, many individuals may be reclassified as employees, leading to Internal Revenue Service (IRS) assessments of penalties and back payroll taxes. It always is prudent to anticipate IRS actions and shore up any areas that may lead to tax assessments before they are imposed on the institution.

Contract Services↗

Legislation threatens tax exemptions.

The Health Security Act, if passed by Congress, becomes effective January 1, 1995. To maintain their tax-exempt status, hospitals must assess the healthcare needs of their community and create a plan to meet those needs. The authors discuss proactive strategies for addressing this issue.

Community-Institutional Relations↗