Were independent dietetic counseling and kitchen-operation services provided to nursing homes taxable consulting services in Connecticut?
Apply this to your situation
This page answers the general question as of 1990. Ezel answers yours, under current Connecticut tax law, with citations.
Note -- obsolete historical guidance. DRS marks this ruling "not current" and states that it was obsoleted by Announcement (AN) 94(4).
Plain-English summary
An independent dietitian reviewed patients' medical histories and eating habits, advised nursing staff and food-service supervisors on special diets, educated patients and families, and reviewed kitchen sanitation, efficiency, and food preparation.
DRS held the services were taxable business analysis, management, and consulting. Nursing homes provided total patient care, including food and nutrition, and dietetic counseling was a key element of that business.
What this means for you
The historical ruling looked at the service's role in the customer's business, not merely its health-care content. AN 94(4) later obsoleted the classification.
Common questions
Did direct patient education avoid tax? No. It was part of the overall taxable engagement described by DRS.
Why was kitchen review included? Sanitation, efficiency, and special-diet preparation supported the nursing home's care operations.
Citations and references
- Conn. Gen. Stat. § 12-407(2)(i)(J).
- Conn. Agencies Regs. § 12-426-27(b)(10).
- Announcement (AN) 94(4).
Source
- Landing page: Connecticut DRS Rulings
- Ruling: Ruling 90-56
Original ruling text
Ruling 90-56, Consulting Services / Dieticians
This information is not current and is being provided for reference purposes only
Ruling 90-56
Consulting Services / Dietitians
This Ruling has been obsoleted by AN 94(4)
ISSUE:
Whether dietetic counseling services provided by an independent contractor to nursing homes, nursing home employees and to patients in a nursing home are subject to sales and use tax under Section 12-407(2)(i)(J) as business analysis, management, consulting and public relations services.
FACTS:
The dietetic consulting services consist of a review of each patient's medical history with the nursing home staff to determine dietary requirements, discussions with the nursing staff regarding patients' eating habits and providing the staff with information on special diets, apprising the food services supervisor as to the patient's dietary requirements and the foods to be, or not to be, served to particular patients, and a review of kitchen operations and recommendations on sanitation, efficiency of operations and the proper preparation of special diets.
The consulting services further involve diet education and instruction with patients, determination of patients' food preferences and its suitability for them, preparation of special diets, and discussions with family members on the patient's dietary requirements.
RULING:
Nursing homes are in the business of providing total care to their patients including food and nutrition services. Dietetic counseling is a key element in providing total care.
Thus, the rendering of dietetic counseling services to nursing homes are taxable business analysis, management and consulting services pursuant to Section 12-407(2)(i)(J) and Regulations Section 12-426-27(b)(10).
LEGAL DIVISION
July 10, 1990
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