DocketNumber: Tax Ct. Dkt. No. 24964-96
Citation Numbers: 76 T.C.M. 796, 1998 Tax Ct. Memo LEXIS 398, 1998 T.C. Memo. 398
Judges: DEAN
Filed Date: 11/10/1998
Status: Non-Precedential
Modified Date: 4/18/2021
1998 Tax Ct. Memo LEXIS 398">*398 Decision will be entered under Rule 155.
MEMORANDUM OPINION
DEAN, SPECIAL TRIAL JUDGE: 1998 Tax Ct. Memo LEXIS 398">*399 This case was heard pursuant to section 7443A(b)(3) and Rules 180, 181, and 182. 1998 Tax Ct. Memo LEXIS 398">*400 Respondent determined deficiencies in petitioners' Federal income taxes for the years 1992, 1993, and 1994 in the amounts of $ 2,222, $ 4,392, and $ 5,906, respectively.
1998 Tax Ct. Memo LEXIS 398">*401 After concessions by the parties, 1998 Tax Ct. Memo LEXIS 398">*402 to nonexempt adult foster home care income.
Many of the facts have been stipulated and are so found. The stipulation of facts and the attached exhibits are incorporated herein by reference. Petitioners resided in Portland, Oregon, at the time they filed their petition in this case.
BACKGROUND
During the years 1992, 1993, and 1994, petitioners were in the trade or business of providing adult foster home care for individuals in Portland, Oregon.
Petitioners were licensed by the Multnomah County Aging Services Division (ASD) as Level III adult foster home providers and were subject to Multnomah County Administrative Rules. ASD is an instrumentality of the State of Oregon that acts as a social service agency responsible for providing various services to individuals including determining eligibility for, and case management in, medicaid 1998 Tax Ct. Memo LEXIS 398">*403 The State of Oregon has applied for and received "waivers" from the Federal Health Care Financing Administration that allow it to use medicaid funds intended for nursing facility care, to provide community-based care services to nursing facility eligible individuals.
The State of Oregon provides health care for elderly medicaid-eligible individuals, including long-term adult foster care services. The State also contracts with health care providers to supply a variety of necessary services, including adult foster care. During the years at issue, ASD was a party to an Interagency Partnership Agreement (partnership agreement) with Providence ElderPlace, A Division of Shared Services of the Sisters of Providence (ElderPlace).
ElderPlace is not an agency of a State or of a political subdivision of a State. It is a State of Oregon medicaid service provider, a
The partnership agreement provides that persons who elect to participate in the ElderPlace program must agree to receive all their health and long-term care services exclusively from ElderPlace. ElderPlace assumes the full cost for all services provided. In return, ElderPlace receives a payment monthly from medicare and medicaid for providing the full range of medical, social, and long- term care services that the participants need. The amount of such payments is based on the number of participants served.
Under the partnership agreement, ASD retains responsibility for "screening and intake" of elderly individuals. As part of its screening and intake of older adults for long-term care services, ASD agrees to "consider ElderPlace as one of the options available to the older adult." ASD will continue to determine eligibility for medicaid services and will screen persons for medicaid-waivered services to determine whether they are eligible for the ElderPlace program. Under the partnership agreement, ASD also remains responsible for "protective services" (protecting the elderly against abuse, 1998 Tax Ct. Memo LEXIS 398">*406 neglect, exploitation, and abandonment).
But for the above-named purposes, individuals choosing to enroll in the ElderPlace program are removed from the ASD case management system and put into the ElderPlace system. ElderPlace case management activities include developing a "care plan" for the enrollee that takes into consideration the enrollee's need of transportation, medical equipment, supplies, medications, and therapies.
The State of Oregon and ElderPlace entered into a series of contracts between 1990 and 1994 in order to carry out the objectives of the partnership agreement.
Pursuant to the contracts with the State of Oregon, ElderPlace provided health services and, to those in need, personal services like assistance with bathing, grooming, and eating. These services were supplied through adult foster care home providers, such as petitioners, with whom ElderPlace contracted in turn. ElderPlace paid adult foster care home operators out of the funds paid to it by the State of Oregon.
Adult foster home operators who elected to care for residents enrolled in the ElderPlace program received payments negotiated separately with each homeowner, based on the level of service each would1998 Tax Ct. Memo LEXIS 398">*407 provide. ElderPlace did not, however, pay for room and board at adult foster homes. Room and board payments were the responsibility of the enrollee or the enrollee's representative and were paid at a rate determined by a schedule set by the State of Oregon.
If an elderly person chose to enroll in the ElderPlace program, and foster care was appropriate, ElderPlace assisted in "locating adult foster care homes that have the capacity to meet their care needs and also have vacancies". ElderPlace supplied transportation to the enrollee or his representative to look at different foster homes. ElderPlace advised the enrollee or his representative as to whether one foster home would be better than another for the particular enrollee, based upon that enrollee's needs. Once a decision was made identifying the foster home in which the enrollee wanted to live, ElderPlace negotiated the enrollee's payment rate with the foster home operator of the selected home.
During each of the years 1992, 1993, and 1994, petitioners provided adult foster care to several persons in their home. All of the residents had attained the age of 19. Petitioners received adult foster care payments for the individuals1998 Tax Ct. Memo LEXIS 398">*408 from various sources, from their residents or their representatives, in some cases from the State of Oregon and in other cases from ElderPlace.
On their Federal income tax returns for 1992 through 1994, petitioners reported certain income and deductions from "ADULT FOSTER CARE" on Schedule C. Petitioners did not report as income amounts received from the State of Oregon or from ElderPlace. On their return for 1994, petitioners reported exclusions of State and ElderPlace payments from income and made a separate adjustment for expenses attributable to nontaxable income.
Respondent examined petitioners' returns and determined that petitioners improperly excluded self-employment income received from ElderPlace in the amounts of $ 13,167, $ 22,750, and $ 32,366 for the years 1992, 1993, and 1994, respectively, and are entitled to claim additional business expenses associated with the income that was allocated under
DISCUSSION
The parties agree that payments petitioners received directly from residents, or their representatives, are taxable and that payments petitioners received for residents placed in their home directly by the State of Oregon are tax exempt under1998 Tax Ct. Memo LEXIS 398">*409
(A) which is paid by a State or political subdivision thereof or by a placement agency which is described in
(B) which is --
(i) paid to the foster care provider for caring for a qualified foster individual in the foster care provider's home, or
(ii) a difficulty of care payment.
(A) an agency of a State or political subdivision thereof, or
(B) in the case of an individual who has not attained age 19, an organization which is licensed by a State1998 Tax Ct. Memo LEXIS 398">*410 (or political subdivision thereof) as a placement agency and which is described in
Petitioners argue that the payments to them by ElderPlace are excluded from income under
Respondent contends that the ElderPlace payments to petitioners are includable in gross income because the payments are not qualified foster care payments. They are not qualified foster care payments, maintains respondent, because the ElderPlace payments were not paid to petitioners for caring for "qualified foster individuals". Respondent points to the definition of a qualified foster individual in
QUALIFIED FOSTER INDIVIDUAL
The amounts in question can be qualified foster care payments only if they were paid to petitioners as foster care providers for qualified foster individuals.
To be a qualified foster individual, an individual in a foster home who has attained age 19 must have been "placed by" an agency of a State or political subdivision thereof.
"PLACED BY" A STATE AGENCY
Petitioners deny that ElderPlace enrollees were "placed by" ElderPlace1998 Tax Ct. Memo LEXIS 398">*412 in their care. According to petitioners, none of the witnesses at trial gave any testimony that the ElderPlace program "placed" individuals in foster homes.
Petitioners further contend that the phrase "placed by" in
Without a working definition of the word, petitioners nonetheless argue that the elderly enrollees of the ElderPlace program were "placed" in their care, not by ElderPlace, but by the "actions" of a government agency, albeit indirectly. Petitioners urge us to examine the legislative history of
Respondent replies that to be a "qualified foster individual", the plain language of
PLAIN MEANING
The starting point for the interpretation of a statute is the language itself.
The Court must assume that the legislative purpose of the statute is expressed in the ordinary meaning of the words used.
The common meaning of the verb "to place" is:
1: to distribute in an orderly manner: ARRANGE 2 a: to put in or as if in a particular place: SET b: to present for consideration (a question PLACED before the group) c: to put in a particular state ( a performer under contract) d: to direct to a desired spot * * * 4: to find a place (as a home or employment) for * * * Webster's Ninth New Collegiate Dictionary 897 (1990).
Examining the record in light of the common meaning of the verb "to place", we find that ElderPlace indeed placed elderly individuals in petitioners' foster home.
Petitioners called as a witness Mr. Donald M. Keister, director of ElderPlace and former deputy director of ASD. Mr. Keister testified that an individual who decided to enroll in the ElderPlace program would undergo an "assessment" to determine his or her needs. ElderPlace, for appropriate individuals, 1998 Tax Ct. Memo LEXIS 398">*415 would then assist in locating adult foster homes, provide transportation to view the homes, provide advice as to which home might be best for the individual, and negotiate with the foster home a price to be paid for the care of the individual. On the basis of the latter fact, we assume that if a rate satisfactory to ElderPlace could not be negotiated, another home would be located or the individual would terminate enrollment in the ElderPlace program and attempt to be "placed" by the State.
In cross-examination, respondent's counsel asked whether ElderPlace enrollees might ask to move from one foster home to another, and Mr. Keister replied that such a situation may arise for a number of reasons. He continued to explain:
So, in essence, when that happens, we go through the same process that I described before.
Placements -- you know, movement also occurs through, you know, residential care facilities, they also occur to nursing facilities, depending upon what the care needs of the individual are.
Respondent called Mr. Jeffrey Miller to testify. Mr. Miller is employed by the State of Oregon as a medicaid policy analyst for the State Senior and Disabled Services Division. His position1998 Tax Ct. Memo LEXIS 398">*416 involves helping State field offices determine medicaid eligibility for individuals. Mr. Miller is familiar with the ElderPlace program. During his testimony the following exchange took place:
Q. To your knowledge, if a person chooses the ElderPlace waiver --
Q. -- is the State ever consulted as to where that person resides, in what adult foster care home?
A. We would have taken an application on that individual, and in such, we would have had the address of the person.
Q. Okay. But does the State at that point decide--if someone is enrolled in ElderPlace, does the State decide where that person resides?
A. No. The case management responsibilities would be with ElderPlace to do that.
Q. Okay. So ElderPlace would be the placing agency, is that correct?
There is additional evidence in the record on the issue of placement. During the years at issue, ElderPlace had a form "Adult Foster Care Contract" (contract) that it used to retain the services of adult foster home care providers. ElderPlace and petitioners used the contract for every ElderPlace program participant who was referred to petitioners in 1992, 1993, and 1994. Part1998 Tax Ct. Memo LEXIS 398">*417 III of the contract, Compensation and Billing, states that the "Provider" (petitioners) agrees to accept as full compensation the amounts set forth in an attached exhibit to the agreement. It is also agreed that "Each Participant placed with the Provider shall have his/her rate based on his/her individual Service Plan". LEGISLATIVE HISTORY Petitioners insist, however, that individuals placed by ElderPlace were placed by an entity that had contracted with a State agency responsible for such matters. 1998 Tax Ct. Memo LEXIS 398">*418 Therefore, the individuals placed by ElderPlace were placed by the State within the meaning of For taxable years beginning before January 1, 1986, The conferees intend that this extension of the exclusion to adult foster care is limited to cases of individuals who provide foster care within their own homes to adults who have been placed in their care by an agency of the State or political subdivision thereof specifically designated as responsible1998 Tax Ct. Memo LEXIS 398">*419 for such function. The exclusion does not apply to payments to operators of boarding homes who provide room and board to adults who have not been placed in their care through the actions of a governmental agency responsible for adult foster care. Petitioners focus on the second sentence of the quoted language, specifically that part that says "THROUGH THE ACTIONS OF A GOVERNMENTAL AGENCY RESPONSIBLE FOR ADULT FOSTER CARE." (Emphasis added.) Because the second sentence does not say "BY AN AGENCY OF THE STATE OR POLITICAL SUBDIVISION THEREOF", petitioners conclude that "State action" includes their situation, an indirect, contractual relationship with the State through the entity with which they contracted. Petitioners fail, however, to address the first sentence of the above excerpt that expresses the intent of Congress that We interpret the phrase "State action" in the second sentence of the above excerpt to refer to the intent of the first sentence that adults must have been "placed by" a State agency specifically designated as responsible for that function. Our interpretation is further reinforced by referring to (B) in the case of an individual who has not attained age 19, an organization which is licensed by a State (or political subdivision thereof) as a placement agency and which is described in If Congress had intended the phrase "placed by an agency of a State or political subdivision thereof" contained in Petitioners counter with the argument that We find that the intent of Congress as expressed in the pertinent legislative history comports with the plain meaning1998 Tax Ct. Memo LEXIS 398">*422 of the language in The individuals placed in petitioners' home by ElderPlace were not qualified foster individuals because they were not placed by an agency of the State or a political subdivision thereof. Because the ElderPlace enrollees were not qualified foster individuals, amounts paid to petitioners for providing care for them cannot be qualified foster care payments. MEDICAID POLICY Petitioners further argue that a finding by the Court that Petitioners' analysis leads them to an incorrect conclusion. 1998 Tax Ct. Memo LEXIS 398">*423 In the situation where an individual eligible for adult foster home care elects in and then out of the ElderPlace program, the PLACEMENT by ElderPlace is terminated, with notice to the provider according to the contract. If the State assumes responsibility for care of the individual, the State will then PLACE the individual; it is placement, not payment, that would determine the taxability of the payments in petitioners' example. We find the example cited by petitioners not to be "absurd" but merely the intended result of the statute as written by Congress. See Although petitioners assert that tax consequences may negatively affect the medicaid waiver or PACE program by placing an additional financial burden on ElderPlace and petitioners, or those similarly situated, we are not at liberty to ignore the plain wording of We find that amounts received by petitioners from ElderPlace for adult foster home care are not qualified foster care payments under EXPENSE ALLOCATION UNDER The parties agree that petitioners incurred and paid certain expenses related to their operation of an adult foster home for all the years involved here. The parties also agree that petitioners received payments for providing adult foster home care for individuals, some of which are not includable in income. Pertinent to these facts is (1) Expenses. -- Any amount 1998 Tax Ct. Memo LEXIS 398">*425 otherwise allowable as a deduction which is allocable to one or more classes of income other than interest (whether or not any amount of income of that class or classes is received or accrued) wholly exempt from the taxes imposed by this subtitle, or any amount otherwise allowable under Respondent determined that some of the adult foster home care expenses claimed by petitioners are expenses that are allocable to petitioner's tax-exempt income and are therefore nondeductible. Petitioner's position is that respondent's method of allocation is wrong. Having determined that petitioners must include in income the payments received from ElderPlace, respondent argues that petitioners may deduct foster home care expenses only in the same ratio as the ratio of taxable income to total income. Petitioners, rather than a pro rata allocation based on taxable and nontaxable income, would allocate expenses to three income categories: (a) To adult foster care "service" income, some of 1998 Tax Ct. Memo LEXIS 398">*426 which is tax exempt; (b) to "room and board" income, almost all of which is taxable; Under The class of gross income for which petitioners' deductions are denied under Under Oregon State law the term "adult foster home" means a "FAMILY HOME OR FACILITY IN WHICH RESIDENTIAL CARE IS PROVIDED for five or fewer adults who are not related to the provider by blood or marriage." Although petitioners were separately paid for room and board for most residents, 1998 Tax Ct. Memo LEXIS 398">*428 and they in fact did so in the years under consideration. The expenses for mortgage interest, real estate taxes, insurance, repairs and maintenance, utilities, depreciation, and "other" home expenses were incurred as a result of or incident to their adult foster home activity, and their income was derived from the use of their home as an adult foster home. There is a direct factual relationship between those expenses and all petitioners' adult foster home care income, both taxable and nontaxable. We find that petitioners' business expenses that they have characterized as "service" expenses, "room and board" expenses and other expenses are related to all of petitioners' adult, foster home care income and must be allocated between exempt foster home care income and nonexempt foster home care income. We further find that under the facts and circumstances of this case, respondent's method of proportional allocation of expenses between taxable and nontaxable income is correct. See To reflect the foregoing, Decision will be entered under Rule 155.
1. Unless otherwise indicated, all section references are to the Internal Revenue Code in effect for the years in issue, and all Rule references are to the Tax Court Rules of Practice and Procedure.
2. The parties agree on the amount of "other expenses" that is deductible by petitioners. The parties agree that certain of petitioners' claimed expenses related to their adult foster home are subject to the rules of sec. 280A.↩
3. Medicaid is a State-administered program jointly funded by State and Federal Governments under tit. XIX of the Social Security Act Amendments of 1965 (SSA), Pub. L. 89-97, sec. 122, 79 Stat. 286, 343, current version at
Medicare is Federal health insurance for the aged and disabled under tit. XVIII of the SSA, secs. 1801-1815, 79 Stat. 291-297, current version at
4. The ElderPlace program operates under provisions that allow States at their option to seek a Federal waiver of certain medicaid and medicare requirements in order to underwrite adult foster home care at a rate cheaper than that for the institutional care that they would otherwise need. The provisions had their inception with the "On LOK" program. See Social Security Amendments of 1983, Pub. L. 98-21, sec. 603(c), 97 Stat. 65, 168, amended by: (a) Consolidated Omnibus Budget Reconciliation Act of 1985, Pub. L. 99-272, sec. 9220, 100 Stat. 82, 183; (b) Omnibus Budget Reconciliation Act of 1986, Pub. L. 99-509, sec. 9412(b), 100 Stat. 1874, 2063; (c) Omnibus Budget Reconciliation Act of 1987, Pub. L. 100-203, sec. 4118(b), (g), 101 Stat. 1330, 1330-155 and 1330-156; and (d) Balanced Budget Act of 1997, Pub. L. 105-33, sec. 4801, 111 Stat. 251, 528, codified at
5. Difficulty of care payments as described in
6. Under the contract, a "Participant" is defined as a person enrolled in the ElderPlace program. The term "Service Plan" is defined as the plan determined for "each Participant PLACED with the Provider." (Emphasis added.)↩
7. The parties agree that petitioners had a resident, Mr. Authur (sic) Armstrong, whose room and board was paid by the Oregon Department of Veterans' Affairs in 1993 and 1994 and is tax exempt.↩
8. We note that there is no separately stated room and board amount for petitioners' "private pay" residents.↩
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