21 September 2006 GST/HST Ruling 43690 - XXXXX Air Loss Mattress

Please note that the following document, although correct at the time of issue, may not represent the current position of the Agency. / Veuillez prendre note que ce document, bien qu'exact au moment émis, peut ne pas représenter la position actuelle de l'Agence.

Dear XXXXX:

The purpose of this letter is to advise you that the Canada Revenue Agency has just released the Policy Statement P-248, The application of the GST/HST to the supply of an independent medical examination ("IME") and to other independent assessments.

This policy statement can be found under the GST/HST Policy Statements link at (http://www.cra-arc.gc.ca/menu/GTPP_200-e.html) on the Canada Revenue Agency Web site. The policy represents a change in the Canada Revenue Agency's position with respect to the application of the Goods and Services Tax ("GST")/Harmonized Sales Tax ("HST") to sections 5 and 7 of Part II of Schedule V to the Excise Tax Act (the "ETA") and it describes the circumstances under which IMEs and other independent assessments will be exempt from the GST/HST under these provisions as well as section 2 of that Part.

The effective date of the policy is June 8, 2001, which is the date the Tax Court of Canada issued its decision regarding Riverfront Medical Evaluations Ltd. v. Canada ("Riverfront"). The policy is based on careful consideration of the Tax Court of Canada and Federal Court of Appeal decisions in Riverfront, the exemptions in the ETA that apply to supplies made by medical practitioners and practitioners, as well as the information provided by stakeholders on the issue.

Sections 5 and 7 of Part II of Schedule V to the ETA exempt from GST/HST certain supplies made by medical practitioners and practitioners, as those suppliers are defined in section 1 of that Part. In particular, section 5 exempts a supply made by a medical practitioner of a "consultative, diagnostic, treatment or other health care service rendered to an individual". In addition, section 2 of that Part exempts a supply made by the operator of a health care facility of an institutional health care service if the service is rendered to a patient or resident of the facility.

If you require clarification with respect to any of the issues discussed in this letter, please call me directly at (613) 952-6761.

Yours truly,

Susan Eastman
Municipalities and Health Care Services Unit
Public Service Bodies and Governments Division
Excise and GST/HST Rulings Directorate

2006/09/25 — RITS 45274 — Independent Medical Examinations and Other Independent Assessments