Application of Expanded Withholding Tax (EWT) on Medical Services Payments
- Payments by PHIC to medical practitioners are subject to EWT at 10% or 15%, contingent on the practitioner's declared gross income.
- Payments to hospitals for services to PHIC members are subject to a 2% EWT rate.
Clarification on Nature of Payments and Tax Withholding Requirement
- Some PHIC regional offices consider payments to hospitals and doctors as reimbursement rather than payment for services, and thus, refrain from withholding tax.
- The Circular affirms that such payments are indeed subject to EWT when paid directly by PHIC to service providers.
Legal Basis and Computation of EWT
- Section 2.57.2(A) of RR No. 2-98, as amended, governs the applicable EWT rate for professional fees.
- Section 2.57.3 mandates withholding by the person controlling and disbursing the payment.
- PHIC calculates benefits on a per-case basis, distinguishing professional fees from facility fees, each with their specific EWT rates.
Specific EWT Rates and Payment Allocation
- Professional fees paid directly to medical practitioners are subject to 10% or 15% EWT.
- Facility fees paid to hospitals or clinics are taxed at 2% EWT.
Illustration of Withholding Procedure
- Example: A PHIC member's benefits total P14,000 (P4,000 professional fees, P10,000 facility fees).
- PHIC must withhold P600 on professional fees (15%) and P200 on facility fees (2%), totaling P800.
- The net payment by PHIC to the hospital is P13,200 after withholding.
Official Receipt Issuance Guidelines
- Hospital issues Official Receipt only for the facility fee amount (P10,000).
- Medical practitioner issues Official Receipt for professional fees (P4,000).
Issuance of BIR Form 2307 (Certificate of Income and Tax Withheld)
- PHIC issues separate certificates: one to the hospital (income P10,000, tax withheld P200) and one to the medical practitioner (income P4,000, tax withheld P600).
Directive to Internal Revenue Officers and Concerned Entities
- Emphasis on proper tax withholding compliance by PHIC regional and field offices.
- Instruction to widely disseminate the Circular for adherence in practice.