5.15.1
Financial Analysis Handbook
Manual Transmittal
November 17, 2014
Purpose
(1) This transmits revised IRM 5.15.1, Financial Analysis, Financial
Analysis Handbook.
Material Changes
(1) IRM 5.15.1.1 Changed title of subsection to reflect the
overview.
(2) IRM 5.15.1.1 (1) Added overview for Financial Analysis.
(3) IRM 5.15.1.1(5) Added note that tax examiners in Field
Collection are exempt from the requirement to make field calls.
(4) IRM 5.15.1.2(4) Guidance for six-year rule and one-year rule
has been moved to IRM 5.14.1, Installment Agreements, Securing
Installment Agreements. Removed guidance and added a cross
reference to IRM 5.14.1.
(5) IRM 5.15.1.3(2) Added note that tax examiners in Field
Collection are exempt from the requirement to make field calls.
(6) IRM 5.15.1.4(1) Provided clarification of a non-liable person
and commingled funds when determining shared expenses.
(7) IRM 5.15.1.4(2) Provided guidance for Taxpayer Advocate
assistance and a note to contact Counsel for community property
questions.
(8) IRM 5.15.1.4(4) Corrected the shared expense table.
(9) IRM 5.15.1.5(3) Changed Currency and Banking Retrieval System (CBRS)
to Financial Crimes Enforcement Network Query (FCQ)
(10) IRM 5.15.1.8(5) Created an alpha list for out-of-pocket health
care expenses for emphasis.
(11) IRM 5.15.1.9(1)(a) Clarified verification required for
expenses claimed by a taxpayer for housing and utilities.
(12) IRM 5.15.1.10(4)(b)(1) Changed guidance in Note if net
disposable income is less than $25.
(13) IRM 5.15.1.10(4)(b)(3) Changed guidance in Note if net
disposable income is less than $25.
(14) IRM 5.15.1.10(4)(c) Removed reference to $25 monthly payment
in paragraph and table.
(15) IRM 5.15.1.11(1) Changed non-liable spouse to non-liable
person.
(16) IRM 5.15.1.16(1)(c) Added a cross-reference to IRM 5.11, Notice
of Levy.
(17) IRM 5.15.1.16(2) Added issue related to the Federal Payment
Levy Program for consideration when deciding the best case resolution.
(18) IRM 5.15.1.19(4) Added note that tax examiners in Field
Collection are exempt from the requirement to make field calls
(19) IRM 5.15.1.27(1) Added a cross-reference to IRM 5.11.6.2, Funds
in Pension or Retirement Plans.
(20) IRM 5.15.1.30 Added information regarding reverse mortgages.
(21) IRM 5.15.1.32(5) Added information for federal contracts.
(22) IRM 5.15.1.38 Added new subsection for Medicare/Medicaid
Providers.
(23) Exhibit 5.15.1-1 Updated the question and answer for Question
14.
(24) Website addresses, legal references, IRM references, grammar
and punctuation were reviewed and updated as necessary.
Effect on Other Documents
This material supersedes IRM 5.15.1 dated October 2, 2012. It also
incorporates Interim Guidance Memorandum #SBSE 05-0614-0051, Tax
Examiner Deviation Authority to Work Collection Field Function
Corporate Inventory, dated June 17, 2014.
Audience
The intended audience is SB/SE Revenue Officers, Collection Management
Officials and other IRS Collection personnel.
Effective Date
(11-17-2014)
Rocco A. Steco
Acting Director, Collection Policy SE:S:ECS:CP
Small Business/Self Employed
5.15.1.1
(11-17-2014)
Overview and Expectations
-
This IRM provides instructions for securing, verifying and
analyzing financial information. This analysis provides the
basis for determining a taxpayer's ability to pay delinquent
tax liabilities, which enables Collection employees to make
appropriate collection decisions to resolve cases.
-
An interview should be conducted in order to determine the
appropriate case resolution. Request full payment of the tax
liability. Encourage taxpayers to pay off the tax liability as
quickly as possible. If taxpayers are unable to pay in full
(and do not qualify for a Guaranteed or Streamlined
Installment Agreement) secure a complete Collection
Information Statement (CIS).
-
The taxpayer's financial information may be secured on:
-
Form 433-A, Collection
Information Statement for Wage Earners and Self-Employed
Individuals
-
Form 433-B, Collection
Information Statement for Businesses
-
Form 433-F, Collection
Information Statement - Used by the Automated
Collection System (ACS) and the campuses for
individuals.
Note:
Revenue officers may use Form 433-F:
• For Trust Fund Recovery Penalty (TFRP)
investigations when the individual is a wage earner
and the potential TFRP is less than $100,000. See IRM
5.7.5.2, Collectibility,
and
• For self-employed and individual wage earners who
owe for IMF liabilities only, with an aggregate
balance of assessments less than $250,000.
Exception:
Form 433-F cannot be used for Offer-in-Compromise
cases or for cases designated as Abusive Tax Avoidance
Transactions (ATAT).
-
A business taxpayer's own financial statement (income
statement and balance sheet) can be used as a substitute
for the income and expense section of the Collection
Information Statement.
Reminder:
Cases on partnerships and single member owner
limited liability companies, where the individual
owner is identified as the liable taxpayer, require an
analysis of the business income and allowable business
expense reported on Form 433-B, as well as the
individual income and allowable living expenses of the
partners or owner reported on Form 433-A.
-
A CIS submitted by a taxpayer should reflect information no
older than the prior six months. If during the investigation
of the case, the information becomes older than 12 months,
update the information. Updates can usually be pen and ink
changes initialed and dated by the taxpayer and/or revenue
officer. Additional supporting documents should be secured
when appropriate. If there is reason to believe that the
taxpayer's situation may have significantly changed, secure a
new CIS.
-
Secure, review and discuss the financial statements in
person whenever possible. While some aspects of the financial
statement review process, such as securing financial
information, can occur by phone or correspondence, a
face-to-face meeting with the taxpayer and/or the taxpayer's
representative is preferred to effectively facilitate the
verification/validation of the financial statements provided.
This face-to-face interview should be conducted at the
taxpayer’s business, residence or in the office unless the
taxpayer is physically unable to meet with the revenue
officer. The physical verification of the business assets is
required at some point early in the financial statement review
process and should be conducted in the presence of the
taxpayer and/or the taxpayer's representative.
Note:
Tax examiners in Field Collection are exempt from the
requirement to make field calls.
-
The Allowable Living Expense (ALE) Standards, also known as
the Collection Financial Standards, include national and local
standards, which are guidelines established by the Service to
provide consistency in certain expense allowances such as food
and household expenses, medical expenses, housing and
transportation. Reference to these standards will be found
throughout this section. Exhibit
5.15.1-2 provides instructions for on-line access
to the actual standards.
-
The standard amounts set forth in the national and local
guidelines are designed to account for basic living expenses.
In some cases, based on a taxpayer's individual facts and
circumstances, it will be appropriate to deviate from the
standard amount when failure to do so will cause the taxpayer
economic hardship (See IRM 5.15.1.1(8)). The taxpayer must
provide reasonable substantiation of all expenses claimed that
exceed the standard amount.
Note:
Substantiation can consist of credible verbal
communication or written documentation received from the
taxpayer. Both types of substantiation should be thoroughly
documented in the case history.
Example:
Taxpayer's income dropped
significantly from the prior year and taxpayer explains that
he went though a divorce and is no longer claiming two
incomes. Verbal substantiation supporting the drop in income
should be documented in the case history.
Document the case file accordingly. For example:
-
Bank statements or canceled checks
-
Credit card vouchers
-
Rent/lease receipts and lease agreements
-
Payment coupons
-
Court orders
-
Contracts
-
Future expenses, e.g., the birth of a child or the
necessary replacement of a car that will increase
expenses
-
Taxpayer statements or written communications
-
Tax statements and tax returns that will provide
evidence of actual expenses
Example:
A taxpayer with physical
disabilities or an unusually large family requires a housing
cost that is not anticipated by the local standard. The
taxpayer is required to provide copies of mortgage or rent
payments, utility bills and maintenance costs to verify the
necessary amount.
-
Economic hardship occurs when a taxpayer is unable to pay
reasonable basic living expenses. The determination of a
reasonable amount for basic living expenses will be made by
the Commissioner and will vary according to the unique
circumstances of the individual taxpayer. Unique
circumstances, however, do not include the maintenance of an
affluent or luxurious standard of living. (26 C.F.R.
301.6343-1(b)(4)).
Reminder:
If a collection employee and taxpayer disagree about an
economic hardship determination, the taxpayer should be
referred to the Taxpayer Advocate Service. (See IRM
13.1.7.2, Taxpayer Advocate Case
Criteria.)
-
The Allowable Living Expense standards are not applicable
to corporations, partnerships, Limited Liability Companies (LLC)
(where the LLC is identified as the liable taxpayer), or for
any business expenses. Allowable business expenses are the
costs of carrying on a business or trade. Generally, they must
be necessary for operation of the business. Use bank
statements, tax returns or other records to verify business
income and expenses. Request additional documentation if
assets, liabilities, expenses or income appear questionable.
-
Analysis and verification of a CIS should take place
shortly after obtaining the CIS. The ability to pay
determination based on a thorough financial analysis will be
communicated to the taxpayer within a reasonable amount of
time after obtaining the CIS.
-
Emphasize to the taxpayer how much the Service expects from
them rather than how the Service expects them to spend their
money.
-
Advise the taxpayer that the Service expects a
payment equal to the amount in excess of necessary
expenses and any allowable conditional expenses and,
explain to the taxpayer how the amount expected was
calculated.
-
Advise the taxpayer that he/she is responsible for
determining what buying or spending modifications are
needed in order to pay their liabilities. Do not tell
the taxpayer what he/she can or cannot own or spend.
-
The analysis of a taxpayer's financial condition provides a
basis to make one or more of the following decisions:
-
Request payment in full or in part from available
assets.
-
Make a lien filing determination (IRM 5.12.2, Lien
Filing Requirements).
-
Initiate enforcement action if assets are available
to pay the liability and the taxpayer is unwilling to
voluntarily convert assets to cash (IRM 5.10.1, Pre-Seizure
Considerations).
-
Enter into an Installment Agreement (IRM 5.14.1, Securing
Installment Agreements).
-
Report the account Currently Not Collectible (IRM
5.16.1, Currently Not
Collectible).
-
Explain the Offer in Compromise provisions. In cases
where an offer in compromise appears to be a viable
solution to a tax delinquency, the Service employee
assigned the case will discuss the compromise
alternative with the taxpayer and, when necessary,
assist in preparing the required forms (IRM 5.8.1, Overview).
-
If during the course of conducting a financial
investigation, the taxpayer continues to accrue tax
liabilities for additional tax periods (for example, a sole
proprietorship that continues to fail to make federal tax
deposits), enforced collection action should be considered,
when appropriate. See IRM 5.7.8,
In-Business Repeater or Pyramiding Taxpayers. For
hardship situations, see IRM 5.16.1.2.9, Hardship.
5.15.1.2
(11-17-2014)
Analyzing Financial Information
-
Analyze the income and expenses to determine the amount of
disposable income (gross income less all allowable expenses)
available to apply to the tax liability.
-
Analyze assets to resolve the balance due accounts.
-
Request immediate payment if the taxpayer has cash
equal to the total liability.
-
Identify key sources of funds.
-
Identify liquid assets which can be pledged as
security or readily converted to cash. (For example,
equipment or factoring accounts receivable.)
-
Consider unencumbered assets, equity in encumbered
assets, interests in estates and trusts, and lines of
credits from which money may be borrowed to make
payment.
-
Consider taxpayer's ability to get an unsecured loan.
-
Determine the priority of the Notice of Federal Tax
Lien when considering whether to allow or disallow
payments to other creditors. See IRM 5.17.2.6 ,
Priority of Tax Liens: Specially Protected Competing
Interests.
-
In some cases, payments on expense items are not due in
regular monthly increments. Average necessary living expense
items with varying monthly payments over 12 months.
Example:
Car insurance may be paid
monthly, quarterly, twice a year or yearly. For purposes of
calculating monthly income compute the total cost for the
year and divide by 12.
-
Exceptions to verifying and allowing certain expenses when
securing an installment agreement may apply. See IRM
5.14.1.4.1, Six-Year Rule and One-Year
Rule.
5.15.1.3
(11-17-2014)
Verifying Financial Information
-
When conducting interviews to secure and/or review
financial statements, ask pertinent questions to determine as
much as possible about the taxpayer's financial condition and
document the results. For example:
-
How the taxpayer generates income, both foreign and
domestic
-
The nature of their business process
-
The main products/services, type of customers,
wholesale vs. retail, etc.
-
Major suppliers and competitors
-
Assets held in the name of the taxpayer or on their
behalf, both foreign and domestic
-
Type of internet presence the taxpayer may have
-
Observe and document the physical layout of the business,
the number of employees, the type and location of equipment,
machinery, vehicles and inventory. A brief tour of the
business premises may help to gauge the business operation and
the condition of assets.
Note:
Tax examiners in Field Collection are exempt from the
requirement to make field calls.
-
A thorough verification of the CIS involves reviewing
information available from internal sources and requesting
that the taxpayer provide additional information or documents
that are necessary to determine reasonable collection
potential. Consider contacting third parties to verify or
obtain information (see IRM 25.27, Third
Party Contacts.)
-
Collection issues that have been previously addressed
during a balance due investigation by field personnel in the
preceding 12 months will not be re-examined unless there is
convincing evidence that such reinvestigation is absolutely
necessary.
Example:
If the previous revenue officer
has completed a full CIS analysis within the last 12 months
including verification of assets, income, and expenses and
has made a determination of the Fair Market Value of assets,
equity in assets and monthly ability to pay, the information
should not be reinvestigated unless there is reason to
believe the taxpayer's situation has significantly changed.
-
A taxpayer is not required to substantiate expenses that
are categorized as National Standards unless they exceed the
Standard.
Exception:
If a taxpayer claims more than the total allowable amount
for the five categories of National Standards for Food,
Clothing and Other Items, the taxpayer is only required to
substantiate expenses for the categories that exceed the
standards. The standard amounts will be allowed for the
remaining categories without substantiation.
-
A taxpayer may be required to substantiate expenses that
are categorized as Local Standards or Other Expenses (See IRM
5.15.1.9, Local Standards,
and IRM 5.15.1.10, Other
Expenses.)
-
Substantiation of expense amounts could include the
following items: bank statements, credit cards vouchers,
rent/lease receipts and leases, payment coupons, court orders,
contracts, and canceled checks. Document how obligations are
being met and the source of funds. Taxpayers who own real
estate should provide documents showing the monthly payment,
the purchase price, date of purchase, and the principal amount
due. When obtaining documents for substantiation, ask the
taxpayer for copies, not original documents. If necessary,
secure telephone numbers and contact names of creditors. These
can be used if verification is necessary.
-
When analyzing expenses for a business taxpayer, ensure
that business expenses are not included under personal
expenses. Compare Form 433-A and Form 433-B to income tax
returns to verify assets and income or analyze bank deposits.
Example:
Taxpayer claims the lease payment
of an automobile for business. That expense will not be
allowed as part of the transportation expense on Form 433-A.
If a taxpayer claims a vehicle for both business and
personal use, ensure that the allowable expense is not
duplicated.
-
Secure third party information such as bank deposit
records, government agency records, competitors or suppliers
to determine the source of funds of the taxpayer. Ensure that
third party notice requirements are met (refer to IRM 25.27,
Third Party Contacts.) Use summons authority to
secure leads to assets and income (refer to IRM 25.5.1, Summons.)
-
Compare income to expenses. If expenses exceed income, ask
the taxpayer probing questions to determine alternate sources
of income that may be supplementing his/her income. Look for
and consider:
-
"Non-cash expenses" such as depreciation or
amortization of assets
-
"Book value" vs. Fair Market Value (FMV)
-
Non-payment of accounts receivables (in dispute)
-
Down-sizing/insolvent (a viable business)
-
Roommate(s) or rental income
-
Commingling of funds between related or unrelated
entities
Examine prior year returns to detect sporadic income.
Review bank deposits for at least 3 months to determine the
taxpayer's stated income.
5.15.1.4
(11-17-2014)
Shared Expenses
-
Generally, when determining ability to pay, a taxpayer is
only allowed the expenses he/she is required to pay. There may
be cases where a taxpayer lives with a non-liable person
(i.e., spouse, domestic partner, boyfriend/girlfriend) and
bills are paid from commingled funds/joint checking account.
In these cases, it may be necessary to review other income
into the household and any expenses shared with the non-liable
person in order to determine the taxpayer's allowable portion
of the shared household income and expenses.
-
Although the assets and income of a non-liable person may
be reviewed to determine the taxpayer's portion of the shared
household income and expenses, they are generally not included
when calculating the amount the taxpayer can pay. One notable
exception is community property states. Follow the community
property laws in these states to determine what assets and
income of the otherwise non-liable spouse are subject to
collection of the tax. The non-liable spouse can seek
assistance from the Taxpayer Advocate Service.
Reminder:
Community Property States: Arizona, California, Idaho,
Louisiana, Nevada, New Mexico, Texas, Washington, and
Wisconsin. In addition, Alaska is an opt-in community
property state; property is separate property unless both
parties agree to make it community property through a
community property agreement or a community property trust.
The territories of Puerto Rico, Guam and the Commonwealth of
the Northern Mariana Islands also allow property to be owned
as community property. See IRM 5.17.2.5.2.1, Community
Property.
Note:
Since the facts of each individual case and state law
determine if the taxpayer has a property right or right of
reimbursement, Revenue Officers and Advisory should seek
Counsel advice when these types of issues arise in
determining the taxpayer’s interest for calculating income
or equity in assets and any other collection alternative
calculations.
-
Regardless of whether community property laws apply, secure
sufficient information concerning the non-liable person to
determine the taxpayer's proportionate share of the total
household income and expenses. Review the entire household's
information and:
-
Determine the total actual household income and
expenses.
-
Determine what percentage of the total household
income the taxpayer contributes, i.e., taxpayer's income
divided by total household income.
-
Determine allowable expenses.
-
Determine which expenses are shared and which
expenses are the sole responsibility of the taxpayer,
e.g., child support, allowable educational loan, union
dues.
-
Apply the taxpayer's percentage of income to the
shared expenses.
Note:
The investigating employees should judge each case
based on its own applicable facts and circumstances.
-
Verify the taxpayer actually contributes at least
this amount to the total household expense. National
Standard expenses do not require verification unless the
taxpayer claims more than the standard amount.
-
Do not allow the taxpayer any amount paid toward a
non-liable person's discretionary expenses.
Example:
Taxpayer’s income of $20,000
plus non-liable person's income of $5,000 equals household
income of $25,000. Divide the taxpayer's income of $20,000
by household income of $25,000 to determine the taxpayer’s
share of the household income which would be 80% in this
instance. Multiply the taxpayer’s allowable shared
expenses by the calculated household income percentage of
80%. This represents the taxpayer’s shared allowable
expenses. The taxpayer would also be allowed 100% of
expenses which are his/her sole responsibility, unless they
are expenses covered by the Allowable Living Expense
standards.
-
Shared expense calculations between spouses are used when
the parties live in a separate property state or state law
permits the parties to separate their incomes and the
non-liable spouse does not agree to use their income to pay
the liable spouse’s tax debt (IRM 5.15.1.4(2)). Calculations
of allowable expenses will depend on the circumstances of each
taxpayer. The method used to calculate the liable taxpayer's
ability to pay must be documented in the case history.
Example:
One method for calculating the liable taxpayer's ability
to pay is to determine the income percentages as stated in
IRM 5.15.1.4(3). After determining the percentage of income
of the liable taxpayer, that percentage is multiplied
against the ALE standard amounts for the household. If the
taxpayer's calculated percentage amount for National
Standards for Food, Clothing and Other Items and for
Out-of-Pocket Health Care Costs, is less than the standard
amount for one person, the liable taxpayer will be allowed
the standard amount. For the other ALE expenses
(Transportation and Housing/Utilities), the liable taxpayer
will be allowed the calculated percentage amount or the
standard amount, whichever is less. The calculated
percentage can also be applied to other shared expenses,
such as family health insurance. Consideration should also
be given to any separate expenses the liable taxpayer may be
solely responsible for paying, such as alimony, child care,
etc.
Note:
If the vehicles are not owned jointly, the liable
taxpayer would be allowed actual expenses paid for the
vehicle he/she owns. The percentage method can be applied if
two vehicles are jointly owned, but the maximum expense
allowed for the liable taxpayer will be the standard amount
for one vehicle.
-
When the taxpayer can provide documentation that income is
not commingled (as in the case of roommates who share housing)
and responsibility for household expenses is divided equitably
between co-habitants, the total allowable expense should not
exceed the total allowable housing standard for the taxpayer.
In this situation, it would not be necessary to obtain the
income or expense information of the non-liable person(s).
Verification of expenses the taxpayer pays should be requested
if the expenses appear unreasonable. The investigating
employees should exercise sound judgment in these situations
to determine which approach is more appropriate, based on the
facts of each case.
Note:
In the situation where the taxpayer is renting an
apartment or room and the owner of the property is the
non-liable person, the rental agreement or signed statement
from the owner of the property should support the decision
to not require the owner to divulge any personal information
regarding income or household expenses. In these cases, the
investigating employee should accept the information
provided by the taxpayer and make a determination based on
that information.
Example:
Taxpayer shares expenses with a
roommate. In this situation the taxpayer receives the full
National Standard for one person and the full Out of Pocket
Health Care Standard for one person. The taxpayer would
receive the amount actually paid up to the maximum amount of
the Local Housing and Utility Standard and Local
Transportation Standard.
If an internal verification is conducted on the non-liable
person, this information cannot be provided to the taxpayer.
This is not an Unauthorized Access (UNAX) violation if the
revenue officer's duties require the inspection or disclosure
of this information for tax administration purposes. However,
it is a disclosure violation under IRC 6103 if any information
is shared with someone other than the non-liable person in
question, unless consent to disclose the information is
obtained from the non-liable person.
5.15.1.5
(11-17-2014)
Internal Sources and Online Research
-
When required, verify as much of the financial statement as
possible through internal sources and online research (see
table below).
-
When internal locator services are not available, or a
discrepancy is indicated, request that the taxpayer provide
reasonable information necessary to support the financial
statement or verify using external sources (IRM
5.15.1.6, External Sources.)
-
Consider researching the information sources listed below
to verify the CIS, in situations where a CIS is required.
Tailor your research to the facts and circumstances of each
case.
5.15.1.6
(10-02-2012)
External Sources
-
Request appropriate documentation from the chart below to
verify the CIS. Do not make a blanket request for information.
Tailor your request to each taxpayer's specific situation. Do
not require the taxpayer to provide information that is
available from internal or online sources.
5.15.1.7
(10-02-2012)
Allowable Expense
Overview
-
Allowable expenses include those expenses that meet the
necessary expense test. The necessary
expense test is defined as expenses that are necessary to
provide for a taxpayer's and his or her family's health and
welfare and/or production of income. There are
three types of allowable expenses:
-
Allowable Living Expenses - based on National and
Local Standards
-
Other Necessary Expenses - expenses that meet the
necessary expense test, and are normally allowed
-
Other Conditional Expenses - expenses, which may not
meet the necessary expense test, but may be allowable
based on the circumstances of an individual case
-
The Allowable Living Expense (ALE) Standards, also known as
Collection Financial Standards, provide for a taxpayer's and
his or her family's health and welfare and/or production of
income. These expenses must be reasonable in amount for the
size of the family and the geographic location, as well as any
unique individual circumstances. The total necessary expenses
establish the minimum a taxpayer and family needs to live.
Reminder:
The ALE standards are not applicable to corporations,
partnerships, LLCs, (where the LLC is identified as the
liable taxpayer), or for any business expenses.
Note:
The ALE standards are not available for international
taxpayers or the U.S. Territories, except for housing and
utilities in Puerto Rico. In the absence of standardized
figures for foreign countries, a fair and consistent
approach should be applied to what is allowed as living
expenses for international taxpayers. Collection employees
should not use any other non-ALE figures as pre-determined
guideline figures or arbitrarily select any location in the
United States as a starting point for allowances. In those
cases where there are no ALE standards or leverage to
enforce collection of a balance due, the taxpayers'
submission of living expenses should generally be accepted,
provided they appear reasonable.
-
National Standards: These
establish standards for Food, Clothing and Other Items and
Out-of-Pocket Health Care Expenses.
-
Food, Clothing and Other
Items - These establish reasonable amounts
for five necessary expenses: food, housekeeping
supplies, apparel and services, personal care products
and services, and miscellaneous. These standards come
from the Bureau of Labor Statistics (BLS) Consumer
Expenditure Survey. Taxpayers are allowed the total
National Standards amount monthly for their family size,
without questioning the amounts they actually spend.
Note:
All five expenses are included in one total
national standard amount.
-
Out-of-Pocket Health Care
Expenses - These establish reasonable amounts
for out-of-pocket health care costs including medical
services, prescription drugs, and medical supplies
(e.g., eyeglasses, contact lenses). The table for health
care allowances is based on Medical Expenditure Panel
Survey data. Taxpayers and their dependents are allowed
the standard amount monthly on a per person basis,
without questioning the amounts they actually spend.
-
Local Standards: These
establish standards for two necessary expenses: 1) housing and
utilities and 2) transportation. Taxpayers will normally be
allowed the local standard or the amount actually paid
monthly, whichever is less.
-
Housing and Utilities
- Standards are established for each county within a
state and are derived from Census and BLS data. The
standard for a particular county and family size
includes both housing and utilities allowed for a
taxpayer’s primary place of residence. Housing and
Utilities standards include mortgage (including
interest) or rent, property taxes, insurance,
maintenance, repairs, gas, electric, water, heating oil,
garbage collection, cable television, internet services,
telephone and cell phone.
-
Transportation -
The transportation standards consist of nationwide
figures for loan or lease payments referred to as
ownership costs, and additional amounts for operating
costs broken down by Census Region and Metropolitan
Statistical Area. Operating costs include maintenance,
repairs, insurance, fuel, registrations, licenses,
inspections, parking and tolls. If a taxpayer has a car
payment, the allowable ownership cost added to the
allowable operating cost equals the allowable
transportation expense. If a taxpayer has a car, but no
car payment only the operating cost portion of the
transportation standard is used to figure the allowable
transportation expense. There is a single nationwide
allowance for public transportation for taxpayers with
no vehicle.
Note:
Vehicle Operating standards are based on actual
consumer expenditure data obtained from the United
States Bureau of Labor Statistics (BLS) which are
adjusted with Consumer Price Indexes (CPI) to allow
for projected increases throughout the year. (These
CPI are used to adjust all ALE standards.) Vehicle
operating standards are not based on average commuting
distances. Fuel costs, which are part of Vehicle
Operating Costs, have a separate fuel price adjustment
which is based on Energy Information Administration (EIA)
data which allows for projected fuel price increases.
-
National and local expense standards are guidelines. If it
is determined a standard amount is inadequate to provide for a
specific taxpayer's basic living expenses, allow a deviation.
Require the taxpayer to provide reasonable substantiation and
document the case file.
Note:
If the taxpayer or the Service believes reviewing the
last three months of expenses are not reflective of the
actual yearly expenditures, additional months, up to one
year, may be reviewed.
-
Generally, the total number of persons allowed for national
standard expenses should be the same as those allowed as
exemptions on the taxpayer's current year income tax return.
Verify that exemptions claimed on the taxpayer's income tax
return meet the dependency requirements of the IRC. There may
be reasonable exceptions. Fully document the reasons for any
exceptions. For example, foster children or children for whom
adoption is pending.
-
A deviation from the local standard is not allowed merely
because it is inconvenient for the taxpayer to dispose of
valued assets or reduce excessive necessary expenses.
-
Other Necessary Expenses - These expenses meet the
necessary expense test and normally are allowed. The amount
allowed must be reasonable considering the taxpayer's
individual facts and circumstances.
-
Other Conditional Expenses - These expenses may
not meet the necessary expense test, but may be
allowable based on the circumstances of an individual case.
Other conditional expenses may also be allowable if the
taxpayer qualifies for the six-year rule. See IRM
5.15.1.2(4), Six-Year Rule.
5.15.1.8
(11-17-2014)
National Standards
-
National Standards: Food, Clothing
and Other Items - These include the following
expenses:
-
Apparel and services. Includes shoes and clothing,
laundry and dry cleaning, and shoe repair.
-
Food. Includes all meals, home and away.
-
Housekeeping supplies. Includes laundry and cleaning
supplies; other household products such as cleaning and
toilet tissue, paper towels and napkins; lawn and garden
supplies; postage and stationery; and other
miscellaneous household supplies.
-
Personal care products and services. Includes hair
care products, haircuts and beautician services, oral
hygiene products and articles, shaving needs, cosmetics,
perfume, bath preparations, deodorants, feminine hygiene
products, electric personal care appliances, personal
care services, and repair of personal care appliances.
-
Miscellaneous. Is a percentage of the other
categories and is based on BLS data. The miscellaneous
allowance has been established for living expenses not
included in any other standards or allowable expense
items. Some examples include credit card payments,
occupational expenses, bank fees and charges, reading
material, school books and supplies for elementary
through high school age dependents, etc. The
miscellaneous allowance can also be used for any portion
of expenses that exceed the ALE standards and are not
allowed under a deviation.
-
Allow taxpayers the national standard amount for their
family size without questioning the amount actually spent.
Note:
Money amounts in all the Allowable Living Expense
examples are for illustrative purposes only. Check the ALE
web page at http://mysbse.web.irs.gov/Collection/toolsprocesses/AllowExp/default.aspx
for current expense amounts.
Example:
National Standard Expense amount
is $1,100 - The taxpayer’s actual expenditures are:
housekeeping supplies - $100, clothing - $100, food - $500,
personal care products - $100, and miscellaneous - $200
(Total Expenses - $1,000). The taxpayer is allowed the
national standard amount of $1,100, even though the amount
claimed was less.
-
A taxpayer who claims more than the total allowed by the
national standards must provide documentation to substantiate
and justify as necessary those expenses that exceed the total
national standard amounts. Deviations from the standard amount
are not allowed for miscellaneous expenses.
Example:
National Standard Expense amount
is $1,100. The taxpayer's actual expenditures are:
housekeeping supplies - $100, clothing - $100, food - $700,
personal care products - $100, and miscellaneous - $200
(Total Expenses - $1,200). The taxpayer is allowed the
national standard amount of $1,100, unless the higher amount
is justified as necessary. In this example the taxpayer has
claimed a higher food expense than allowed. Justification
would be based on prescribed or required dietary needs. The
taxpayer must substantiate and verify only the food expense.
The taxpayer is not required to verify expenses for all five
categories if a higher expense is claimed for one category.
The standard amounts will be allowed for the remaining
categories.
-
All deviations from the national standard expenses for
food, clothing and other items must be verified, reasonable
and documented in the case history.
-
National Standards: Out of Pocket
Health Care Expenses – These include:
-
Medical services,
-
Prescription drugs, and
-
Medical supplies (e.g., eyeglasses, contact lenses).
Medical procedures of a purely cosmetic nature, such as
plastic surgery or elective dental work are generally not
allowed.
-
The out-of-pocket health care standard amount is allowed in
addition to the amount taxpayers pay for health insurance.
-
Taxpayers and their dependents are allowed the standard
amount monthly on a per person basis, without questioning the
amounts they actually spend. Taxpayer verification of
out-of-pocket expenses is not required unless the amount
claimed exceeds the standard.
-
Taxpayers who claim more than the total allowed by the
out-of-pocket health care standard, may be allowed more than
the standard if they provide documentation to substantiate and
justify the additional expenses. This situation may be
encountered in situations involving taxpayers with no health
insurance.
-
All deviations from the national standards for
out-of-pocket health care expenses must be verified,
reasonable and documented in the case history.
5.15.1.9
(11-17-2014)
Local Standards
-
Local standards include the following expenses:
-
Housing and Utilities
- Housing expenses include: mortgage (including
interest) or rent, property taxes, necessary maintenance
and repair, homeowner's or renter's insurance, homeowner
dues and condominium fees. The utilities include gas,
electricity, water, heating oil, bottled gas, trash and
garbage collection, wood and other fuels, septic
cleaning, cable television, internet services, telephone
and cell phone. Usually, these expenses are considered
necessary only for the primary place of residence. Any
other housing expenses should be allowed only if, based
on a taxpayer's individual facts and circumstances,
disallowance will cause the taxpayer economic hardship.
-
Generally the total number of persons
allowed for determining family size should be
the same as those allowed as exemptions on the
taxpayer’s most recent year tax return.
There may be reasonable exceptions, such as
foster children or children for whom adoption
is pending.
-
An allowance for cell phone, cable
television and internet service expenses is
included in the Housing and Utilities
standard.
-
Taxpayers are allowed the standard amount
for housing and utilities or the amount
actually claimed and verified
by the taxpayer, whichever is less. If the
amount claimed is more than the total allowed
by housing and utilities standards, the
taxpayer must provide documentation to
substantiate those expenses are necessary.
-
When deciding if a deviation is
appropriate, consider the cost of moving to a
new residence; the increased cost of
transportation to work and school that will
result from moving to lower-cost housing and
the tax consequences. The tax consequence is
the difference between the benefit the
taxpayer currently derives from the interest
and property tax deductions on Schedule A to
the benefit the taxpayer would derive without
the same or adjusted expense.
-
All deviations from the housing and
utilities standards must be verified,
reasonable and documented in the case history.
-
Transportation -
This includes vehicle insurance, vehicle payment (lease
or purchase), maintenance, fuel, state and local
registration, required inspection, parking fees, tolls,
driver's license and public transportation. Public
transportation includes mass transit fares for a train,
bus, taxi, etc., both within and between cities.
-
Transportation expenses are considered
necessary when they are used by taxpayers and
their families to provide for their health and
welfare and/or the production of income.
Employees are expected to exercise appropriate
judgment in determining whether claimed
transportation expenses meet these standards.
Expenses that appear to be excessive should be
questioned and, in appropriate situations,
disallowed.
-
When determining the allowable amounts,
allow the full ownership
standard amount, or the amount actually
claimed and verified
by the taxpayer, whichever is less. Allow the
full operating
standard amount, or the amount actually
claimed by the taxpayer, whichever is less.
Substantiation for the operating allowance is
not required unless the amount claimed exceeds
the standard.
-
There is a single nationwide allowance for
public transportation. This allowance is
established as a floor for individuals with no
vehicle. Taxpayers with no vehicle are allowed
the standard, per household, without
questioning the amount actually spent. The
taxpayer is not required to provide
documentation unless the amount claimed
exceeds the standard. See Exhibit
5.15.1-1, Question 16.
-
If a taxpayer owns a vehicle and uses
public transportation, expenses may be allowed
for both, provided they are needed for the
health and welfare of the individual or
family, or for the production of income.
However, the expenses allowed would be actual
expenses incurred. Documentation would not be
required unless the amount claimed exceeded
the standards.
-
If a taxpayer has a car, but no car
payment, only the operating costs portion of
the transportation standard is used to figure
the allowable transportation expense.
-
A single taxpayer is normally allowed
ownership and operating costs for one vehicle.
The taxpayer is allowed the standard for
ownership and operating costs, or the amounts
actually spent, whichever is less.
-
If a husband and wife own two vehicles,
they are allowed the amount claimed for each
vehicle up to the maximum allowances for
ownership and operating expenses. The
taxpayers are allowed the standard for
ownership and operating costs, or the amounts
actually spent, whichever is less.
Note:
Money amounts in the Allowable Living Expense
examples below are for illustrative purposes only.
Example 1: If the loan
payment for each car is below the standard allowable
amount and the operating costs for both cars are below the
standard allowable amount, they are allowed the amount
claimed.
Example 2: If the loan
payment for each car exceeds the standard allowable amount
and the operating costs for both cars exceed the standard
allowable amount, they are limited to the standard
allowable amount unless the claimed amount is
substantiated and verified as necessary.
Example 3: If the loan
payment for one vehicle exceeds the standard allowable
amount for one car and the second loan payment is less
than the standard allowable amount for one car, the
allowable amounts are calculated separately.
Example:
If a taxpayer takes a train to
work, but drives a vehicle from home to the train station,
the actual expenses incurred for vehicle ownership and
operating costs and the train fare would be allowable.
-
If a taxpayer claims higher amounts of operating
costs because he commutes long distances to reach his
place of employment, he may be allowed greater than the
standard. The additional operating expense would
generally meet the production of income test and
therefore be allowed if the taxpayer provides
substantiation.
-
If the amount claimed is more than the total allowed
by any of the transportation standards, the taxpayer
must provide documentation to verify and substantiate
that those expenses are necessary. All deviations from
the transportation standards must be verified,
reasonable and documented in the case history.
5.15.1.10
(11-17-2014)
Other Expenses
-
Other expenses may be Necessary or Conditional. Other
Necessary expenses meet the necessary expense test and
normally are allowed. The amount allowed must be reasonable
considering the taxpayer's individual facts and circumstances.
Other Conditional Expenses may not
meet the necessary expense test, but may be allowable based on
the circumstances of an individual case.
-
There may be circumstances where expenses may be allowed
even if they do not meet the necessary expense test. If the
IRS tax liability including accruals can be paid within six
years and within the CSED, all expenses may be allowed if they
are reasonable. If the taxpayer cannot pay within six years,
it may be appropriate to allow the taxpayer up to one year in
order to modify or eliminate one or more expenses. See IRM
5.15.1.2, Analyzing
Financial Information.
-
If other conditional expenses are determined to be
necessary and, therefore allowable, document the reasons for
the decision in your history.
-
Delinquent State and Local Taxes. Payments for delinquent
state and local (county or municipal) tax liabilities may be
allowed in certain circumstances:
-
When a taxpayer owes both delinquent Federal taxes
and delinquent state or local taxes, and does not have
the ability to full pay.
-
When a taxpayer is cooperative and provides complete
financial information.
-
When a taxpayer advises the IRS that he/she owes
delinquent state or local taxes and provides
verification of the state or local tax liability, and
agreement, if applicable.
-
Follow the procedures in this table to determine the
allowable payment for delinquent state or local tax
debts.
-
Follow these procedures to calculate an allowable
payment amount for delinquent state or local tax debts.
1) Determine net disposable income on Form 433-A, Collection
Information Statement for Wage Earners or Self-Employed
Individuals, or Form 433-F, Collection
Information Statement. Do not include any
amount that is being paid for outstanding state or local
tax liabilities in the calculation. Net disposable
income is the difference between gross income and
allowable living expenses.
Note:
If the taxpayer's net disposable income is less
than $25, prepare a backup Form 53 due to hardship
along with the installment agreement in case of
eventual default and termination.
2) Calculate the dollar amounts for the IRS and state or
local payments based on the total liability owed to each
agency (including penalties and interest to date).
3) Use the net disposable income and a percentage of IRS
and state or local liabilities to total liability to
calculate the payment amounts.
Note:
If the Net disposable income is less than $25,
prepare a backup Form 53 due to hardship along with
the installment agreement in case of eventual default
and termination.
-
If allowing even a minimal monthly payment for
delinquent state or local taxes will result in the
account being reported Currently Not Collectible due to
hardship:
Example:
The taxpayer’s net disposable income (not
including the state or local payment) is $70. The
state or local payment due on an existing agreement
that was established prior to the earliest IRS date of
assessment is $100. The amount allowed for delinquent
state or local taxes on the CIS is $45. The payment
for the IRS IA is $25. Advise the taxpayer that he or
she can use the Miscellaneous allowance to pay the
difference between what the IRS has allowed ($45) and
what is owed monthly for the state or local payment
agreement ($100), which is $55 ($100 - $45 = $55). One
month after the date the state or local agreement will
be fully paid at $45 monthly, increase the IRS’ IA
amount to $70 monthly ($25 + $45).
Note:
Document all calculations in the case history.
-
Allowing payments for delinquent state or local taxes
when establishing an Installment Agreement has no effect
on lien or levy priorities. This guidance only impacts
determinations of ability to pay. Employees should use
existing procedures and lien law to determine the IRS
interest in assets. If a taxpayer refuses to establish
an Installment Agreement or defaults on an Installment
Agreement, IRS employees should follow existing
procedures and lien law to determine the appropriate
course of action, including pursuing collection.
-
Minimal payments for delinquent state or local taxes
are allowed for Installment Agreements using the
six-year rule. If the six-year rule applies, taxpayers
are required to provide financial information, but do
not have to provide substantiation of reasonable
expenses. If the taxpayer meets all other requirements
for the six-year rule, the amount claimed for state or
local taxes may be allowed. Employees would not be
required to obtain verification of the state payment or
calculate an amount due based on the percentage basis
discussed above.
-
If a state already has a Federal/State Memorandum of
Understanding (MOU) for establishing joint Federal and
State agreements, follow the MOU guidelines.
5.15.1.11
(11-17-2014)
Determining Individual Income
-
Generally all household income will be used to determine
the taxpayer's ability to pay. In cases where a liable
taxpayer lives with a non-liable person, refer to IRM
5.15.1.4, Shared Expenses,
for a complete explanation of determining proportionate income
and expense calculations.
-
Income consists of the following:
-
Wages - Wages
include salary, tips, meal allowance, parking allowance
or any other money or compensation received by the
taxpayer as an employee for services rendered. This
includes the taxpayer and the taxpayer's spouse.
Note:
Use the following formulas to calculate gross
monthly wages or salaries:
If paid weekly, multiply weekly gross wages by 4.3.
If paid biweekly (every 2 weeks), multiply biweekly
gross wages by 2.17.
If income is sporadic or seasonal, use the annual
income figure from the Form W-2 or the Form 1040 and
divide by 12 to determine the average monthly income.
-
Interest and Dividends
- Includes any interest or dividend that the taxpayer
receives or that is credited to an account and can be
withdrawn by the taxpayer and used for household
expenses. The annual total should be divided by 12 to
determine the average monthly income. Look for brokerage
accounts for dividends from publicly traded corporations
and look for undisclosed bank accounts for interest
payers.
Note:
If the interest bearing accounts are used as an
asset, and the taxpayer will be withdrawing the funds
from the account to reduce the tax liability, the
dividends or interest should not be used in the income
stream.
-
Net Income from
Self-Employment or Schedule C - The amount
the taxpayer earned after paying ordinary and necessary
business expenses. This amount may be determined from an
analysis of the income and expense section of Form 433-A
or Form 433-B. It may also be determined using the net
profit on Schedule C from the most recent year's Form
1040 if all duplicate deductions are eliminated (e.g.,
expenses for business use of home already included in
Allowable Living Expense for Housing and Utilities).
Deductions for depletion and depreciation on Schedule C
are not cash expenses and these amounts must be added
back to the net income figure. In addition, interest
cannot be deducted if it is already included in any
other installment payments allowed. If the net business
income is a loss, enter "zero" . Do not enter
a negative number.
Note:
The income and expense information provided must
reflect a sufficient time frame to accurately
determine the monthly average that could be expected
for the entire year.
-
Net Rental Income
- The amount earned after paying ordinary and necessary
monthly rental expenses. If using Schedule E from the
most recent year's Form 1040, do not include
depreciation or depletion as an expense item. If net
rental income is a loss, enter a "zero" . Do
not enter a negative number.
-
Pensions -
Includes Social Security, IRA, profit sharing plans,
etc. Pensions could be used as an asset or as part of
the income stream. See IRM
5.15.1.17,
Business Expenses.
-
Child Support -
Include the actual amount received in addition to other
debts or bills the non-custodial parent is paying
pursuant to a child support order. For example, the
court order assigns $200 a week for support but also
requires all medical bills to be paid. The child support
income would include the $200.00 plus any additive
support payments received for medical bills.
-
Alimony - Include
the assigned payments made by the non-resident spouse.
However, consider if other bills are being paid, such as
the mortgage, and adjust the allowable expenses
accordingly.
-
Other - This could
include payments from a trust account, royalties,
renting a room, gambling winnings, sale of property,
rent or oil subsidies, etc. Tax return information could
include various sources of income.
Note:
A rent subsidy paid directly to the taxpayer from a
government agency should be reflected as income on
Form 433-A and the full amount of rent paid should be
deducted as an expense under housing and utilities. A
subsidy paid directly to a landlord by a government
agency should not be included in income on Form 433-A,
and the taxpayer should only report the actual
expenses he or she pays for rent under housing and
utilities.
5.15.1.12
(10-02-2012)
Business Entity and Collection
-
The Internal Revenue Code does not include specific
provisions for liability collection from most state law
business organizations. The provisions of state law that
shield certain persons or entities from liability are used as
guidance for determining the entity liable for taxes incurred
in a business.
-
State law is also the determining factor for defining
property and rights to property. Therefore, the attachment of
a federal lien to property is highly dependent upon state law.
-
Classification principles must be used to first determine
the identity of the liable party. State law definitions of
property are then used to determine what property the federal
tax lien attaches to.
-
Generally, an assessment of tax in the name of a business
entity can be taken as evidence of liability on the part of
the party assessed. However, partners who are not assessed may
be liable under state law - e.g., general partners may be
liable for partnership liabilities.
-
Single owners of certain limited liability companies (LLCs),
with respect to employment taxes on wages paid prior to
January 1, 2009, could file returns in the name of the LLC
even though only the owner was liable. This has created
problems since assessments where the single owner is liable
are indistinguishable from assessments where the LLC is
liable.
Note:
See IRM 5.1.21, Collecting from
Limited Liability Companies, for additional
information.
5.15.1.13
(10-02-2012)
Business Entity Types
-
Business entities fall into five broad categories:
-
The proprietorship is the simplest form of business
organization.
-
The proprietorship is a business name for the owner.
-
It is not protected from the liabilities of its owner
under state law; because the proprietorship and the
owner are considered the same entity, the owner is
likewise not protected from the liabilities of the
proprietorship under state law.
-
A proprietorship cannot own property in its own name
distinct from its owner.
-
The owner and the proprietorship are essentially one
and the same.
-
Income of a proprietorship is allocated to the owner
for federal income tax purposes.
-
Partnerships are organized under state law through
partnership agreements.
-
Partners may be individuals or business entities
recognized under state law, e.g., a corporation.
-
State law normally specifies that general partners
are liable for the debts of the partnership.
-
Partnership assets generally cannot be attached for
liabilities incurred by the partners separately.
-
Partnerships are further categorized into general
partnerships and limited partnerships in state law.
-
In general partnerships, the partners are generally
held liable for partnership debts as provided in state
law.
-
In limited partnerships, a general partner, sometimes
referred to as a managing partner, is designated the
operating partner and is generally held liable for the
consequences of actions taken on behalf of the
partnership.
-
The managing partner is therefore often held
responsible for the trust fund recovery penalty
authorized by IRC § 6672.
-
Partnership Income is allocated to the partners based
upon the percentages specified in the partnership
agreement by filing Form 1065, U.S.
Return of Partnership Income, with associated
Schedule K-1s, Partner’s Share
of Income, Deductions, Credits, etc. Schedule
K-1 income is in turn reported on the partners’ income
tax returns.
-
Corporations are chartered by the states under specific
incorporation statutes.
-
They are organized under the provisions of a
corporate charter filed with a designated state official
(secretary of state or equivalent position) that
specifies the business rights and privileges given the
corporation. The corporation is represented by an
official registered agent, often the attorney who
represented the entity in its incorporation proceedings.
-
The charter specifies the duties of corporate
officers and the right to issue corporate stock.
-
Corporations have a separate legal existence under
state law, own property in their own right and have
limitation of liability relative to the debts of the
owners/stockholders.
-
Corporate assets cannot be attached for debts of the
owner/stockholders except in circumstances when
transferee liability or state law alter ego and/or
nominee theories are successfully pursued.
-
Corporations are usually taxed on the income produced
by their activities.
-
Subchapter S corporations pass the income to their
shareholders using Schedule K-1. The shareholders, in
turn, report their distributive share of the
corporation's income on their personal returns.
-
Limited liability companies (LLCs) are business
organizations chartered by the states under specific limited
liability company statutes.
-
An LLC is owned by one or more persons known as
members. Members may be individuals or other legal
entities.
-
An LLC is organized as a distinct legal entity under
state law by filing articles of organization or a
similar document with a designated state official.
-
An LLC may own property in its own right and has
limitation of liability relative to the debts of the
owner(s).
-
Assets of the LLC cannot be attached for debts of the
owner(s) except in circumstances where transferee
liability or state law alter ego and/or nominee theories
are successfully pursued. The IRS may levy on the
owner's distributive interest in the LLC, levy on the
owner's membership interest in the LLC and sell it, or
file suit to foreclose the federal tax lien against the
ownership interest.
-
Under the provisions of Treas. Reg. 301.7701-3, an
LLC is classified as a partnership if it has two or more
members or disregarded as an entity separate from its
owner, if it has a single owner, for federal income tax
purposes, unless it elects to be treated as an
association taxable as a corporation.
-
Unlike state partnership law, state LLC law
specifically limits the liability of owners for debts of
the LLC.
-
Single-member LLCs are generally disregarded as
taxable entities, meaning that the owner is the
taxpayer. For wages paid prior to January 1, 2009, the
employment tax liability of the single-member owner of a
disregarded LLC may be reported in the name of the LLC,
which creates complications for collection of the tax.
The individual owner of the disregarded LLC is still the
liable taxpayer for any employment tax liability
incurred before January 1, 2009, regardless of whether
the LLC's name and EIN were used to report the
liability.
-
For wages paid on or after January 1, 2009,
employment taxes will be the liability of the
single-member LLC. In other words, the single-member LLC
is not disregarded for employment tax purposes.
-
Depending on the facts and circumstances, a member of
an LLC may be responsible for the trust fund recovery
penalty under IRC 6672.
Note:
See IRM 5.1.21, Collecting
from Limited Liability Companies, for
additional information.
-
Limited liability partnerships (LLPs) are formed under a
state limited liability partnership law.
-
Generally, a partner in an LLP is not liable for the
debts of the LLP or any other partner.
-
A partner is not liable for the acts or omissions of
any other partner, solely by reason of being a partner.
-
An LLP is required to file Form 1065,
U.S. Return of Partnership Income.
-
Depending on the facts and circumstances, a member of
an LLP may be responsible for the trust fund recovery
penalty under IRC 6672. Refer to IRM 5.17.7.1.1.3, Partners/Members.
5.15.1.14
(10-02-2012)
Business Financial Statements
-
The analysis of a business taxpayer’s financial condition
provides the basis for the majority of case resolutions.
Revenue officers are expected to perform and document a
thorough and accurate analysis of the taxpayer’s financial
information. This assessment of the overall financial
condition of the business should indicate the most appropriate
case resolution.
-
A complete CIS, Form 433-A, Collection
Information Statement for Wage Earners and Self-Employed
Individuals, or Form 433-B, Collection
Information for Businesses, enables revenue
officers to make sound decisions to resolve cases and to take
the appropriate enforcement action when warranted.
-
Many businesses employ accounting firms to maintain records
and books or use over the counter software programs. Because
of the complexity of business entities, acquiring and
reviewing these records are very important in determining the
true value of an asset. The statements that may be secured
from business entities are described below. While these other
financial statements may help clarify or verify Form 433-A and
Form 433-B and may provide additional sources of collection,
they do not replace Form 433-A and Form 433-B. They may
include expenses, such as depreciation, that are not
considered an allowable business expense on Form 433-A or Form
433-B. Allowable business expenses are the cost of carrying on
a business or trade. Generally, they must be necessary for the
operation of the business.
-
The Income Statement or Profit and Loss Statement is a
financial statement that shows revenue, expenses and profit
during a given accounting period, usually either a quarter or
a year. Along with the balance sheet, the income statement is
a tool used to assess the health and prospects of a company.
The income statement shows revenue and expenses, including
operating expenses, depreciation, income taxes and
extraordinary items. Using the income statement, a taxpayer or
revenue officer can quickly figure cash flow, profit margins
and other important indicators of how the business is doing.
-
A business' balance sheet is a snapshot of its financial
picture on a given day. A balance sheet shows the financial
position of a company by indicating the resources that it
owns, the debts that it owes and the amount of the owner's
equity in the business. One side of the balance sheet totals
up assets, moving from most liquid (cash) to least liquid
(plant and equipment or goodwill). The other side of the
balance sheet lists liabilities in order of immediacy.
Remember that assets must equal liabilities plus
shareholder's/owner's equity. The balance sheet, along with
the income statement, is an important tool for analyzing the
financial health of a company. Using the balance sheet,
compare current assets and current liabilities to assess
equity; and consider hidden value in assets.
-
Assets are any item of value owned by a business. A
firm's assets are listed on its balance sheet, where
they are set off against its liabilities. Assets may
include factories, land, inventories, off-shore
accounts, vehicles and other items. However, not all
assets are created equal. Some assets, such as cash, are
easy to value and liquidate. In addition to cash, there
are assets called cash equivalents.
-
Cash Equivalents are short term, highly liquid
investments (three months maturity or less) that are
made with idle cash. These can be included as
equivalents of cash for cash flow purposes.
-
Others assets, such as buildings and farmland are
somewhat more difficult to value accurately. These kinds
of assets are collectively known as tangible assets.
-
Intangible assets, such as goodwill, also can be
important to the success of the enterprise. Goodwill,
for instance, could include a valued brand gained in an
acquisition (a famous brand, such as Coca-Cola, doesn't
normally show up on balance sheet otherwise). Other
examples of intangible assets are patents, franchises,
licenses, domain names of web sites and customer lists.
-
In general, firms are required to carry assets on
their books at cost less depreciation. This conservative
principle means that the balance sheets of most
companies understate the true value of their holdings.
-
Liabilities are the opposite of assets. A liability
is a debt, an obligation to pay. Thus, short-term debt
(less than 1 year to maturity), long-term debt and
certain other obligations appear as liabilities on a
company's balance sheet.
-
Consult local revenue agents with questions about
adjusting the financial information for a particular
item.
-
When determining ability to pay, the income and expense
information provided must reflect a sufficient time frame to
accurately determine the monthly average that could be
expected for the entire year. Seasonal variations in business
income must be considered, as well as extraordinary events
that can lead to excessive increases or decreases in income or
expenses at a particular time.
-
Information provided on the CIS, as it pertains to income,
assets, and expenses, should match the information provided on
other financial statements, tax returns and schedules, and
other sources used to verify assets or encumbrances.
Discrepancies must be addressed and documented in the case
history.
5.15.1.15
(10-02-2012)
Cash Flow Analysis
-
Taxpayers may substitute business financial statements for
the income and expense section of the 433-B, Collection
Information for Businesses. If the taxpayer does
not submit the income and balance sheet, they should be
requested, if available, in order to review the viability of
the business.
-
The taxpayer may also be asked to submit a cash flow
analysis. These are often completed when taxpayers seek loans
or investors and may already be available for the revenue
officer's review.
-
Cash flow projections are used by a business to forecast
future income to meet upcoming expenses. They are based on
comparing money owed to expected revenues. This information is
most useful when dealing with a business that does not have
the ability to full pay on first contact or over a short
period of time. Use this to determine if the business can
remain current with operating expenses and taxes, and also pay
the delinquent taxes.
Example:
The cash flow analysis may show that the business can
enter into an installment agreement with increasing
payments, as the cash flow of the business improves. There
are instances when it may be appropriate to temporarily
suspend collection on a business, if the taxpayer cannot pay
the delinquent taxes, but current expenses and taxes can be
met and the cash flow projections indicate future ability to
pay.
-
Cash flow is net income minus preferred dividends plus
depreciation (as given in the income statement). Generally
speaking, cash flow is the best measure of a company's
profits. It is usually calculated by adding depreciation and
any other non-cash charges to earnings after taxes. Investors
look to cash flow for several reasons:
-
Firms have accounting leeway when it comes to
reporting net income;
-
Depreciation charges, while substantial in many
industries, aren't genuine bills that have to be paid;
and
-
Cash flow is the key to a company's ability to pay
dividends, cover debts and so forth. Thus, some analysts
focus on the ratio of price to cash flow rather than the
traditional price/earnings (P/E) measure. Cash flow is
especially useful in assessing firms in
capital-intensive industries where huge depreciation
charges can hide healthy profits.
5.15.1.16
(11-17-2014)
Making the Collection Decision
-
The analysis of the taxpayer's financial condition provides
a basis for making one or more of the following decisions:
-
Request payment in full or a partial payment based on
the liquid equity in available assets.
-
Consider filing a notice of federal tax lien. See IRM
5.12, Federal Tax Liens.
-
Enforce Collection. After taxpayers have been given
the opportunity to resolve their accounts and failed to
do so, consider enforcing collection. See IRM 5.10, Seizure
and Sale and IRM 5.11, Notice
of Levy.
-
Installment Agreement. See IRM 5.14, Installment
Agreements.
-
Currently Not Collectible. When financial analysis
indicates no means of payment, see IRM 5.16.1, Currently
Not Collectible (CNC) Handbook.
-
Offer-in-Compromise. For detailed Offer in Compromise
information see IRM 5.8, Offer
in Compromise.
-
The following issues should be considered when deciding the
best case resolution:
-
Past compliance history — How long has the taxpayer
been in business? Is there a history of non-compliance?
-
Reason for non-compliance — Was the current tax
problem related to a specific, identifiable event, e.g.
loss of a key supplier, failure of a primary customer,
impact from a natural disaster, etc.? Is there reason to
believe the taxpayer is recovering from this event?
-
Current compliance — Is the taxpayer current and
has the cause of past non-compliance been corrected?
-
Current financial condition — Can the taxpayer meet
current obligations, including FTDs?
-
Future financial condition — Can financial
adjustments help the taxpayer experience future profits?
-
Collection statute — Does the case resolution being
considered provide for payment within the collection
statute?
-
Interest in assets— Is the government's interest in
assets protected, will the value of assets increase or
decrease, and will the taxpayer's interest in assets
change?
-
Impact — What impact will the case resolution being
considered have on third parties?
-
Collection Potential— Will potential for collection
increase or decrease for the case resolution being
considered?
-
Federal Payment Levy Program (FPLP) versus Form
668-A, Notice of Levy - Should federal contractor and
vendor payments be systemically levied through the FPLP
or by using Form 668-A? See IRM 5.11.6.5, Federal
Contractors, for additional information.
-
Address full compliance and ensure taxpayer is current with
all filing and paying requirements, including federal tax
deposits and estimated tax payments.
-
When analyzing and verifying the financial data, be alert
to any indications of fraud. If indications of fraud are
identified, refer to IRM 25.1, Fraud
Handbook or contact the Fraud Referral Specialist
(FRS) before further contact with the taxpayer or
representative.
-
Trust Fund Recovery Penalty (TFRP). If the delinquency
includes trust fund employment taxes, a TFRP investigation
must be completed. The finances of any responsible person
would be considered in analyzing the potential payment of the
account. See IRM 5.7, Trust Fund
Compliance.
5.15.1.17
(10-02-2012)
Business Expenses
-
The IRC permits a taxpayer entity to reduce its income by
deducting expenses paid to earn that income. Often these
expenses help to identify assets to pay the tax liability.
-
Deductions may not necessarily be allowed as an expense in
determining the ability to pay -- only actual cash expenses
are used. If the taxpayer submits their own income and expense
statement, the non-cash expenses should be removed from the
analysis.
Example:
The taxpayer takes a 10K
deduction for depreciation - this amount would not be
allowed as an expense when determining ability to pay
because depreciation is a non-cash expense.
-
Substantiation and verification is required for cash
expenses.
-
In analyzing and verifying the business income and expenses
or deductions, real or potential assets may be identified. The
following charts provide an explanation of the income or
expense item and other considerations for identifying assets.
-
Compensation of Officers -
This amount represents compensation paid to corporate officers
during the taxable year.
-
Bad Debt - Bad debts are
amounts owed to the corporation but uncollectible.
-
Taxes and Licenses - This
represents deductible taxes and license fees paid on assets by
the corporation.
-
Interest - Interest
deduction represents any interest paid or payable on corporate
debt.
-
Depreciation -
Depreciation is a method to deduct the purchase price or basis
of an asset over its useful life.
-
Depletion - Depletion is
similar to depreciation, but applies to assets such as oil,
gas, coal or gemstones. Since the asset is removed from the
ground, the depletion allowance is computed to account for
this removal from the source.
-
Pension Plans, Profit Sharing Plans
and Employee Benefit Programs - Generally, pension
plans, profit-sharing plans and employee benefit programs
indicate a retirement account for the employees and corporate
officers.
-
Other deductions - Other
deductions represent the cumulative total of all deductions
that do not have a line entry on the return.
-
Net Operating Loss (NOL) Deduction
- The net operating loss is not an "out-of-pocket"
expense but an artificial amount based upon tax law.
5.15.1.18
(10-02-2012)
Determining Business Income
-
Income represents the return in money from a business,
labor or capital investment.
-
Gross Receipts or Sales
-
Dividends
-
Interest
-
Gross Rents
-
Gross Royalties
-
Capital Gain Net Income
-
Net Gain (or Loss)
-
Other Income
5.15.1.19
(11-17-2014)
Assets
-
As described in the previous sections, analysis of the
income and expenses identifies many of the assets the taxpayer
may have. Additionally, each section of the Collection
Information Statement (CIS) should be reviewed to ensure that
all sections are completed and all assets have been
identified.
-
Secure the location (foreign or domestic) for each asset,
any debts owed on the assets, the date the debt was acquired
and the date the debt will be satisfied.
-
Proper valuation of the assets is necessary to determine
the total collection potential of the taxpayer.
-
A field call should be made to locate and personally
observe the condition of assets based on the merits and
circumstances of the investigation.
Note:
An exception can be made to this requirement when the
expense to the government for the revenue officer to
personally observe the assets is cost prohibitive. Group
Manager concurrence is needed. Tax examiners in Field
Collection are exempt from the requirement to make field
calls.
5.15.1.20
(10-02-2012)
Determining Equity in Assets
-
To determine equity of an asset, revenue officers must
determine the value of the asset, encumbrances against the
asset and priority of the Notice of Federal Tax Lien.
-
Businesses and individuals have similar types of assets.
For example, cash is the same for a corporation or an
individual. However, some assets that are unique to businesses
can be more complex or difficult to value.
-
The Fair Market Value (FMV) of an asset is the price set
between a willing and able buyer and the seller in an arms
length transaction with full knowledge of the relevant facts.
The FMV can be influenced by market conditions, age of the
asset, condition of the asset, zoning requirements,
technology, demand, fitness for use, and other factors.
-
The Quick Sale Value (QSV) of an asset is an estimate of
the price a seller could get for the asset in a situation
where financial pressures motivate the seller to sell in a
short period of time, usually 90 days or less. Generally, the
QSV is calculated at 80% of the fair market value. A higher or
lower percentage may be appropriate depending on the type of
asset and current market conditions.
-
Encumbrances can be verified using internal sources, online
research and external sources. See IRM
5.15.1.5, Internal
Resources and Online Research, and IRM
5.15.1.6, External Sources.
Refer to the Legal Reference Guide for Revenue Officers (IRM
5.17.2,Federal Tax Liens),
to determine priority of the Notice of Federal Tax Lien.
5.15.1.21
(10-02-2012)
Jointly Held Assets
-
When taxpayers own assets jointly with others, allocate
equity in the assets equally between the owners, unless the
joint owners demonstrate their interest in the property is not
equally divided. In this case, allocate the equity based on
each owner's contribution to the value of the asset.
-
Although the IRS may determine not to execute the lien on
jointly held assets, that would not prohibit the IRS from
requesting the taxpayer attempt to secure a loan against the
asset, at least to the equity that is allocated to the
taxpayer.
5.15.1.22
(10-02-2012)
Income-Producing Assets
-
When determining the reasonable collection potential, an
analysis is necessary to determine if certain assets are
essential for the production of income. When it is determined
that an asset or a portion of an asset is necessary for the
production of income, it may be appropriate to adjust the
income or expense calculation for that taxpayer to account for
the loss of income stream if the asset were either liquidated
or used as collateral to secure a loan.
-
When valuing income-producing assets:
-
These considerations should be fully documented in the case
history. For example:
5.15.1.23
(10-02-2012)
Assets Held By Others as Transferees, Nominees or Alter Egos
-
A critical part of the financial analysis is to determine
what degree of control the taxpayer has over assets and income
in the possession of others.
-
When these issues arise, apply the principles in the Legal
Reference Guide for Revenue Officers (IRM 5.17.14,
Fraudulent Transfers and Transferee and Other Third Party
Liability) or request an opinion from counsel.
5.15.1.24
(10-02-2012)
Cash
-
Cash assets include currency on hand and bank account
balances, including checking, savings, online, mobile and any
other accounts. Determine the location (foreign or domestic)
of the bank accounts.
-
Determine the taxpayer's interest in bank accounts by
ascertaining the manner in which they are held. Apply the
principles described in the Legal Reference Guide for Revenue
Officers (IRM 5.17.3, Levy and Sale).
-
Verify whether deposits in escrow or trust accounts are
actually held for the benefit of others.
5.15.1.25
(10-02-2012)
Securities
-
Financial securities are considered an asset and their
value should be determined.
-
To determine the value of publicly traded stock, research a
daily paper, the internet, or inquire with a broker for the
current market price.
5.15.1.26
(10-02-2012)
Life Insurance
-
Life insurance as an investment is not considered a
necessary expense. However, reasonable premiums for term life
policies may be allowed when the policy is for the life of the
taxpayer.
-
Whole life policies should be reviewed as an asset for
borrowing against or liquidating. Taxpayer's can also own
whole life insurance policies, with cash value, on the lives
of other people.
-
When determining the value in a taxpayer's insurance policy
consider:
5.15.1.27
(11-17-2014)
Retirement or Profit Sharing Plans
-
Funds held in a retirement or profit sharing plan are
considered an asset and may be reachable by levy. See IRM
5.11.6.2, Funds in Pension or
Retirement Plans. Consider consulting TE/GE for any
questions concerning the validity or qualifications of a plan
and to determine if the assets are available for collection.
See the Legal Reference Guide for Revenue Officers, IRM
5.17.3.9.19, Pension and Retirement
Benefits.
-
Contributions to voluntary retirement plans are not a
necessary expense. Review of the retirement plan document is
generally necessary to determine the taxpayer's benefits and
options under the plan.
-
When determining the value of a taxpayer's pension and
profit sharing plans consider:
-
When the taxpayer will liquidate the retirement plan, allow
any penalty for early withdrawal and the current year tax
consequence. Consider requiring the taxpayer to submit an
estimated tax payment as applicable.
5.15.1.28
(10-02-2012)
Furniture, Fixtures, and Personal Effects
-
The taxpayer's declared value of household goods is usually
acceptable unless there are articles of extraordinary value,
such as: antiques, artwork, jewelry, or collector's items.
Exercise discretion in determining whether the assets warrant
personal inspection.
-
There is a statutory exemption from levy that applies to
the taxpayer's furniture and personal effects and an exemption
that applies to the value of tools used in a trade or
business. These separate exemption amounts are updated on an
annual basis. The levy exemption for tools of the trade does
not apply to corporate entities, but only to individual
business taxpayers.
-
When determining the value consider the following:
5.15.1.29
(10-02-2012)
Motor Vehicles, Aircraft and Vessels
-
Motor vehicles, aircraft and vessels (boats) are considered
assets. Equity in these types of vehicles must be determined
and should be considered as possible collateral for loans.
-
Generally, it is not necessary to personally inspect
automobiles used for personal transportation since their value
is easily determined by consulting trade association guides.
If the values are in dispute, the taxpayer should be
instructed to secure an appraisal from a knowledgeable and
impartial dealer or the revenue officer may adjust the value
based on the condition of the vehicle. Adjustments to value
based on condition should be documented in the case file.
-
Assets such as airplanes and boats may require an appraisal
to determine FMV unless the items can be located in a trade
association guide. An explanation of how these values were
determined should be documented in the case file.
-
When these assets are used for business purposes they may
be considered income producing assets. See IRM
5.15.1.22, Income
Producing Assets, for a full discussion of the
treatment of income producing assets.
5.15.1.30
(11-17-2014)
Real Estate
-
When determining equity in real estate, FMV of the property
must be established. FMV is defined as the price a willing
buyer will pay for the property in an arm’s length
transaction with full knowledge of the relevant facts based on
the property's current condition and use. The following
methods may be used to establish FMV:
-
Recent purchase price or an existing contract to sell
-
Recent appraisals
-
Real estate tax assessment
-
Market comparables
-
Homeowners insurance replacement cost
-
Observation
-
In determining the interest of the liable party, and the
value of the interest, refer to the Legal Reference Guide for
Revenue Officers (IRM 5.17.1.2, Local
Law Section) and state law for additional guidance.
The basis for the valuation should be documented in the case
history.
-
In certain situations, the equity in real estate should be
pursued as a means to full pay or reduce the tax liability. In
these situations, the taxpayer should be asked to secure a
loan, or sell the real estate. If enforcement actions are
being considered, refer to IRM 5.10., Seizure
and Sale.
Exception:
Taxpayers will not be required to pursue equity in real
property if borrowing on the equity in the property or
selling the property will impose an economic hardship.
-
In certain cases, a reverse mortgage may enable a taxpayer
to pay the tax liability. A reverse mortgage is a loan where
the lender pays the homeowner (in a lump sum, a monthly
advance, a line of credit, or a combination of all three)
while the homeowner continues to live in his/her home. With a
reverse mortgage, the homeowner retains title to the home.
Depending on the plan, the reverse mortgage becomes due with
interest when the homeowner moves, sells the home, reaches the
end of a pre-selected loan period, or dies. Because reverse
mortgages are considered loan advances and not income, the
amount the homeowner receives is not taxable. See IRM
5.12.10.6.2.2, Subordination to
Reverse Mortgages, if a NFTL has been filed.
5.15.1.31
(10-02-2012)
Mortgage and Real Estate Loans
-
Mortgage and real estate loans represent money loaned to
pay for real property. This may disclose real property or real
estate notes previously unreported.
-
Determine the status of the loan and who holds the note or
mortgage. Determine if the real estate note can be used as
collateral for a loan to satisfy the tax liability or be
factored or sold to the debtor.
5.15.1.32
(11-17-2014)
Accounts and Notes Receivable
-
Trade notes and receivables are income or "account
receivable" amounts owed to the taxpayer by others.
Consider the value of accounts for purposes of potential
enforcement.
-
To determine the value of accounts receivable:
-
When the receivables have been sold at a discount
(factored) or pledged as collateral on a loan, apply the
provisions of IRC 6323(c) to determine the lien priority
of commercial transactions financing agreements. See
Legal Reference Guide, IRM 5.17.2.6.6.1,
Commercial Transaction Financing Agreements.
-
Determine if the receivable has previously been
secured by a lender. Refer to IRC 6323(d), 45-day
Period for Making Disbursements.
-
Examine the age of the receivable. While businesses
generally intend to receive payment on these accounts
within 30 days, the longer it takes for payment the less
likely the business will receive full payment.
-
Examine accounts of significant value from which the
taxpayer is not pursuing collection.
-
Examine accounts that are receivables from officers,
stockholders or relatives.
-
Careful consideration should be given prior to serving a
Notice of Levy on an account receivable when it is determined
that liquidation of the receivable would be detrimental to the
continued operation of an otherwise profitable business.
-
Secure a complete listing of accounts receivable:
-
Name, address and telephone number
-
Amount due
-
Age and date due
-
Consider federal contracts for potential enforcement.
Identify the federal payment source and determine if there is
a specific payment schedule. Secure a copy of the
contract/agreement if needed.
5.15.1.33
(10-02-2012)
Inventory
-
Inventory is property held for sale by the business entity.
-
The most common inventories are:
-
Determine the value of the inventory. This may be used as
collateral for a loan or may be seized and sold in the event
enforcement action becomes necessary.
5.15.1.34
(10-02-2012)
Machinery and Equipment
-
To determine the value of business assets:
-
For automobiles and trucks, consult trade association
guides, such as Blue Books, Automobile Dealers,
newspapers, etc.
-
For specialized machinery and equipment, consult a
trade association guide, secure an appraisal from a
knowledgeable and impartial dealer, or contact the
manufacturer.
-
Contact the Property Appraisal and Liquidation
Specialist (PALS) to assist with the valuation of
property.
-
For especially difficult valuation problems where no
other resource will meet the need, follow local
procedure to request the services of an IRS valuation
engineer.
5.15.1.35
(10-02-2012)
Tax-Exempt Securities
-
Tax-exempt securities are investments which pay interest
which is not taxable.
-
However, these securities are assets. Since they are not
taxable, they are not always listed on the return. The
earnings from these securities should be listed on line 8b of
the Form 1040.
-
These securities can include:
5.15.1.36
(10-02-2012)
Loans to Shareholders
-
These assets represent an account receivable due to the
corporation by its shareholders. Sometimes the corporation
grants a loan to a shareholder or relative of the shareholder
with no intention of repayment.
-
Determine the following to verify the existence of the
loan:
-
Is there a written note?
-
Are there periodic payments made to the corporation
by the shareholder?
-
Is a reasonable rate of interest received or paid?
-
Does the loan represent funds or assets?
-
Has the loan been forgiven subsequent to this return?
-
Make sure no corporate money is used for the personal
gain of corporate officers or shareholders. Think about
the factors that would indicate the commingling of
assets.
5.15.1.37
(10-02-2012)
Intangible Assets
-
Intangible assets are those without physical form or
substance. The most common are:
-
The existence of an intangible asset can indicate a
potential future benefit. While not "physical" ,
these are valuable assets and thus subject to amortization.
-
Amortization, like depreciation, is the write-off of an
investment expense over a specified period or the economic
useful life of the intangible asset. The amount on the return
is the unamortized residual balance of the intangible. In
other words, it is the amount that has not been written off.
-
The value of the intangibles can be obtained through the
sale of the asset. Examples include:
-
Restaurants and bars that may have a liquor license
-
TV or radio stations that have an FCC license
-
Athletic teams that may possess a league franchise
-
A manufacturer that may have a trademark or patent
-
A long time and well established operation may have
"goodwill " , that is a favorable
consideration shown by its customers. In other words, a
good reputation that is valuable for business income.
5.15.1.38
(11-17-2014)
Medicare/Medicaid Providers
-
Consider Medicaid/Medicare payments paid to providers for
potential enforcement.
-
Information regarding Medicaid payments:
-
States have traditionally provided Medicaid benefits
using a fee-for-service system. The providers submit
their claims to the state for payment and the state is
responsible for claim processing and payment. Under
fee-for-service arrangements, states pay providers
directly for services.
-
Recently, many states have implemented a managed care
delivery system for Medicaid benefits. In a managed care
delivery system, beneficiaries get most or all of their
Medicaid services from an organization under contract
with the state.
-
When considering a Medicaid provider levy, determine
if the provider is paid directly by the state
(fee-for-service) or through a managed care program. The
levy should be served on either the state or the
appropriate managed care program, not both.
-
For information regarding Medicare payments, see IRM
5.11.6.6.2, Medicare Payments Paid to
Providers
Exhibit 5.15.1-1
Questions and Answers to Assist in Financial Analysis
Exhibit 5.15.1-2
Financial Analysis: Online Access to the Allowable Expense
Tables (Reference 5.15.1)
The Allowable Living Expense Tables (Collection Financial
Standards) are web-based and are located on the following URLs:
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