Attachment 6 - Tax Exemption Letter.pdf

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Managed Teleradiology Services - Phoenix Area IHS - SDVOSB
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75H71226R00001
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This is an Arizona Department of Revenue Exemption Letter for a Qualifying Hospital issued to the Department of Health & Human Services, Phoenix Area Indian Health Service, effective January 1, 2025.

The letter grants tax exemption status from Arizona Transaction Privilege Tax and Use Tax for specified business classifications. Exempt classifications under state law include: Utilities (Code 4), Pipeline (Code 8), Publication (Code 9), Job Printing (Code 10), Restaurant (Code 11), Personal Property Rental (Code 14), Retail (Code 17), and Use Tax (Code 29). The organization also receives exemptions from Cities Privilege Tax and Use Tax for the same classifications plus additional local categories including Jet Fuel Tax (Code 49), Jet Fuel Use Tax (Code 51), Utilities Services (Code 104), Restaurants & Bars (Code 111), Short Term Motor Vehicle Rental (Code 114), Commercial Lease (Codes 213 and 313), Rental/Lease/License of Third-Party Property (Code 214), and Wastewater Utility Service (Code 485). All exempt locations are listed in Appendix A and include 14 facilities across Arizona and one in California operated by the Phoenix Area Indian Health Service, including the Phoenix Indian Medical Center, Desert Vision Youth Wellness Center, Hopi Health Care Center, Colorado River Service Unit, and various other service units and health stations. The exemption letter requires presentation to vendors along with Arizona Form 5000HC to substantiate exempt status. The Department may rescind the letter if information provided is inaccurate or if the organization ceases to qualify as an exempt entity.

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1600 West Monroe Street, Phoenix AZ 85007-2650 www.azdor.gov

December 30, 2024

Melissa Lujan Department of Health & Human Services Phoenix Area Indian Health Service

Email: Melissa.Lujan@ihs.gov

EXEMPTION LETTER FOR A QUALIFYING HOSPITAL

ORGANIZATION: DEPARTMENT OF HEALTH & HUMAN SERVICES

PHOENIX AREA INDIAN HEALTH SERVICE

EXEMPTION START DATE: JANUARY 1, 2025

Based on a review of the information you provided, the Arizona Department of Revenue grants this Exemption Letter to Department of Health & Human Services, Phoenix Area Indian Health Service. As a Qualifying Hospital, Department of Health & Human Services, Phoenix Area Indian Health Service is entitled to an exemption from the Arizona Transaction Privilege Tax and the Use Tax beginning on January 1, 2025 for only transactions occurring under the business classifications listed below. Please note that the transactions made in these business classifications are exempt to you as the customer. Also note that there are no deductions for transient lodging/hotel, and other exemptions are limited by statute. If you are conducting a taxable business activity, that activity remains taxable unless an applicable deduction or exclusion applies. Please review the Arizona Revised Statutes and/or the Model City Tax Code for more information.

Business Code Exempt Classification Statutory Reference 4 Utilities A.R.S. §42-5063(C)(3)(a) 8 Pipeline A.R.S. §42-5067(B)(1) 9 Publication A.R.S. §42-5065(B)(2)(a) 10 Job Printing A.R.S. §42-5066(B)(3)(a) 11 Restaurant A.R.S. §42-5074(B)(7) 14 Personal Property Rental A.R.S. §42-5071(B)(2)(a) 17 Retail A.R.S. §42-5061(A)(25)(a) 29 Use Tax A.R.S. 42-5159(A)(13)(a), (b), (c)

The organization is also entitled to an exemption from the Cities Privilege Tax and the Use Tax for the following business classifications only. Please note that the transactions made in these business classifications are exempt to you as the customer. Also note that there are no deductions for transient lodging/hotel, and other exemptions are limited by statute. If you are conducting a taxable business activity, that activity remains taxable unless an applicable deduction or exclusion applies.

Business Code Exempt Classification Statutory Reference 4 Utilities M.C.T.C.§ Sec. __-480(e) 9 Publication M.C.T.C.§ Sec. __-435(f) 10 Job Printing M.C.T.C.§ Sec. __-425(b)(5) 11 Restaurant M.C.T.C.§ Sec. __-455(c) 17 Retail M.C.T.C.§ Sec. __-465(p)

Use Tax Jet Fuel Tax Jet Fuel Use Tax (Local Option #LL) Utilities Services (add tax) Restaurants & Bars (add tax) Short Term Motor Vehicle Rental (PHX) Commercial Lease (Not Model Option #4 Cities) Rental/ Lease/ License of TPP Commercial Lease (add tax-see 213) Wastewater Utility Service

M.C.T.C.§ Sec. __-660(p) M.C.T.C.§ Sec. __-422(e) M.C.T.C.§ Sec. __-422(f) M.C.T.C.§ Sec. __-480(e) Local City Code M.C.T.C.§ Sec. 14-452 M.C.T.C § Sec. __-445(e) M.C.T.C.§ Sec. __-450(c)(5) M.C.T.C.§ Sec. __-446 M.C.T.C.§ Sec. __-485(b)

Melissa Lujan

Phoenix Area Indian Health Service 12/30/2024

All locations claimed to be exempt by this organization are listed in Appendix “A” to this Exemption Letter.

This Exemption Letter is valid for any period on or after the start date listed above. The Department may rescind this Exemption Letter if any of the information relied upon in granting this Letter is found to be inaccurate or if your organization ceases to qualify as an exempt entity under Arizona law. This letter may be disregarded if misused.

An Arizona Department of Revenue Transaction Privilege Tax Exemption Certificate (Arizona Form 5000HC) is required to document the applicability of exemptions from tax. Present a copy of this Exemption Letter to your vendors to substantiate your exempt status along with a properly completed Arizona Form 5000HC for the Appendix “A” location for which your organization is claiming an exemption.

Information about the procedure and required documentation for obtaining an Exemption Letter can be found in Arizona Transaction Privilege Tax Procedure (TPP) 15-1 on the Department’s website. If you have any further questions, contact the Department at (602) 716-6372 or e-mail us at TPTHealthcare@azdor.gov.

Sincerely, Asher Gulliford Arizona Department of Revenue Office of Economic Research & Analysis

Melissa Lujan

Phoenix Area Indian Health Service 12/30/2024

Appendix A

Phoenix Area Indian Health Service

Phoenix Indian Medical Center 4212 North 16th Street Phoenix, AZ 85016

Phoenix IHS Area Office Two Renaissance Square 40 North Central Avenue Phoenix, AZ 85004

Desert Vision Youth Wellness Center P.O. Box 458 Sacaton, AZ 85247

Desert Vision Youth Wellness Center 198 South Skill Center Sacaton, AZ 85147

Hopi Health Care Center P.O. Box 4000 Polacca, AZ 86042

Colorado River Service Unit 12033 Agency Road Parker, AZ 85344

Havasupai Indian Health Station P.O. Box 129 Supai, AZ 86435

Peach Springs Health Center P.O. Box 190 Peach Springs, AZ 86434

Western Arizona District Office, OEHE 1553 W. Todd Drive, Ste. 104 Tempe, AZ 85283

Eastern AZ District Office, OEHE 2450 E. Show Low Lake Road, Ste. 1 Show Low, AZ 85901

Fort Yuma Service Unit P.O. Box 1368 Yuma, AZ 85366

Fort Yuma Service Unit 401 E. Picacho Road Winterhaven, CA 92283

Whiteriver Service Unit P.O. Box 860 Whiteriver, AZ 85941

Cibecue Health Center P.O. Box 37 Cibecue, AZ 85941

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