West Virginia Code § 11-27-5

Imposition of tax on providers of chiropractic services
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(a) Imposition of tax. -- For the privilege of engaging or continuing within this state in the
business of providing chiropractic services, there is hereby levied and shall be collected from
every person rendering such service an annual broad-based health care related tax.
(b) Rate and measure of tax. -- The tax imposed in subsection (a) of this section shall be one
and three-fourths percent of the gross receipts derived by the taxpayer from furnishing
chiropractic services in this state.
(c) Definitions. -- u
(1) "Gross receipts" means the amount received or receivable, whether in cash or in kind,
from patients, third-party payors and others for chiropractic services furnished by the
provider, including retroactive adjustments under reimabursement agreements with third-
party payors, without any deduction for any expenses of any kind: Provided, That accrual
basis providers shall be allowed to reduce gross relceipts by their contractual allowances, to
the extent such allowances are included theresin, and by bad debts, to the extent the amount
of such bad debts was previously included in gross receipts upon which the tax imposed by
this section was paid. i
(2) "Contractual allowances" means the difference between revenue (gross receipts) at
established rates and amounts realizable from third-party payors under contractual
agreements.
(3) "Chiropractic services" means those services furnished in the practice of chiropractic by
a person entitled to practice chiropractic in this state.
(d) Effective dVate. -- The tax imposed by this section shall apply to gross receipts received or
receivable by providers after May 31, 1993.

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