Form 990 (Schedule H) Illinois 2024-2025

Form 990 (Schedule H) Illinois: What You Should Know

The goal of the Form 990 Schedule H is to reduce the community benefit tax burden on trustees by allowing the Board to determine if the organization should be exempt from the sales tax on prescription drugs. Since the deadline to opt out of this tax is December 31, 2015, the Board must make a decision by December 31, 2016. If the decision comes, the Board must consider the consequences in January 2017. The board's position will affect the Board's annual tax exemption determination and will allow the Board, for the most part, to take advantage of all forms of tax relief available to it. The Board must carefully consider whether the decision to opt-out is in the best interest of its members, both those affiliated with the organization and those that receive care from hospitals, clinics, and nursing homes that are covered by the sales tax. In the 2025 calendar year, all hospitals in Illinois are required to report to the Department of Revenue the amount and type of supplies, services, and equipment provided for free or discounted by them and the amounts paid to hospitals, clinics, and nursing homes that are not subject to sales tax. The amount of the sales tax paid by these hospitals will determine the exemption status of the organizations and whether such organizations are required to register for the Sales Tax Exemption Program. The Board is obligated and has an obligation to review any exemption application submitted and to recommend to the Secretary of State's Office which organizations should be exempt from registration. Board Member Position on the Sales Tax Exemption Program A Board member is prohibited from voting on any item except the exempt organizations' recommendation for approval or disapproval of the Board's position regarding the sales tax exemption. The vote must be taken only on items of Board-approved interest or concern. After receiving the recommendation from the executive committee, the Board shall prepare a position statement. The Board may make amendments to the statement if, upon written request from the Department of Revenue, the Department agrees to consider the proposed amendment.

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