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Telemedicine from Hawaii and General Excise Tax

I am a doctor and provide telemedicine services to patients in other states from Hawaii as a 1099 independent contractor. Do I need to pay the 4% GET (General Excise Tax) in addition to income tax or is medical services provided to patients out of state exempt?

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3 Replies
Carl
Level 15

Telemedicine from Hawaii and General Excise Tax

From what I see reading the HITAX pubs, they all lack clarity on this front. I would highly suggest you contact your local HI Taxation Dept. Office. There's four of them, one on each of the main Islands. E-mail would probably be the better way to go, so that any response you get you have it "in writing" to print and file with your business records, just in case.  While you're at it, you may want them to cite the specific publication that backs up whatever their response may be.

OAHU DISTRICT OFFICE
Princess Ruth Keelikolani Building P.O. Box 259

830 Punchbowl Street Honolulu, HI 96809-0259

Honolulu, HI 96813-5094
Compliance Division
Taxpayer Services Branch
Telephone: 808-587-1611
Telephone: 808-587-4242

Toll-Free: 1-800-222-3229 Office Audit Branch

Telephone: 808-587-1644

Telephone for the hearing impaired Fax: 808-587-1633

Telephone: 808-587-1418

Toll-Free: 1-800-887-8974 Collections Branch

Telephone: 808-587-1600

Fax: 808-587-1488 Fax: 808-587-1720

MAUI DISTRICT OFFICE

State Office Building Molokai

54 S. High Street, #208 35 Ala Malama Street, Room 101

Wailuku, HI 96793-2198 Kaunakakai, Hl 96748

Telephone: 808-984-8500 Telephone: 808-553-5541

Fax: 808-984-8522 Fax: 808-553-9878

HAWAII DISTRICT OFFICE

State Office Building State Office Building

75 Aupuni Street, #101 82-6130 Mamalahoa Hwy., #8

Hilo, HI 96720-4245 Captain Cook, HI 96704

Telephone: 808-974-6321 Telephone: 808-323-4597

Fax: 808-974-6300 Fax: 808-323-4599

Email: Tax.Hilo.Office@hawaii.gov

KAUAI DISTRICT OFFICE

State Office Building Telephone: 808-274-3456

3060 Eiwa Street, #105 Fax: 808-274-3461

Lihue, HI 96766-1889

Email: Tax.Kauai.Office@hawaii.gov

OahuRN
New Member

Telemedicine from Hawaii and General Excise Tax

Aloha! I wonder if you found your answer. I just got my 1099 and I did telehealth during COVID early last year. How did you file for GET or is it exempt? Mahalo

RobertB4444
Employee Tax Expert

Telemedicine from Hawaii and General Excise Tax

I am afraid that the Hawaiian taxing authorities covered their bases on this pretty early.  

 

Hawaii is still the only state that taxes medical services with some very narrow exceptions.  Since telehealth was not exempted from the GET by Hawaiian law it is subject to it.  Remote workers physically present in Hawaii and all residents of Hawaii are subject to the GET on services provided from Hawaii until specifically exempted.  

 

So go ahead and send in the 4%.  

 

Sorry, @OahuRN 

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