(2012) 271 KLR 041 IN THE HIGH COURT OF KERALA AT ERNAKULAM PRESENT: THE HONOURABLE MR.JUSTICE ANTONY DOMINIC FRIDAY, THE 14TH DAY OF SEPTEMBER 2012/23RD BHADRA 1934 WP(C).No. 7129 of 2008 (W) -------------------------- PETITIONER(S): ------------------------------
RESPONDENT(S): -----------------------------
THIS WRIT PETITION (CIVIL) HAVING BEEN FINALLY HEARD ON 4-09-2012, ALONG WITH WP(C)NO.4442 OF 2011 AND CONNECTED CASES, THE COURT ON 14-09-2012 DELIVERED THE FOLLOWING: sts WP(C)NO.7129/2008 APPENDIX PETITIONER'S EXHIBITS:
RESPONDENT'S EXHIBITS:
/TRUE COPY/ P.A.TO.JUDGE sts ANTONY DOMINIC, J. ================== W.P.(C) Nos. 7129/08, 32637/10, 1458, 3169,3682, 4018, 4442, 9809, 14218, 15228/11, 4303 & 6343 OF 2012 ========================== Dated this the 14th day of September, 2012 Head Note:-
J U D G M E N T This batch of writ petitions are filed by the private hospitals in the State and the Kerala Private Hospitals' Association (Modern Medicine) State Committee. They have approached this Court disputing their liability to get themselves registered as dealers under the Kerala Value Added Tax Act (hereinafter referred to as the Act for short) and to pay tax under the said Act for the medicines and consumables sold to their patients. 2. The issue being common, the cases were heard together treating WP(C) No. 7129/08 as the leading case. 3. In these writ petitions, there are two main prayers. The first prayer is to declare that hospitals are not liable to take registration and pay tax under the Act for the supply of medicines and other items meant for treatment. The second prayer, which was urged as an alternative one, is to declare that Section 6 of the Act and the corresponding rules are ultra vires and unconstitutional to the extent it seek to impose tax on hospitals and compel them to take registration under the Act. As a consequence, petitioners are also seeking to quash the notices, and other proceedings issued by the officers of the Commercial Taxes Department. 4. In so far as the liability to take registration under the Act and to pay tax thereunder is concerned, the contention of the counsel for the petitioners was that hospitals are rendering what is called "hospital service" and that supply of medicines and other items is incidental to the service rendered to the patients treated. According to them, the Act does not contemplate levy of tax on such supply of medicines and other items and hence the hospitals have no obligation to get themselves registered under the Act or to pay tax thereunder. 5. In my view, this question does not need much deliberation for the reason that this very issue has already been considered by this Court and has been decided against the petitioners. In the context of the provisions contained in the Kerala General Sales tax Act, in P.R.S. Hospital v. State of Kerala (2003(1) KLT 633), this Court considered the question whether hospital is a dealer within the definition of the term as contained in the KGST Act. In that context, the question regarding the liability of the hospitals to take registration and to pay tax on the turn over of sale and supply of other items in the hospitals was considered. Thereafter, referring to the definition of the expressions business, dealer, goods, sale and turn over in the KGST Act, this Court answered the question thus:- The main contention of the petitioners as stated above is that supply of medicine though conceded, is only incidental and essentially the hospital is rendering medical services with professionals namely doctors and nurses who are experienced in the medical field. The petitioners have relied on the decisions of the Supreme Court in State of Tamil Nadu v. Board of Trustees of the Port of Madras ((1999) 114 STC 520) and in Northern India Caterers (India) Ltd. LT. Governor of Delhi ((1978) 42 STC 386). Relying on the above two decisions the petitioners contended that the main activity being rendering of medical services, the supply of medicine is only incidental and it does not constitute "sale" to make the petitioners liable as a "dealer" under the Act. In this regard the petitioners have pointed out that the pattern of billing in the hospitals may vary from hospital to hospital. In some hospitals consolidated bills are raised including service charges, accommodation charges, charges for supply of medicine, good etc., whereas in some other hospitals separate bills are raised for medical services, supply of medicine, food, rent and other allied services like X-ray ECG etc. It may not be possible to bifurcate the amount charged to a patient for the various services rendered in hospital. However, there is no dispute that supply of medicine is an integral part of the services rendered and it is significant in terms of cost to the patient and charged separately. Therefore, the first question to be answered , is whether the supply of medicine is only an incidental transaction or otherwise it is as important as any other service such as rendering medical service or other services. In the course of treatment except probably in surgical treatment, nobody can have a doubt that medicines account for the main cost along with consultancy charges for the doctor, expenditure in diagnosis etc. Therefore, from common knowledge it is clear that medicine is as important, if not more in terms of value and purpose as anything else in the medical treatment. Therefore, in the first place, the petitioners contention that supply of medicine is only incidental cannot be accepted at all. It is as important as medical consultation or other services in the hospital. Therefore, supply of medicine in the course of medical treatment either to inpatients or to outpatients has to be taken as one of the main activities in a hospital or in a clinic. The Supreme Court had occasion to consider as to when a person becomes a "dealer" in the decision in The State of Gujarat v. Raipur Manufacturing Co. Ltd. ((1967) 19 STC 1) wherein it was held as follows: "Whether a person carries on business in a particular commodity must depend upon the volume, frequency, continuity and regularity of transactions of purchase and sale in a class of goods and the transactions must ordinarily be entered into with a profit-motive. By the use of the expression "profit-motive" it is not intended that profit must in fact be earned. Nor does the expression cover a mere desire to make some monetary gain out of a transaction or even a series of transactions. It predicates a motive which pervades the whole series of transactions effected by the person in the course of his activity. In actual practice, the profit-motive may be easily discernible in some transactions; in others it would have to be inferred from a review of the circumstances attendant upon the transaction. For instance, where a person purchases a commodity in bulk and sells it in retail, it may readily be inferred that he has a profit- motive in entering into the series of transactions of purchase and sale. A similar inference may be raised where a person manufactures finished goods from raw materials belonging to him or purchased by him and sells them. But where a person comes to own in the course of his business of manufacturing or selling a commodity, some other commodity which is not a by-product or a subsidiary product of that business and he sells that commodity, cogent evidence that he has intention to carry on business of selling that commodity would be required. Where a person in the course of carrying on a business is required to dispose of what may be called his fixed assets or his discarded goods acquired in the course of the business, an inference that he desired to carry on the business of selling his fixed assets or discarded goods would not ordinarily arise. To infer from a course of transactions that it is intended thereby to carry on the business ordinarily the characteristics of volume, frequency, continuity and regularity indicating an intention to continue the activity of carrying on the transactions must exist. But no test is decisive of the intention to carry on the business in the light of all the circumstances an inference that a person desires to carry on the business of selling goods may be raised." Going by the above test, no one can have a doubt that the volume, frequency and continuity or regularity of transaction in regard to purchase and sale of medicine by a hospital will be such that it will answer the definition of "dealer" under the Act beyond any doubt. In this context it is worthwhile to take note of the amendment to the term "dealer" contained in S. 2(viii) of the Act above stated wherein supplying goods by way of or as part of any service is also treated as business to make a person involved in it a "dealer" under the Act. Of course the definition of "supply of goods as part of service" introduced in the Act is in the context of Art.366, 29A(f) of the Constitution of India which was introduced to get over the decision of the Supreme Court in the context of various decisions, particularly, in Northern India Caterers' case (42 STC 386) referred to above. The Constitution only provides for supply of food or any other article for human consumption to bring it within the extended definition of "sale". The petitioners contended that the definition introduced under the explanation (3C) to the term "sale" contained in S. 2(xxi) of the Act contemplates only food and articles of human consumption and the same does not take in "medicine". Even though the amendment was brought to cover hotels, the legislative intent is to enlarge the scope of the operation of the Act to cover sales effected in the course of rendering services also. Moreover, in the definition clause of "dealer" the supply of goods in the course of rendering service is not limited to food and articles of human consumption alone. Further, it is also not possible to compare the case of supply of food as part of service in a hotel and supply of medicine in the course of medical treatment. There is substantial difference between these two transactions. While food served to a guest in a hotel is only incidental and part of service, the supply of medicine in the course of treatment is not just incidental, but it is the main and integral part of treatment and supply by itself or sale of medicine as such is part of business in the hospital. It is not disputed that the hospitals are independently billing and charging for the medicines supplied and as already stated, going by the value of medicines involved in treatment, it is the main component of the cost to the patient and it is not an incidental transaction at all. In other words, sale of medicine is in terms of volume, frequency, continuity, regularity and in all other aspects it is one of the main activities in the hospital. Therefore, such of the hospitals which are supplying medicines of the value in excess of the turnover for which registration is required i.e. Rs. 2 lakhs in an year are liable to be registered under the K.G.S.T. Act. The decisions referred to by the petitioners do not apply or are at least not relevant here. The decision in State of Tamil Nadu v. Board of Trustees of the Port of Madras (114 STC 520) was rendered by the Supreme Court in the context of statutory service rendered by the Port Trust and other services and the transaction involved there was only sale of scrap materials which is occasional and incidental. Whereas in the case of hospitals, as found earlier the sale of medicine is one of the main activities and it satisfies the test laid down by the Supreme Court in The State of Gujarat v. Raipur Manufacturing Co. Ltd. (19 STC 1) referred to above. The activity answers all the test laid down by the Supreme Court to make the hospital a "dealer". The decision in Northern India Caterers" case referred to above is also not comparable and is no longer relevant after the 42nd amendment to the Constitution of India and the consequent amendment to the Sales Tax Act. 6. The petitioners are also liable to take drug licence under the Drugs Control Order for storing and selling drugs. Exemption is of course granted only to registered medical practitioners and Government hospitals and local bodies and hospitals and dispensaries run by Government or local bodies. Therefore, under the Drugs Control Order also hospitals and dispensaries are treated just like other dealers. 6. This judgment of the learned Single Judge was confirmed by the Division Bench of this Court in WA Nos.555/03 and 1487/03. 7. The judgment in WA No.1134/05 shows that the contention of the appellant was that while rendering the judgment in PRS Hospital's case and the Writ Appeals confirming the same, the Apex Court judgments in State of T.N and another v. Board of Trustees of the Port of Madras (1999 (4) SCC 630) and Commissioner of Sales Tax v. Sai Publication Fund (2002(4) SCC 57) were not correctly appreciated and applied. It was argued that the fact that medicines were sold through Pharmacy in a hospital though may involve buying and selling, is no reason to hold that the hospital is a dealer since the hospital is not engaged in any business within the meaning of Section 2(vi) of the KGST Act. It was argued that the predominant object of a hospital is not to do business and the various services rendered in the hospital are non business activities and that sale of medicine is an integral part of such an activity. 8. The Division Bench rejected these contentions and dismissed the writ appeal holding thus; 6. The Apex Court in the above decision was considering as to whether the Madras Port Trust is now a major port trust governed by the provisions of the Major port Trusts Act, 1963 providing services of landing, shipping or trans- shipping, receiving, shifting, transporting, storing or delivery of goods brought into the premises of the Port Trust and while in the course of such activities uncleared or abandoned goods which the Port Trust brings them for sale in public auction after the approval of the Customs Authorities are sales eligible to tax under the Madras Sales Tax Act and whether the Port Trust can be said to be a dealer within the meaning of section 2(b) of Madras General Sales Tax Act , 1939. After referring to the relevant provisions in the statute and also the definition of the term "business" under Section 2(d) and the definition of the term under Section 2(d) and on a consideration of various case laws on the subject. The Apex Court concluded by saying that in many of the cases the main activity of the person or body was undoubtedly "business" even though the motive of profit was excluded by statute and even though the connected. Incidental or ancillary sales were statutorily included in the definition of "business". Then the court proceeded to consider the question as to whether the Port Trust was established by the statute to carry on business and it was held that the main activity of the Port Trust was not "business", then the connected. Incidental or ancillary activities of sales would not normally amount to "business" unless an independent intention to conduct "business' . In these connected, incidental or ancillary activities is established by the Revenue. It was held that if the sales were connected or incidental or ancillary to the "nonbusiness" activity then as stated earlier, there would be a presumption that they were not intended to the "business". After referring to the decision reported in Trustees of the Port of Madras v. Aminchand Pyarelal (1976) 3 SCC 167) and the observation of His Lordship Justice Chandrachud, J. as extracted in paragraph 39 of the said judgment. It was held that the said observations clearly show that Port Trusts are not established for carrying on business. The Apex Court referred to the following observations made in Base Repair Corporation v. State of A.P. (1988) 53 STC): "According to the definition, if the main activity is in the nature of trade, commerce or manufacture any ancillary or incidental transaction be it per se in the nature of trade, commerce or manufacture or not, is also treated as "business". But the converse is not true. In other words, if the main activity is not business, but if an ancillary or incidental activity is per se business, the incidental or ancillary activity does not cease to be business, merely because it is ancillary or incidental to the main activity, which itself is not business. The definition is not capable of being read in such a manner". The Apex Court agreed with the above observations subject to the following clarification or modification in paragraph 36 of the judgment as follows: "If the main activities are "business" then the sales in connection with incidental or ancillary thereto need not have been intended as a business or commercial activity. Their mere connection with or being incidental or ancillary to something else which was "business" was sufficient to include such sales in the main business. The second part of the last extract starting with the words "But the converse is not true" is to be modified to mean that if the main activity falling under sub-clause (1) did not amount to business, normally these sales made in connection with or incidental or ancillary to the main activity would not be "business" but there could still be an exception where the sales so connected or incidental or ancillary to the main "non-business" activity were proved to have been made with an independent intention to do business and the burden of proof to prove the exception would fall on the Revenue. In our view, the Andhra Pradesh High Court did not, in the above passage, imply that even where the main activities were not business, the assessee must prove want of an intention to carry on business in the connected, incidental or ancillary activity which involved sales. It is possible in exceptional cases that such latter sales could per se be business having been proved by the Revenue to have been carried on with such an explicit intention. The burden, as already stated, would here lie on the Revenue". In (2002) 4 SCC 57 the question that arises for consideration before the Apex Court was as to whether the trust of Sai Publication Fund which was set up by some devotees of Saibaba can be held to the a "dealer". In respect of sale of books, booklets, pamphlets and other literature containing the message of Saibaba and the turnover can be assessed to tax under the Bombay Sales Tax Act, 1959. 7. From the above decisions it is clear that if the main activities of the assessee concerned were not business. In which case any business activity incidental or ancillary thereto which is infinitesimal or small part of the main activities cannot bring it within the scope of the term 'dealer'. In other words, the presumption will be that these connected incidental or ancillary activities of sales are not business and the onus of proof of an independent intention to do business in these connected incidental and ancillary sales will rest on the Department. It was also held that if the main activity is "non-business" and activity of buying and selling which forms part of an integral part of the non- business activity then also the party will not be a dealer. 8. According to the learned counsel for the petitioner hospital is not engaged in carrying on any business of buying and selling that there is no business activity and hence buying and selling of medicine through its pharmacy being an integral part of the non-business activity, hospital will not come within the meaning of the term 'dealer' under the KGST Act. We are unable to agree with this contention because business as defined under Section 2(vi) is imparimateria the same as is in the case of Tamil Nadu Sales Tax Act which was considered by the Apex Court in (1999) 4 SCC 57. It was held that to bring it within the expression "business" there need not be any motive to gain or profit. Though it is true that Doctors of various specialties doing service in hospital by their intellectual skill in the matter of treating the patients by itself may not be a business activity and that is only a profession but various other facilities provided in the hospital cannot said to be non-business activity. For example, a clinical laboratory can independently function outside a hospital and do business the fact that it is housed in a hospital will not make the service rendered a non-business activity. Further, as rightly observed in PRS Hospital's case, the hospital may be owned by a firm, limited company or may be proprietorship concern. Medical Practitioners of various specialties may visit the hospital only on call. Thus the activities in the hospital may involve business activities and non-business activities as well. 9. Subsequently in the judgment in WA No.2908/09 and WP(C) No. 6913/10 and in the Division Bench judgment in M/s. Comtrust Eye Hospital v. Addl. Sales Tax Officer and another (2008 16 KTR 128), the judgment in PRS hospital's case was followed. 10. The term business, dealer, goods, sale, turnover are defined in Section 2(ix), 2(xv), 2(xx), 2(xliii) and 2(lii) of the KVAT Act and these expressions read as under:
11. A comparative analysis of the provisions contained in the KGST Act which were considered by this Court in PRS Hospital's case and the aforesaid corresponding provisions of the KVAT Act show that the statutory provisions remain the same although the KGST Act has been replaced by the KVAT Act. Therefore, the principles laid down by this Court in the PRS Hospital's judgment fully answers the contentions raised by the petitioners in these cases regarding their liability to be registered under the Act and to pay tax thereunder. 12. The second contention raised by the petitioners is to declare Section 6 of the KVAT Act to be unconstitutional. Section 6 of the Act provides for levy of tax on sale or purchase of goods. Petitioners contend that if the Section authorises levy of tax on the sale of medicines and other consumables in the hospitals, this Section is unconstitutional. In support of this contention, they relied on Article 366 (29-A) of the Constitution of India and the Apex Court judgment in Bharat Sanchar Nigam Ltd. v. Union of India {(2006) 3 SCC 1}. In the BSNL case, the Apex Court considered the question whether the nature of transaction by which mobile phone connections are enjoyed is a sale or a service or whether it is both. The Apex Court finally held that the goods as defined in the Constitution do not include electro magnetic waves or radio frequencies for the purpose of Article 366 (29-A) (d), In that context, the Apex Court referred to Article 366 (29-A) and held thus:-
We will, for the want of a better phrase, call this the dominant nature test. 13. The petitioners mainly relied on para 44 of the judgment where the Apex Court held that hospital service is still outside Article 366 (29-A) and explained it with an example that if during the treatment of a patient in a hospital, he or she is given a pill, sales tax authorities cannot tax the same as a sale. According to the petitioners, what they render is hospital service and that therefore, the medicine or other consumable sold during treatment is not a sale under the Act to attract levy of tax. On this basis, they contended that since Section 6 of the Act authorises levy of tax on such medicines and other consumables, the section is unconstitutional. 14. First of all, BSNL judgment was not rendered in the context of the provisions of the KVAT Act and the issue raised and decided in that case is also not in the context of a comparable controversy. In so far as the finding regarding hospital services or example that is given by the Apex Court are concerned, the Court has only laid down a principle and said that if in the process of treatment a pill is given to a patient, such a transaction cannot be treated as a sale. That example given by the Apex Court cannot be taken to mean that it was laying down a principle that in all circumstances, every transaction that takes place in a hospital, is a service and is outside the taxation law. This is all the more so in today's context where hospitals are being established by public limited companies which are incorporated with profit motive. Therefore, if in a hospital, medicines and other consumables are sold to a patient and bills are raised, such transaction cannot be outside the KVAT Act and taking refuge under the example given by the Apex Court to explain the meaning and content of Article 366 (29-A) of the Constitution, such hospitals cannot avoid statutory liabilities. On the other hand, if in an individual case, a particular transaction is not a sale, it is for the concerned hospital to contest the matter in accordance with law and that does not mean that the whole hospital industry in the State can remain outside the discipline of the KVAT Act. 15. Thus, the principles laid down by the Apex Court in the judgment in the BSNL case do not in any manner render Section 6 of the KVAT Act unconstitutional for any reason. Therefore, the second prayer sought by the petitioners also cannot be granted and is rejected. Writ petitions therefore fail and are dismissed. ANTONY DOMINIC, JUDGE Rp |