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Quest Diagnostics, Inc. v. Director

August 2, 2006


On appeal from the Tax Court of New Jersey, 21 N.J. Tax 484 (Tax 2004).

The opinion of the court was delivered by: Wecker, J.A.D.



Submitted March 29, 2006

Before Judges Wecker, Fuentes and Graves.

Plaintiff, Quest Diagnostics, Inc., a medical testing laboratory, appeals from a final judgment of the Tax Court denying its claimed exemption from sales and use tax on vacutainers used in the collection of specimens. We now affirm.

These are the pertinent facts regarding Quest's use of the vacutainers, derived from the agreed or undisputed facts available to the Tax Court on the Division's motion for summary judgment. Quest, which describes itself as the largest diagnostic testing laboratory in the country, performs laboratory testing of human blood, urine, and other bodily specimens when prescribed by physicians. The majority of the collected specimens are blood, and the most common testing is for such information as glucose and cholesterol levels and blood counts. These are examples only, and not a complete description of the tests Quest performs.

The vacutainers are test tubes that are sealed by the manufacturer with a vacuum inside. In order to draw blood, a trained medical professional inserts a needle into a patient's vein and then punctures the top of the vacutainer's rubber top with the opposite end of the needle. The puncture breaks the vacuum seal, and the outside air pressure causes suction, which draws blood from the vein through the needle and into the vacutainer.

Each vacutainer contains a chemical essential to the preservation or preparation of the sample for testing. The vacutainers are of two varieties and are distinguished by different colored tops. The lavender-topped vacutainers contain EDTA, an anti-coagulant that preserves the blood specimen in its original, whole form until it can be transported to the laboratory and tested. The black-topped vacutainers contain a clot activator for the separation of blood elements for testing. The vacutainers are never reused; they are treated as bio-hazardous waste and destroyed after the specimens are tested.

As is common in the industry, Quest provides vacutainers without charge to physicians who collect the samples and prescribe such testing. Quest supplies a "courier" box from which it collects such samples as requested. Quest also maintains centers for those patients whose physicians do not collect the samples in their offices. In either case, the cost of the vacutainer is passed through to the patient or third-party insurance payor as part of the test fee. Quest also tests specimens that have been collected in vacutainers supplied to physicians by a competitor laboratory, and Quest's competitors also test specimens that have been collected in Quest's vacutainers.

In the matter before us, Quest paid sales tax on its purchase of vacutainers from Becton-Dickinson during the period from April 1, 1996 through December 31, 2000. In the course of an internal audit, Quest's auditor advised the company that certain of the supplies upon which it had paid sales tax, including the vacutainers, should have been exempt from taxation. As a result, Quest filed a request with the Division for refund of $2,107,197. When the Division undertook its own audit, it determined that Quest owed an additional $984,325.56 in sales and use tax due on other items for the same period. An agreement was reached to offset the additional tax due, against the claimed refund, leaving Quest's refund request to be addressed to the extent of the balance that arose out of tax paid on vacutainers. Thus the only issue before us is the taxability of Quest's purchase or use of vacutainers.

We are concerned with two sections of the Sales and Use Tax Act, specifically, N.J.S.A. 54:32B-3, which imposes the tax, and N.J.S.A. 54:32B-8.15, which provides the exemption claimed by Quest. Prior to its recent amendment increasing the tax to 7%,*fn1 N.J.S.A. 54:32B-3(a) provided, in relevant part, "There is imposed and there shall be paid a tax of 6% upon [t]he receipts from every retail sale of tangible personal property, except as otherwise provided in this act."*fn2 N.J.S.A. 54:32B-6 provides for a compensating "use tax" upon the purchase price of tangible personal property subject to the sales tax, when no such tax was collected by the seller.*fn3

The exemption which Quest invokes to qualify its purchase and use of vacutainers is defined by N.J.S.A. 54:32B-8.15, which provides, in pertinent part, "Sales or use of wrapping paper, wrapping twine, bags, cartons, tape, rope, labels, nonreturnable containers, reusable milk containers, and all other wrapping supplies when such use is incidental to the delivery of any personal property . . . are exempt from the tax imposed under the Sales and Use Tax Act." (Emphasis added). Quest maintains that the vacutainers qualify either as "nonreturnable containers," on the ground that they cannot be reused, or as "other wrapping supplies," on the ground that they envelope the blood and secure it for transport.

The Division relies upon Quest's distribution of vacutainers without charge to physicians, who "could return the vacutainers unused or could use them to transmit blood or other specimens to Quest for testing, but were not required to do so," and maintains that "Quest thus 'used' this tangible personal property as an inducement to employ its testing services, [rendering] the vacutainers . . . taxable . . . ." The Division cites the principle that "tax exemptions are narrowly construed, reflecting the legislative intent of the 'inclusive' taxability of the Act." The Division notes that "because Quest performed non-taxable services for its customers," an exemption would "result in an incorrect loss of tax revenue . . . ." In ...

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