VSEE HEALTH, INC. Income Taxes Disclosure
Note 11 Income Taxes
Income taxes are provided for the tax effects of transactions reported in the financial statements and consist of taxes currently due. Deferred taxes relate to differences between the basis of assets and liabilities for financial and income tax reporting which will be either taxable or deductible when the assets or liabilities are recovered or settled.
The provision for (benefit from) income taxes consisted of the following:
| For the year ended | ||||||||
| December 31, 2025, | December 31, 2024, | |||||||
| Current income tax provision/(benefit): | ||||||||
| Federal | $ | - | $ | - | ||||
| State | 16,612 | 36,504 | ||||||
| Total current income tax provision/(benefit) | 16,612 | 36,504 | ||||||
| Deferred income tax provision/(benefit): | ||||||||
| Federal | 8,515 | (1,475,347 | ) | |||||
| State | 43,299 | (204,058 | ) | |||||
| Total deferred income tax provision/(benefit) | 51,814 | (1,679,405 | ) | |||||
| Total income tax provision for (benefit from) continuing operations | $ | 68,426 | $ | (1,642,901 | ) | |||
Upon adoption of ASU 2023-09, Improvements to Income Tax Disclosures, the reconciliation of taxes at the federal statutory rate to our provision for (benefit from) income taxes for the year ended December 31, 2025, was as follows:
| For the year ended December 31, 2025, | ||||||||
| Amount | Percentage | |||||||
| U.S. federal statutory tax | $ | (3,075,328 | ) | 21.00 | % | |||
| Foreign tax effects | ||||||||
| Statutory tax rate difference between Foreign and United States | - | - | ||||||
| Other | - | - | ||||||
| State taxes, net of federal tax benefit | (440,377 | ) | 3.01 | |||||
| Return to income tax provision adjustments | (164,991 | ) | 1.13 | |||||
| Changes in valuation allowances | 3,170,633 | (21.65 | ) | |||||
| Nontaxable or nondeductible items | ||||||||
| Meals and entertainment | 1,401 | (0.01 | ) | |||||
| Extinguishment of debt | 37,550 | (0.26 | ) | |||||
| Gain/loss on change in fair value of financial instruments | 380,791 | (2.60 | ) | |||||
| Stock-based compensation | 148,559 | (1.02 | ) | |||||
| Penalties | 10,188 | (0.07 | ) | |||||
| Provision for income tax | $ | 68,426 | (0.47 | )% | ||||
The reconciliation of the statutory federal income tax rate to the Company’s effective tax rate for the year ended December 31, 2024, in accordance with the guidance prior to the adoption of ASU 2023-09 was as follows:
| December 31, 2024 | ||||
| Income tax benefit at federal statutory rate | 21.00 | % | ||
| State taxes, net of federal tax benefit | 3.35 | |||
| Change in valuation allowance | 2.10 | |||
| Return to income tax provision adjustments | (1.69 | ) | ||
| Goodwill impairment | (22.60 | ) | ||
| Permanent differences, net | 0.61 | |||
| Income tax benefit | 2.77 | % | ||
No cash payment was made for income taxes, net of refunds, during the year ended December 31, 2025.
Deferred income tax reflects the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The categories that give rise to significant components of the deferred tax assets and liabilities as of December 31, 2025, and 2024 are as follows:
| As of December 31, | ||||||||
| 2025 | 2024 | |||||||
| Deferred tax assets: | ||||||||
| Net operating loss carryforwards | $ | 6,982,167 | $ | 3,919,766 | ||||
| Bad debt expense | 189,503 | 566,346 | ||||||
| Accounts payable and accrued liabilities | - | 375,907 | ||||||
| Interest payable | - | 74,565 | ||||||
| Accrued payroll | - | 269,958 | ||||||
| Deferred revenue | 17,198 | 78,189 | ||||||
| Deferred compensation | 75,665 | 211,778 | ||||||
| Accrued interest, related party | 41,847 | 28,909 | ||||||
| Encompass Purchase Liability | 80,996 | - | ||||||
| Start-up costs | 736,710 | 738,876 | ||||||
| Operating and finance lease liabilities | - | 70,742 | ||||||
| Total deferred tax assets | 8,124,086 | 6,335,036 | ||||||
| (Less) valuation allowance | (6,257,237 | ) | (3,086,603 | ) | ||||
| Net deferred tax assets | 1,866,849 | 3,248,433 | ||||||
| Deferred tax liabilities: | ||||||||
| Depreciation | (8,893 | ) | (5,051 | ) | ||||
| Amortization | (1,977,148 | ) | (2,581,286 | ) | ||||
| Accounts receivable | - | (702,703 | ) | |||||
| Prepaids and other current assets | - | (26,771 | ) | |||||
| Total deferred tax liabilities | (1,986,041 | ) | (3,315,811 | ) | ||||
| Total deferred tax liabilities | $ | (119,192 | ) | $ | (67,378 | ) | ||
The Company has evaluated the available evidence supporting the realization of its gross deferred tax assets, including the amount and timing of future taxable income, and has determined that it is more likely than not that the deferred tax assets will not be realized. Due to such uncertainties surrounding the realization of the deferred tax assets, the Company maintains a valuation allowance of $142,325 against its deferred tax assets as of December 31, 2025. Realization of the deferred tax assets will be primarily dependent upon the Company’s ability to generate sufficient taxable income prior to the expiration of its net operating losses.
The Company had a federal net operating loss carryforward of $28,368,511 and $15,436,000 as on December 31, 2025, and December 31, 2024, of which approximately $3,573,000 will begin to expire in 2030 for federal tax purposes, and approximately $24,795,511 in federal net operating loss carryforwards that can be carried forward indefinitely. While these federal NOLs do not expire, the Tax Cuts & Jobs Act of 2017 limits the amount of federal net operating loss utilized each year after December 31, 2017, to 80% of taxable income. As of December 31, 2025, the Company has a state net operating loss carryforward of approximately $20,375,322 and $17,860,000 as of December 31, 2025 and December 31, 2024.The state NOLs generated have various expiration rules and dates with the first amount of NOLs expiring in 2032. The Company is subject to taxation in U.S. federal and state tax jurisdictions. All of the Company’s tax years will remain open for three years for examination by the federal and state tax authorities from the date of utilization of net operating loss. There are no active tax compliance audits as of December 31, 2025.
In accordance with ASC 740, Income Taxes, specifically related to uncertain tax positions, a Company is required to use a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more likely than not to be sustained upon examination by taxing authorities. The Company believes its income tax filing positions and deductions will be sustained upon examination, and accordingly, no reserves or related accruals for interest and penalties have been recorded as of December 31, 2025 and December 31, 2024.
The Company believes that no material amount of the liabilities for uncertain tax positions are expected to reverse within 12 months of December 31, 2025.
Historical Timeline
| Fiscal Year | Filed | |
|---|---|---|
| 2025 | Mar 31, 2026 | Showing above |
| 2024 | Aug 28, 2025 | |
| 2023 | Apr 12, 2024 | |
| 2022 | Apr 12, 2023 | |
About Income Taxes Disclosures
The income tax disclosure reveals how much a company actually pays in taxes versus what the statutory rate would predict. Analysts focus on the effective tax rate (ETR) reconciliation, which breaks down every item driving the gap between the 21% federal rate and the company's reported ETR — including R&D credits, foreign rate differentials, and state taxes. Deferred tax assets (DTAs) and their valuation allowances signal management's confidence in future profitability: a rising allowance suggests the company doubts it can use accumulated tax benefits. Uncertain tax benefit (UTB) reserves quantify exposure to IRS challenges on aggressive positions.
Key signals to watch: sudden ETR drops without clear operational reasons, large increases in valuation allowances, growing UTB balances, and significant unremitted foreign earnings. Post-TCJA, pay attention to GILTI and BEAT provisions that affect multinational tax structures. Compare the cash taxes paid (from the cash flow statement) against the income tax provision to gauge earnings quality.