Tennessee rules mobile health app subscriptions taxable
Tennessee’s Department of Revenue has ruled that mobile health tracking subscriptions — including bundled software and Bluetooth monitors — are taxable as software sales. This ruling clarifies how healthcare tech companies should handle tax on digital health products delivered via app.
Written by Alex Lamachenka
Head of DemandGen
Published
TL;DR
- Effective 24 October, 2025, mobile health subscriptions are taxable in Tennessee
- Applies when software drives the service (not human-led health guidance)
- Bundled items like Bluetooth devices and support are also taxable
- No exemption for “data processing” if software simply tracks participant info
What’s changing
Effective date: October 24, 2025 (Revenue Ruling #25-08)
Trigger: Software that delivers the primary functionality (e.g. tracking vitals)
Scope: Applies to mobile health platforms that include:
- Subscription-based apps
- Connected hardware (e.g. blood pressure monitors)
- Technical support
Key determination: These subscriptions are not exempt “information services” — because the software is tracking and guiding, not converting data for machine use.
Who this affects
- Healthtech and wellness platforms selling app-based subscriptions in Tennessee
- SaaS companies bundling physical devices with digital services
- Finance teams determining taxability for hybrid products and app add-ons
- Sellers who previously treated these services as exempt under data processing rules
Why this matters
This is a clear signal that Tennessee views digital health platforms as taxable software, not exempt services. If software drives the transaction, the whole subscription is taxable — even when bundled with physical products or support services.
Sellers can’t reduce their tax burden by unbundling or reclassifying service components unless the service is the transaction’s main purpose.
Next steps
- Confirm whether you sell mobile health or wellness products to Tennessee customers
- Review how your subscriptions are billed, especially if they include software and physical devices
- Use automated tax software like TaxCloud to apply the correct rules and rates for software in Tennessee
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