Hospital Corporation of America and Subsidiaries - Page 43

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          personal service corporation for which section 448(b)(2) grants             
          an exception to the general prohibition by section 448(a) of the            
          use of the cash method of accounting by C corporations,                     
          partnerships which have a C corporation as a partner, and tax               
          shelters).17                                                                
               Relying on certain State law cases, respondent contends that           
          the trend is to consider hospital services as part of sale                  
          transactions involving medical supplies.  According to                      
          respondent:  "This case law endeavors to protect the patient from           
          defective hospital services, since the patient is unable to                 
          discern or control defective services and because physicians are            
          depending on the hospital's services in undertaking the patient's           
          treatment."  Respondent thus asserts that any medical services              
          accompanying a "sale" of medical supplies is part of the "sale"             
          transaction.                                                                
               Petitioners deny that the hospitals engage in the sale of              
          medical supplies.  They argue that the hospitals use medical                
          supplies in the course of providing medical services, but they              
          maintain that all of their income is derived from the performance           
          of services.  Petitioners contend that the business of operating            

          17  For purposes of sec. 448(d)(2), the performance of services             
          in the field of health means the provision of medical services by           
          physicians, nurses, dentists, and other similar healthcare                  
          professionals.  Sec. 1.448-1T(e)(4)(ii), Temporary Income Tax               
          Regs., 52 Fed. Reg. 22768 (June 16, 1987).  In the instant case,            
          respondent does not deny that the hospitals perform services in             
          the field of health.                                                        





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