Osteopathic Medical Oncology and Hematology, P.C. - Page 7




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          method and the balance of petitioner's business on the cash                 
          method.  Respondent's change to the hybrid method increased                 
          petitioner's income by:  (1) $31,887, the actual cost of the                
          chemotherapy drugs on hand at the end of 1995, and (2) $148,557,            
          the value of petitioner's accounts receivable relating to                   
          chemotherapy drugs conveyed to patients as of the end of 1995.              
                                     Discussion                                       
               We decide for the first time whether the furnishing of                 
          pharmaceuticals by a medical treatment facility as an integral,             
          indispensable, and inseparable part of the rendering of medical             
          services is the sale of "merchandise" for purposes of section               
          1.471-1, Income Tax Regs.  In Hospital Corp. of Am. v.                      
          Commissioner, 107 T.C. 116 (1996) (HCA), we held that medical               
          supplies and pharmaceuticals used by hospitals are so vital to              
          the furnishing of medical services that income earned therefrom             
          constitutes income earned from the performance of services for              
          purposes of the nonaccrual-experience method of section                     
          448(d)(5).  In HCA, we explicitly reserved for another day the              
          question of whether those supplies and pharmaceuticals were                 
          merchandise that had to be inventoried under section 1.471-1,               
          Income Tax Regs.  See id. at 143-144 n.18.  That day is here in             
          the factual setting of a physician’s outpatient chemotherapy                
          treatment facility.                                                         







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