Osteopathic Medical Oncology and Hematology, P.C. - Page 14




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          which petitioner operates in relation to the other service                  
          industries we have addressed on this issue and bear in mind the             
          recent case of Hospital Corp. of Am. v. Commissioner, 107 T.C.              
          116, 143-145 (1996).  There, as explained in more detail below,             
          we held that the income attributable to the pharmaceuticals and             
          various medical supplies frequently used by the personnel of the            
          taxpayer/hospital while performing medical services was not                 
          income from the sale of goods for purposes of the nonaccrual-               
          experience method of section 448(d)(5).4  We held that those                
          items were "inseparably connected" to the taxpayer's services.              
          See id. at 143.                                                             
               Like the taxpayer in HCA, petitioner's business is a                   
          quintessential service business.  It is a health care provider              
          that administers chemotherapy treatments to patients with cancer.           
          Although it furnishes chemotherapy drugs to its patients as part            
          of its service, a person cannot obtain the drugs but for the                
          chemotherapy treatments, and the treatments require the extensive           
          and specialized service of petitioner's professional staff.                 
          Petitioner's professional staff, as an integral and indispensable           
          part of furnishing chemotherapy drugs to a patient, must examine            
          the patient and prescribe a treatment regime, monitor the length,           

               4 The medical supplies included items such as radiological             
          dyes, casts, crutches, canes, walkers, bandages, sutures,                   
          splints, skin staples, various implants such as joint                       
          replacements, pacemakers, heart valves, orthopedic devices, and             
          physical and occupational therapy items.                                    




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