Osteopathic Medical Oncology and Hematology, P.C. - Page 44




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          and sales.  See secs. 1.446-1(c)(2), 1.471-1, Income Tax Regs.              
          Thus, generally, if the purchase and sale of merchandise is an              
          income-producing factor, an accrual method must be used with                
          regard to such purchases and sales.                                         
               The nominal focus of the majority’s inquiry is whether the             
          chemotherapy drugs are merchandise:  “We focus our inquiry on               
          whether the chemotherapy drugs were supplies deductible under               
          section 162, or merchandise that must be inventoried under                  
          section 471.”  Majority op. p. 10.  The majority states:                    
          “Respondent’s characterization of the chemotherapy drugs as                 
          merchandise offends the natural and ordinary meaning of the term            
          ‘merchandise’”.  Id. at 17.  The majority concedes, however:                
          “Although pharmaceuticals could reasonably be construed to be               
          merchandise in some contexts; * * * it does not necessarily                 
          follow that pharmaceuticals are merchandise in all contexts.”               
          Id.  The majority reaches the conclusion that the chemotherapy              
          drugs are not merchandise on the basis that petitioner “is not a            
          merchandiser”, id. at 15, its business “is inherently a service             
          business”, id. at 16, or “[s]imply put, petitioner is not                   
          peddling products.”  Id. at 18.   The majority’s conclusions seem           
          to be informed by its view:  “A medical practice such as                    
          petitioner’s is inherently a service business, and the drugs                
          administered in the practice are subordinate to the provision of            
          the medical services.”  Id. at 16.                                          





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