Osteopathic Medical Oncology and Hematology, P.C. - Page 56




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          of chemotherapy drugs which petitioner uses in their care.”                 
          Majority op. p. 15.  Nor does anything in the record establish:             
          “Usually, they [patients] are not even aware of the type or                 
          quantity of chemotherapy drugs used on them as part of their                
          treatment.”  Id.  Contrary to the inference in the majority’s               
          opinion, petitioner’s physician-employees do not choose or decide           
          that a patient shall receive chemotherapy drugs.  Common                    
          experience tells us that, although petitioner’s physician-                  
          employees may recommend such treatment, the patients are the ones           
          who must make the decision to receive the drugs.  Moreover, if              
          those patients decide to receive chemotherapy drugs, they want              
          the drugs and nothing in the record (or in common sense) leads me           
          to believe that the drugs are necessarily subordinate to the                
          physician’s services.  I cannot agree with the majority’s                   
          conclusion that, with respect to petitioner’s business, the                 
          provision of chemotherapy drugs was subordinate to the provision            
          of medical services.                                                        
               B.  Clear Reflection of Income                                         
               If a taxpayer’s method of accounting does not clearly                  
          reflect income, section 446(b) accords the Secretary the                    
          authority to require the taxpayer to compute taxable income under           
          such method as, in the opinion of the Secretary, does clearly               
          reflect income.  We have interpreted respondent’s position in               
          this case as requiring petitioner to use an accrual method (the             





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