Hospital Corp. of America v. Commissioner

81 T.C. No. 31, 81 T.C. 520, 1983 U.S. Tax Ct. LEXIS 36
CourtUnited States Tax Court
DecidedSeptember 21, 1983
DocketDocket Nos. 12988-78, 13183-78
StatusPublished
Cited by50 cases

This text of 81 T.C. No. 31 (Hospital Corp. of America v. Commissioner) is published on Counsel Stack Legal Research, covering United States Tax Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hospital Corp. of America v. Commissioner, 81 T.C. No. 31, 81 T.C. 520, 1983 U.S. Tax Ct. LEXIS 36 (tax 1983).

Opinion

Parker, Judge:

In docket No. 12988-78, respondent determined deficiencies in Federal income taxes of $6,789,289.25 for 1972 and $22,398,355.65 for 1973. In docket No. 13183-78, respondent determined deficiences as follows:

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All of the adjustments in the separate notices of deficiency issued to each of the petitioners in docket No. 13183-78, and all but one of the adjustments in the notice of deficiency issued in docket No. 12988-78, have been resolved by agreement of the parties. The issues remaining for decision concern the adjustment to foreign income. The questions presented are:

(1) Whether the Cayman Islands subsidiary is a "sham” corporation so that all of its income for the year 1973 is attributable to Hospital Corp. of America under section 61;1

(2) Whether property in the form of the contract to manage the King Faisal Specialist Hospital in Riyadh, Saudi Arabia, was transferred by Hospital Corp. of America to its Cayman Islands subsidiary in 1973 without obtaining an advance ruling pursuant to section 367;

(3) Whether Hospital Corp. of America received stock in its Cayman Islands subsidiary as compensation for services; and

(4) Whether some or all of the 1973 income of the Cayman Islands subsidiary should be allocated to Hospital Corp. of America under section 482.

FINDINGS OF FACT

Some of the facts have been stipulated and are so found.

Petitioner’s Organization and Operations

Hospital Corp. of America (hereinafter referred to as HCA or petitioner) maintained its principal offices in Nashville, Tenn., on the date the petition was filed. During the years in question, the stock of HCA was publicly held and traded on the New York Stock Exchange. For each of the years ended December 31, 1972, and December 31, 1973, HCA and its domestic subsidiaries filed a consolidated U.S. Corporation Income Tax Return, Form 1120, with the Internal Revenue Service Center at Memphis, Tenn.

Petitioner was incorporated in 1960 under the laws of the State of Tennessee as Park View Hospital, Inc. In 1968, it joined with 11 other hospitals to form Hospital Corp. of America. HCA’s founders were Jack C. Massey, Dr. Thomas F. Frist, Sr., and Dr. Thomas F. Frist, Jr. HCA’s management views the primary objective of the HCA hospitals as the delivery of the highest possible quality of health care at a reasonable cost.

After 1968, the HCA organization expanded rapidly, and by March 31,1973, petitioner and its subsidiaries operated a total of 49 hospitals in 12 states. Petitioner and its subsidiaries owned 41 of these hospitals. Petitioner operated those hospitals that it did not own under management contracts. In 1970, HCA had only two such management contracts, and in 1972 had four such management contracts. In 1973, HCA initiated "a new program of actively soliciting additional hospitals under management contracts.” Petitioner was attracted by the potential for increased profits without significant capital investment. Moreover, management of existing hospitals under contract offered petitioner a faster means of expansion than the construction of new hospitals. These management contracts were generally entered into by HSP, Inc., a subsidiary of petitioner.

Petitioner began soliciting and negotiating for management contracts across the United States. Dr. Frist, Jr., was the person primarily involved in this solicitation and negotiation. His role was that of a salesman selling the concept of a hospital management contract. Part of this concept involved long-range planning and management skills. The sales pitch used was petitioner’s track record in successfully managing many hospitals throughout the United States.

In selling the concept of hospital management, HCA asserted that the problems hospitals faced were primarily in management. Traditionally, health care facilities had been operated by tax-supported community or religious hospitals managed by civic groups. HCA pioneered in bringing efficiencies of business management into the operation of hospitals. Petitioner offered expertise in managing the hospitals, while at the same time leaving the medical care to the medical staff. Petitioner’s areas of expertise included establishing good relationships with the medical staff, financial controls, accounting, and staffing. Petitioner also provided the advantages of group purchasing, the opportunity for consultation among peers, the sharing of ideas and methods, and assistance with long-range planning.

Petitioner compiled some of its expertise, particularly in accounting and finance, into a series of manuals which in later years were copyrighted.2 The manuals were furnished to the hospital administrators for assistance in running the hospitals. The hospital administrators were not required to use these manuals, and some of the administrators developed their own supplements or tailored their manuals to the local situation at their particular hospital, if they found it appropriate to do so. However, either the manuals or at least the information and expertise incorporated in such manuals were always available in some form to the hospital administrators.

Petitioner preferred to decentralize certain aspects of its operations. Thus, as the HCA organization expanded, petitioner generally operated each of the hospitals it owned through a subsidiary corporation. However, many aspects of the HCA organization were run from the Nashville headquarters. Petitioner decided that business risks and potential liabilities could be handled more prudently in the form of a separate corporate structure for each HCA-owned hospital. Each hospital was thus to be insulated from the parent corporation and from the other hospital corporations. The use of subsidiary corporations was intended to make it easier to assign responsibility for the successful operation of each hospital, without detracting from the advantages of large-scale purchasing, recruiting personnel, sharing certain specialized skills among several hospitals, and other benefits inherent in the operation of a large group of facilities.

Petitioner also wanted its hospitals to retain their local image. Many of the cities in which petitioner operated were of moderate or small size. The local hospital was therefore an important facility in the community, especially as a source of employment. One of the ways in which the local identity was retained was by using a local name to reflect some characteristic of the community or a name selected in an employee contest. HCA’s management wanted to avoid the appearance that the local hospital and the company operating it were part of a large national organization. Petitioner tried to foster and encourage feelings of local participation and involvement. This impression of local autonomy and local identity helped insure the cooperation and assistance of the local physicians who were the main users referring patients to the hospital. Petitioner viewed this local identity as one of the reasons for its success. However, the record does not indicate the extent to which local identity was stressed in hospitals operated under management contracts since the sales pitch to those hospitals was the management skills and expertise available to HCA as a national organization.

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Bluebook (online)
81 T.C. No. 31, 81 T.C. 520, 1983 U.S. Tax Ct. LEXIS 36, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hospital-corp-of-america-v-commissioner-tax-1983.