Lakeview Hospice Care, Inc.

CourtUnited States Tax Court
DecidedOctober 9, 2025
Docket7837-20
StatusUnpublished

This text of Lakeview Hospice Care, Inc. (Lakeview Hospice Care, Inc.) 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
Lakeview Hospice Care, Inc., (tax 2025).

Opinion

United States Tax Court

T.C. Memo. 2025-105

ARMOND GARIBYAN, ET AL., 1 Petitioners

v.

COMMISSIONER OF INTERNAL REVENUE, Respondent

—————

Docket Nos. 7835-20, 7836-20, Filed October 9, 2025. 7837-20, 7741-21.

Aksel Bagheri, for petitioners.

Joanne H. Kim, Sharon Y. Tang, and Jordan S. Musen, for respondent.

MEMORANDUM FINDINGS OF FACT AND OPINION

HOLMES, Judge: Armond and Arsen Garibyan are brothers who started Lakeview Hospice Care, Inc. The hospice business depends for its income almost entirely on third parties, usually private and public insurers. The Garibyans adopted the accrual method of accounting for Lakeview’s books. Their problem is that Lakeview’s corporate ledger rarely showed income and expenses as they accrued during the year. The Commissioner audited Lakeview’s and then the Garibyans’ individual returns. He combed through their bank records for the 2015 and 2016 tax years and concluded that Lakeview had underreported its gross income by more than $200,000; and that Armond underreported his income for both years too. 2 The parties also dispute the

1 We consolidated Arsen Garibyan, Docket No. 7836-20, Lakeview Hospice Care, Inc., Docket No. 7837-20, and Armond Garibyan and Ani Garibyan, Docket No. 7741-21, with this case. 2 The Commissioner and Arsen settled their differences.

Served 10/09/25 2

[*2] Commissioner’s disallowance of more than $450,000 in deductions for Lakeview.

Lakeview and the Garibyans say these bank deposits analyses overstate their income. They also contest the disallowance of Lakeview’s deductions.

FINDINGS OF FACT

I. Lakeview’s Origins

A high school graduate who dropped out of college, Armond Garibyan was what he describes as a “glorified life insurance agent” in a past life, although he was in fact licensed as an insurance agent by California’s Department of Insurance. He also held officer and board positions with five California business entities, including a barber shop and various marketing and consulting companies.

Armond’s younger brother, Arsen, also has a background in the insurance business. He was a licensed insurance agent in California and worked for Ellion Financial and Insurance Services, Inc. He was also a serial entrepreneur, who co-owned the barber shop and was a shareholder and officer in two other California corporations unrelated to the hospice industry.

In 2008, Armond started talking to a neighbor who was a consultant for the hospice industry, and they hit it off because Armond himself had an interest in healthcare. Shortly thereafter, Armond and Arsen founded Lakeview as a California C corporation. 3

Lakeview’s office is in Burbank, California. Armond is Lakeview’s administrator and oversees its payroll expenses and staffing. He also deals with Medicare and the various regulatory agencies that oversee the hospice industry. Arsen runs the firm’s marketing department. Armond married his wife, Ani, in 2016 and brought her into the business. Both Armond and Ani as well as Arsen reside in Glendale, California.

3 A “C corporation” is a corporation that is taxed under subchapter C of

chapter 1 of the Internal Revenue Code, sections 301–385. (Unless otherwise indicated, statutory references are to the Internal Revenue Code, Title 26 U.S.C. (Code), in effect at all relevant times, regulation references are to the Code of Federal Regulations, Title 26 (Treas. Reg.), in effect at all relevant times, and Rule references are to the Tax Court Rules of Practice and Procedure.) 3

[*3] Lakeview’s business was closely tied to employees outside of the Garibyan family, though. Dr. Nicholas Jauregui was a 51-percent shareholder of Lakeview by way of Kephas MSO, which was one of the corporations that he controlled and that received payments from Lakeview. He was also Lakeview’s medical director. (California requires hospices to have medical directors.) In this role, Jauregui oversaw all clinical operations because Lakeview’s other employees didn’t deal directly with patients’ doctors. Jauregui signed off on all the patients’ clinical orders.

Two other Lakeview employees, a husband-and-wife team, helped bring in new patients. But in late 2014, they left Lakeview and started their own hospice agency. Lakeview lost patients and revenue. There was real doubt about whether it would survive.

But this case is about the dry bones of tax accounting, and if we are to reanimate them, we must first explain how the for-profit hospice industry works in California.

II. The Hospice Business

Hospice agencies care for terminally ill patients. California requires hospice agencies to be licensed by the California Department of Public Health, which requires an application and a site visit to the hospice center.

Lakeview itself needed to complete what Armond described as a two-step application process. In 2008 he rented an office for his administrative staff and submitted an application to the local health department. Then he had to submit a license application to Medicare, which issued him a provider number allowing Lakeview to bill for patient reimbursement. Waiting for his health-department license and Medicare provider number took Lakeview five years after its 2008 incorporation. And that meant five years before it could begin receiving reimbursements.

A hospice agency must not only be licensed by California, it must also be certified and contract with insurance providers to be reimbursed for its services. Neither hospice patients nor their families pay for hospice care. Hospice agencies depend for their income on insurers: Medicare (the federal program which is the largest payor of hospice services nationwide), Medi-Cal (California’s Medicaid program for the poor), and patients’ private insurers. 4

[*4] Like many industries with overlapping government and third- party involvement, the feds’ procedures dictate much of how hospice businesses operate. The U.S. Centers for Medicare and Medicaid Services must verify that an agency meets its requirements before Medicare money can flow. These include certifying that a patient is “terminally ill,” which is a determination made by a physician. 4 Each determination lasts 90 days but can be renewed. A hospice that cares for a certified patient can then receive daily rates while that patient is in its care.

These were the federal daily rates in the Los Angeles area during the years at issue: 5

Routine Routine Home Inpatient General Continuous Tax Home Care Care (per Day) Respite Inpatient Home Care Year (per Day) Days 61 and Care (per Care (per (per Hour) Days 1–60 Beyond Day) Day) 2015 $187.07 — — $187.41 $823.69 2016 217.96 171.29 $45.92 189.42 831.84

Medi-Cal used similar daily rates but allowed patients to be certified at six-month intervals. In California, hospice patients can have both Medicare and Medi-Cal. Medi-Cal pays for room and board at nursing homes and similar facilities, which Medicare does not. And patients without Medicare or Medi-Cal must pay for hospice care and room-and-board expenses by themselves, typically with private health insurance.

Hospice agencies such as Lakeview do not typically provide a physical location for their patients. Many of Lakeview’s patients, for example, live in nursing homes or similar institutions. Once a patient is certified as terminally ill, the institution is no longer allowed to bill insurers directly. They must instead start “pass-through billing,” which means the nursing facility bills the hospice agency for a patient’s room- and-board expenses. Agencies like Lakeview then bill the insurer— Medi-Cal or a private insurance company—for these expenses. The hospice agency then has to reimburse the nursing facility.

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