Sunil S. Patel & Laurie McAnally Patel

CourtUnited States Tax Court
DecidedNovember 12, 2025
Docket24344-17
StatusPublished

This text of Sunil S. Patel & Laurie McAnally Patel (Sunil S. Patel & Laurie McAnally Patel) 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
Sunil S. Patel & Laurie McAnally Patel, (tax 2025).

Opinion

United States Tax Court REVIEWED 165 T.C. No. 10

SUNIL S. PATEL AND LAURIE MCANALLY PATEL, ET AL., 1 Petitioners

v.

COMMISSIONER OF INTERNAL REVENUE, Respondent

—————

Docket Nos. 24344-17, 11352-18, Filed November 12, 2025. 25268-18.

Ps claimed deductions under I.R.C. § 162 on their 2013, 2014, 2015, and 2016 tax returns for amounts paid to purported captive insurance companies A and B and to entity C, which purported to reinsure a portion of A and B’s risk. R denied the deductions and determined that Ps are liable for accuracy-related penalties under I.R.C. § 6662(a), including penalties under I.R.C. § 6662(b)(6), which applies the economic substance doctrine as codified under I.R.C. § 7701(o). In Patel v. Commissioner, T.C. Memo. 2024-34, we held that amounts paid to insurance companies A and B were not insurance premiums for federal income tax purposes.

Held: The codified economic substance doctrine requires a relevancy determination within the meaning of I.R.C. § 7701(o).

Held, further, the codified economic substance doctrine is relevant in these cases.

1 Cases of the following petitioners have been consolidated herewith for

purposes of trial, briefing, and disposition: Sunil S. Patel and Laurie M. McAnally- Patel, Docket Nos. 11352-18 and 25268-18.

Served 11/12/25 2

Held, further, Ps are liable for penalties under the codified economic substance doctrine pursuant to I.R.C. § 6662(a) and (b)(6) and the increased rate under I.R.C. § 6662(i), for the relevant tax years at issue, as limited by Patel v. Commissioner, T.C. Memo. 2020-133.

Held, further, Ps are liable for the remaining accuracy-related penalties under I.R.C. § 6662(a), as set forth herein and as limited by Patel, T.C. Memo. 2020-133.

JONES, J., wrote the opinion of the Court, which URDA, C.J., and KERRIGAN, BUCH, NEGA, PUGH, ASHFORD, COPELAND, TORO, GREAVES, MARSHALL, WEILER, WAY, LANDY, ARBEIT, GUIDER, JENKINS, and FUNG, JJ., joined.

David D. Aughtry and Patrick J. McCann, Jr., for petitioners. 2

Nicholas D. Doukas, Alicia H. Eyler, and William D. Richard, for respondent.

JONES, Judge: This Opinion addresses issues reserved by our prior opinions in Patel v. Commissioner (Patel I), T.C. Memo. 2020-133, and Patel v. Commissioner (Patel II), T.C. Memo. 2024-34. In Patel II,

2 Briefs amici curiae were filed by (1) Robert J. Kovacev and Samuel A. Lapin

as attorneys for The Chamber of Commerce of the United States of America; (2) David M. Brotz, George M. Clarke III, Joseph B. Judkins, Carlton A. Tarpley, and Joy A. Williamson as attorneys for Alliance for Business Partnerships; (3) H. Craig Pitts, Brett D. Sanger, and Mark A. Weitz as attorneys for Modoc Nation; (4) Joseph D. Henchman as attorney for the National Taxpayers Union Foundation; (5) Jonathan C. Bond, Nicole M. Butze, Michael J. Desmond, Matt Donnelly, Lucas C. Townsend, and Lael D. Weinberger as attorneys for the National Association of Manufacturers; (6) Jenny A. Austin, May Y. Chow, Anne Gordon, and Gary B. Wilcox as attorneys for National Foreign Trade Council, Inc.; (7) David B. Blair and William E. Sheumaker as attorneys for Eversheds Sutherland (US) LLP; (8) Miriam L. Fisher, Molly C. Harding, Elizabeth A. Kanyer, and Jean A. Pawlow as attorneys for the American College of Tax Counsel; (9) Kelsey Merrick as attorney for The Tax Law Center at NYU Law; and (10) George Gerachis, Gary Huffman, Stephen Josey, and Kathleen Pakenham as attorneys for American Forest & Paper Association. At respondent’s request, we ordered the parties to file briefs in response to the amicus briefs. At the parties’ request, we held oral argument on the issues raised by the briefs. 3

T.C. Memo. 2024-34, at *52, the Court held that the transactions at issue did not constitute insurance for federal income tax purposes. Accordingly, the Court sustained the Commissioner’s deficiency determinations and the disallowance of those deductions for taxable years 2013, 2014, 2015, and 2016 (tax years at issue). Id. Now, the remaining issue for decision is whether Sunil S. Patel, M.D. (Dr. Patel), and Laurie M. McAnally-Patel, M.D. (Dr. McAnally-Patel), 3 are liable for accuracy-related penalties for the tax years at issue, as limited by our prior opinion, Patel I, T.C. Memo. 2020-133. See also Patel II, T.C. Memo. 2024-34, at *3 n.5.

The Notices of Deficiency (NODs) for the tax years at issue listed several alternative grounds for respondent’s imposition of penalties, including that the transactions lacked economic substance within the meaning of section 6662(b)(6). 4 In this Opinion, we will address, inter alia, the Internal Revenue Service’s (IRS) determination that the transactions lacked economic substance and its assertion of penalties on that ground. 5

For the reasons set forth herein, we will sustain the Commissioner’s determinations with respect to the codified economic substance doctrine under section 6662(a) and (b)(6), as well as the increased penalty under section 6662(i). We will also sustain the remaining accuracy-related penalties, as set forth herein.

FINDINGS OF FACT

We summarize our findings of fact from Patel I and Patel II. We also make additional findings of fact.

3 We sometimes refer to Dr. Patel and Dr. McAnally-Patel as the Patels.

4 Unless otherwise indicated, statutory references are to the Internal Revenue

Code, Title 26 U.S.C. (Code), in effect at all relevant times, regulatory 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. All monetary amounts are rounded to the nearest dollar. 5 We understand the interaction of section 6662(a) and (b)(6) to impose a single

penalty. Because the Commissioner determined that penalty for multiple years (each of the tax years at issue), we will refer to it in the plural (penalties). 4

I. Dr. Patel’s Background and Decision to Form First Microcaptive 6

Dr. Patel has practiced medicine in Texas since 1997. He has an extensive education that includes a doctor of philosophy degree in immunology and a doctor of medicine degree. Patel II, T.C. Memo. 2024- 34, at *4.

Dr. Patel also has an extensive business background. Id. He has formed multiple medical-related businesses, including his own eye surgery practice, Ophthalmology Specialists of Texas (OST), where he specializes in the evaluation and management of certain eye-related medical conditions. Id. at *4–5. Dr. Patel also conducts clinical research trials through two companies he established: Integrated Clinical Research, LLC (ICR), and Strategic Clinical Research Group, LLC (SCR). Id. at *5.

After reading books on asset management and captive insurance, Dr. Patel decided to form a captive insurance company. Id. at *6–7. A colleague introduced Dr. Patel to a financial planner, Christopher Fay, to discuss financial and insurance products. Id. at *7.

But even before the introductory call with Mr. Fay, Dr. Patel already knew he wanted to form a captive insurance company because of his self-study. Id. Dr. Patel describes himself as a “savvy financial person” and stated that he did not want any advice from Mr. Fay. Id. Rather, Dr. Patel knew that he wanted to form a captive insurance company before engaging Mr. Fay. Id.

Although Dr. Patel disclaimed any interest in financial advice from Mr. Fay, he nonetheless completed a financial feasibility study at Mr. Fay’s request. Id. Dr. Patel’s answers on the feasibility study did not address captive insurance or the need for insurance products. Id. at *8.

6 As we explained in Patel II, T.C. Memo. 2024-34, at *2 n.3, “[a] ‘captive

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