Sunil S. Patel & Laurie McAnally Patel

United States Tax Court·Decided November 12, 2025·No. 24344-17·Published

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

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.

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).

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

insurance company’ is a corporation whose stock is owned by one or a small number of companies and which handles all or a part of the insurance needs of its shareholders or their affiliates.” Caylor Land & Dev., Inc. v. Commissioner, T.C. Memo. 2021-30, at *8 n.4; see also Harper Grp. v. Commissioner, 96 T.C. 45, 46 n.3 (1991), aff’d, 979 F.2d 1341 (9th Cir. 1992). In our prior cases, we have adopted the term “microcaptive” to refer to “a small captive insurance company,” i.e., one that takes in less than $1.2 or $2.2 million (adjusted for inflation) in premiums depending on the tax year at issue. See Caylor Land & Dev., T.C. Memo. 2021-30, at *8 n.4; see also Avrahami v. Commissioner, 149 T.C. 144, 179 (2017); Keating v. Commissioner, T.C. Memo. 2024- 2, at *50 n.52 (explaining that amendments to section 831(b) increased the premium ceiling).

Dr. Patel stated that his goals were aggressive growth and wealth accumulation. Id.

Mr. Fay recommended that Dr. Patel meet with Sean King 7 of CIC Services, LLC (CIC Services), to discuss forming a microcaptive. Id. at *7. In an email sent to facilitate a meeting between Dr. Patel and Mr. Sean King, Mr. Fay stated that Dr. Patel was the “MD paying almost 2.5M in income taxes and did his own research on [microcaptive insurance companies]. He wants to talk with Sean about doing potentially 2 [captive insurance companies].” Id. Indeed, many of the contemporaneous emails exchanged during the tax years at issue contain similar suggestions that the purpose of forming a captive was tax avoidance, not insurance protection. Id. at *7–8.

In June 2011 Dr. Patel met with Mr. Sean King and Mr. Fay. Id.

at *8. Since Dr. Patel already knew that he wanted to form a captive, the meeting was focused on discussing the formation and structure of a captive insurance company, not whether a captive was necessary for Dr. Patel’s businesses. Id.

Mr. Sean King advised that CIC Services could manage a captive for Dr. Patel. Id. However, he recommended attorneys that Dr. Patel could contact to form a captive, including James Coomes. Id. In July 2011, without conducting any studies related to the need to form a captive, Dr. Patel informed Mr. Fay that he wanted to move forward with forming two captive insurance companies. Id.

Dr. Patel retained Mr. Coomes—a tax attorney who has focused his practice on captive insurance, as well as business and estate planning—to help form a captive. Id. at *8–9. Mr. Coomes does not have formal training in captive insurance or writing insurance policies. Id. at *9. Rather, he learned to write insurance policies by self-study, including reviewing commercial insurance policies, reading articles, and studying books. Id.

7 In Patel II, T.C. Memo. 2024-34, we discussed facts about both Thomas King

and Sean King. As we mentioned in Patel II, Thomas King of CIC Services is Sean King’s father. See id. at *7 n.10. Although we do not discuss Thomas King in this Opinion, for clarity and for the sake of consistency with our prior opinion, we will continue to refer to them as Mr. Sean King and Mr. Thomas King. See id.

II. Magellan Insurance Co.

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