Due to the high cost and unavailability of medical malpractice insurance, a physician-owned insurance company known as the Medical Inter-Insurance Exchange of New Jersey (Exchange) was formed in 1976. In order to provide a surplus of funds, physicians or their professional corporations (P.C.'s) provided initial funding. A subordinated loan certificate (SLC) was issued by the Exchange in the name of individual physicians in return for these payments. The SLC would be redeemed by the Exchange when the physician ceased practicing medicine in New Jersey. Where a P.C. paid for the SLC on behalf of the shareholder/employee or nonshareholder/employee, there was an agreement that the physician would repay the P.C. upon redemption of the SLC.
Some of the petitioners deducted the cost of the SLC. Respondent disallowed the claimed deduction as not qualifying as an ordinary business expense. Respondent also determined that petitioner/physicians received a constructive dividend or additional compensation as shareholder/employees, or nonshareholder/employees, respectively, based on the purchase of the SLC by the P.C.
84 T.C. 120">*121
Respondent issued statutory notices of deficiency in these consolidated cases which determined deficiencies in petitioners' 1977 Federal income taxes as follows:
Docket No. | Deficiency |
344-82 | $ 1,423.01 |
345-82 | 3,979.23 |
347-82 | 1,385.95 |
450-82 | 1,494.66 |
709-82 | 4,648.57 |
3 715-82 | 2,786.19 |
746-82 | 1,325.50 |
751-82 | $ 2,954.00 |
4 1753-82 | 529.80 |
2019-82 | 769.54 |
2597-82 | 1,388.36 |
9154-82 | 4,795.00 |
9161-82 | 2,494.00 |
14689-82 | 2,415.00 |
Upon motion of the parties, the above cases were consolidated for purposes of trial, briefing, and opinion. These cases have been selected by the parties as representative of the various fact patterns involved in a substantial number of other cases. 5
84 T.C. 120">*122 Respondent determined the deficiencies in these cases based on the disallowance of a claimed deduction for the purchase of
The issues for decision are (1) whether payments by individual physicians or P.C.'s to purchase an SLC constitutes an ordinary and necessary business expense under
Some of the facts in this case have been stipulated and are incorporated herein by this reference. At the time of filing the petition in this case, all of the petitioners were residents of New Jersey. 7
Because these are consolidated cases, there are several different factual patterns to address. We will begin by outlining the background upon which these various factual patterns must be superimposed.
During the 1970's, the cost of medical malpractice insurance in the State of New Jersey rose dramatically. By the mid-1970's, the continued existence of a private underwriter for medical malpractice insurance became increasingly uncertain. As of October 1976, the only insurers offering malpractice insurance to New Jersey physicians were two subsidiary 84 T.C. 120">*123 insurance companies of Chubb & Son, Inc. (Chubb). As a result of this increasingly narrow market, the New Jersey legislature enacted chapter 30D, title XVII, Medical Malpractice Liability Insurance Act (
The Medical Society of New Jersey was dissatisfied with the prospect of activation of the reinsurance association. Such dissatisfaction stemmed from several causes: (1) That the physicians would have little influence on the policy decisions and operations of the reinsurance association; (2) that they would not be represented as members of the governing body of such association; (3) that the reinsurance association would probably require higher premiums; (4) that excess losses would be assessable against the insured physicians; (5) that the reinsurance association would more deeply inject government into the affairs of New Jersey physicians; and (6) that there was no guarantee that physicians would not be charged a surplus contribution to provide for establishment of a recovery fund.
The principal concern among these was the assessable nature of the insurance policy that would be offered through the reinsurance association. An assessable policy is one in which, after losses have been determined at the end of the year, the insurance company has the right to assess, on a pro rata basis, all policyholders to make up for any net loss incurred during the previous insurance period. A nonassessable policy, on the other hand, is one in which a physician pays his policy premium, and thereafter cannot be assessed any additional amounts for the year to which
The Medical Society decided that the formation of a physician-owned insurance carrier was the best means for providing malpractice insurance for physicians in New Jersey. Accordingly, in October of 1976, the Medical Society organized the Medical Inter-Insurance Exchange of New Jersey (hereinafter Exchange) as a physician-owned reciprocal inter-insurance exchange, under the provisions of chapter 50, title XVII of the New Jersey Statutes (
The commissioner of insurance issued a permit to the Exchange to solicit insurance applications for organizational purposes. After obtaining the required number of applications for insurance, the Exchange was issued a certificate of authority from the commissioner of insurance.
Under New Jersey law, the Exchange was required to establish and maintain, as an asset, a surplus of cash and/or authorized securities of not less than the amount of the minimum capital and surplus required for a stock insurance company to write the same kind or kinds of insurance. Premiums or contributions to the Exchange, which was organized as an unincorporated association whose members are policyholders, were made by prospective members
A physician becomes a member of the Exchange at such time as the Exchange issues an insurance policy to such physician. Membership automatically terminates upon expiration of the insurance policy. Thus, members of the Exchange are those physicians insured by the Exchange. Each member of the Exchange is entitled to one vote at all meetings of members. To be insured by the Exchange, a physician must be licensed to practice medicine in the State of New Jersey, must 84 T.C. 120">*125 have at least 75 percent of his practice therein, and must have an SLC issued in his or her name.
In order to provide the Exchange with surplus, and for the purpose of establishing a sound base to support the issuance of insurance policies, SLC's were issued. Any physician residing in New Jersey who wanted to purchase medical malpractice insurance from the Exchange was required, as a condition of obtaining such insurance, to purchase an SLC from the Exchange in an amount related to the speciality classification of his medical practice.
The certificates were issued only to, and in the names of, individual physicians who were prospective members of the Exchange. They were registered in the names of those individual physicians on the books of the Exchange. Because of the perceived need for a rapid solution to the lack of acceptable insurance coverage, and the filing, registration, and notice requirements under both Federal and State securities laws, no loan certificates were authorized to be issued to any partnership or corporation whose physicians were insured
Upon issuance of the certificates, the Exchange intended to redeem them only in cases where the physician ceased practicing medicine in New Jersey,
In the event that the Exchange were liquidated, all of the assets of the Exchange, after payment of outstanding liabilities, including repayment of any outstanding SLC's, would be distributed to the persons who were members of the Exchange at the time of liquidation.
To date, all member physicians who subscribed for SLC's and who either died, retired from the practice of medicine in New Jersey, or moved their practice out of the State of New Jersey did, in fact, receive a repayment of the principal amounts of the SLC's. However, a physician changing to another insurer within the State of New Jersey would not be repaid the principal amount
In 1976, the Commissioner of Insurance of New Jersey activated the reinsurance provisions of the Medical Malpractice Liability Insurance Act with respect to medical malpractice insurance. One of the Chubb subsidiaries was to act as a "designated provider" of malpractice insurance and was 100-percent reinsured by the New Jersey Medical Malpractice Reinsurance Association pursuant to chapter 30D. Chubb, through its subsidiary, remained as a provider under the reinsurance provisions until it ceased to provide medical malpractice insurance in New Jersey in the spring of 1979. In 1978, the Medical Malpractice Liability Insurance Act was amended to allow the reinsurance association to directly write 84 T.C. 120">*127 medical malpractice insurance. Upon withdrawal of Chubb from the State, the reinsurance association began to directly write such insurance.
In the first year of operation, the premiums charged by the Exchange were the same as the premiums charged by the Chubb subsidiary acting as a 100-percent reinsured "designated provider" under the New Jersey State reinsurance provisions. At the time of trial, there were four carriers writing medical malpractice insurance in New Jersey. Of the four, the premiums charged by the Exchange were the highest across the board.
These consolidated cases represent an effort to identify several fact patterns, each of which we will outline before determining the result of each case. Each of the relevant fact patterns is represented in the following chart:
SLC cost | |||
Percent | deducted | ||
Docket No. | n1Petitioners | shareholders | by PC |
Group I | |||
344-82 | Carl and Harriet Herman | 100 | No |
345-82 | Peter J. and Katherine T. Guthorn | 100 | No |
2597-82 | Joseph and Catherine Marchesano | 100 | Yes |
Group II | |||
751-82 | Navan and Grace Kothari | 90/100 | Yes |
746-82 | Steven and Phyllis Lefrak | 50 | Yes |
14689-82 | Alden and Audrey Hall | 26 | Yes |
347-82 | Robert A. and Elizabeth Heitner | 25 | No |
709-82 | Richard and Sheila Jacobs | 25 | No |
450-82 | William J. and Marie Esposito | 16 2/3 | Yes |
9154-82 | Estate of Nathaniel R. Avella, | ||
deceased, Carolyn D. Avella and | |||
Charles Clarke, Jr., executors, | |||
Carolyn Avella | 14.23 | Yes | |
Group III | |||
715-82 | n3John J. and Anne M. Keyser | 0 | No |
9161-82 | Ho-Hsiung and Yei-Er-Kao Chang | 0 | Yes |
Group IV | |||
1753-82 | Nayan Kothari, M.D., P.A. | N/A | Yes |
2019-82 | Bernard and Betty Ehrenberg | Sole | Yes |
proprietorship |
Repayment | |||||
agreement | 2Repayment | ||||
Docket No. | 1Petitioners | Oral | Written | No | ever made |
Group I | |||||
344-82 | Carl and Harriet Herman | X | No | ||
345-82 | Peter J. and Katherine T. Guthorn | X | Yes - 12/5/80 | ||
2597-82 | Joseph and Catherine Marchesano | X | No | ||
Group II | |||||
751-82 | Navan and Grace Kothari | X | No | ||
746-82 | Steven and Phyllis Lefrak | X | No | ||
14689-82 | Alden and Audrey Hall | X | Repayment by | ||
estimate of | |||||
Dr. Bruno | |||||
Zaneski - | |||||
1978 | |||||
347-82 | Robert A. and Elizabeth Heitner | X | No | ||
709-82 | Richard and Sheila Jacobs | X | No | ||
450-82 | William J. and Marie Esposito | X | Another | ||
shareholder | |||||
repaid in | |||||
1978 - | |||||
Dr. Robert | |||||
Cavallino | |||||
9154-82 | Estate of Nathaniel R. Avella, | ||||
deceased, Carolyn D. Avella and | |||||
Charles Clarke, Jr., executors, | |||||
Carolyn Avella | X | Yes, by | |||
several | |||||
physicians | |||||
Group III | |||||
715-82 | 3John J. and Anne M. Keyser | X | No | ||
9161-82 | Ho-Hsiung and Yei-Er-Kao Chang | X | No | ||
Group IV | |||||
1753-82 | Nayan Kothari, M.D., P.A. | No | |||
2019-82 | Bernard and Betty Ehrenberg | N/A | N/A | N/A | No |
84 T.C. 120">*128 The above chart breaks down the fact patterns in four basic groups: I. Physicians with a 100-percent interest; II. Physicians with a fractional interest; III. Physicians who had no equity interest in the P.C. and were employees; IV. A P.C. and a sole proprietorship. Within each of the first three groups there are two categories.
OPINION
These cases present difficult and unique issues for determination. Respondent has determined that the payments made by the individual physicians to purchase the loan certificates constitute capital expenditures and are therefore not deductible as ordinary and necessary business expenses under
Respondent also determined that the purchase of an SLC by a P.C. for its shareholder/employees on the one hand, and for its non shareholder/employees on the other, constitutes, in the former case, a corporate distribution that is a dividend under section 301, and in the latter, additional compensation under section 61. 16
Petitioners argue that the cost of the SLC constitutes an ordinary and necessary business expense under
Initially, we must determine whether the P.C. is entitled under
This Court has considered, on many occasions, whether or not an expense qualified as an ordinary and necessary business expense under
As used in
The crux of petitioners' argument is that the expense was ordinary because all physicians in the State of New Jersey were similarly situated, needed medical malpractice insurance, in large part purchased SLC's from the Exchange, and therefore the payment for the certificates became "ordinary." We disagree. We believe that the facts of this case effectively rebut petitioners' argument.
As the Supreme Court stated in
What is important and controlling, we feel, is that the * * * payment serves to create or enhance for [the taxpayer] what is essentially a separate and distinct additional asset and that, as an inevitable consequence, the payment is capital in nature and not an expense, let alone an ordinary expense, deductible under
In the present case, payments made to the Exchange by individual physicians or their P.C.'s serve to provide the 84 T.C. 120">*132 capital basis upon which the insurance exchange could be formed.
In the event that the exchange ceased to do business, after payments of liabilities to all creditors or other people with rights to its assets, and prior to payments of any remaining assets to the policy members who represented members of the Exchange, all outstanding SLC's would be repaid. The certificates were subordinated only as to other debts or other liabilities of the Exchange, but not to the interest of the member policyholders. Such prospective refund would be made on a pro rata basis to each of the certificate holders, based upon the respective amount of money paid for the certificate.
We also note that the structure of the Exchange was determined in part by the requirements of State and Federal security laws. The notes were issued in the form they were, and to the people to whom they were issued, because of the requirements and limitations of those laws. However, the fact remains that, in
The Exchange was designed to provide a specific kind of insurance to a group of people in the State of New Jersey to make possible their practice of medicine. Sale of the certificates was needed to generate liquidity and availability of funds to satisfy claims against the member physicians. The issuance of the certificates is more like the sale and purchase of a capital asset than a deductible expense. 20 The fact that the physician had ongoing, annual insurance premium obligations to secure insurance coverage further buttresses this position. The annual insurance premiums were conceded as deductible by respondent.
The certificates have the characteristics of both equity and debt. For example, they make it possible for those certificate holders who choose to purchase a policy, to participate in the management of the Exchange. Although they do not provide a return in the form of dividends or interest, they have been redeemed at face value and, barring any diminishing of the Exchange's assets, would be redeemed at face value at some time in the future. Thus, they look like debt instruments, at least with regard to their being redeemed at face value, but 84 T.C. 120">*134 like equity instruments with respect to the uncertainty of the date upon
The remaining two issues for decision will be considered together. The question in each case is the effect on the shareholder/employee and nonshareholder/employee of the payment made by the P.C. to the Exchange for which an SLC was issued in the name of the individual physician. The question is whether or not, in the former case, the payment by the corporation for the certificate issued to the shareholder/employee constitutes a dividend within the meaning of section 301, and in the latter case, whether payment for the certificate constitutes additional compensation under section 61.
Petitioners, on the other hand, argue that the P.C.'s purchased the certificates for a substantial corporate purpose and that any personal benefit to shareholder or nonshareholder employees was incidental.
84 T.C. 120">*135 For the reasons outlined below, we agree that the purchase of the SLC's by the P.C. does not constitute a dividend or additional compensation to the individual physician in whose name the certificate was issued.
In our view, the correct result should characterize the purchase of the certificates at the corporate level. That characterization having been made, the appropriate characterization of the payment for the certificates at the individual level should follow clearly. From the corporate perspective, these transactions are
84 T.C. 120">*136
84 T.C. 120">*137
1. Cases of the following petitioners are consolidated herewith: Peter J. Guthorn and Katherine T. Guthorn, docket No. 345-82; Robert A. Heitner and Elizabeth Heitner, docket No. 347-82; William J. Esposito and Marie Esposito, docket No. 450-82; Richard Jacobs and Sheila J. Jacobs, docket No. 709-82; John J. Keyser and Anne M. Keyser, docket No. 715-82; Steven Lefrak and Phyllis Lefrak, docket No. 746-82; Nayan Kothari and Grace Kothari, docket No. 751-82; Nayan Kothari, M.D., P.A., docket No. 1753-82; Bernard Ehrenberg and Betty Ehrenberg, docket No. 2019-82; Joseph Marchesano and Catherine Marchesano, docket No. 2597-82; Estate of Nathaniel R. Avella, Deceased, Carolyn D. Avella and Charles J. Clarke, Jr., Executors, and Carolyn D. Avella, docket No. 9154-82; Ho-Hsiung Chang and Yei-Er-Kao Chang, docket No. 9161-82; and Alden Hall and Audrey Hall, docket No. 14689-82.↩
2. All section references are to the Internal Revenue Code of 1954 as amended, unless otherwise indicated.↩
3. On brief, respondent conceded to this case in full.↩
4. Fiscal year ended June 30, 1978.↩
5. There are in excess of 100 docketed cases where the parties have agreed to be bound by the Court's opinion in these consolidated cases.↩
6. Respondent concedes with respect to Richard and Sheila Jacobs, docket No. 709-82, that constructive dividend treatment is only available to the extent of earnings and profits, making any excess distribution a return of capital.↩
7. Petitioner Nayan Kothari, M.D., P.A., docket No. 1753-82, a professional corporation (P.C.) had its principal place of business in New Jersey.↩
8. Because the Medical Inter-Insurance Exchange of New Jersey (Exchange) is currently an operating organization, we will use verbs in their present tense where appropriate.↩
9. Nonresident physicians, although ineligible to purchase a subordinated loan certificate (SLC), were required to pay an initial nonrefundable premium surcharge in the same amount as the payment for an SLC required of resident physicians for the same speciality classification. Because all of the petitioners in these cases are residents of New Jersey or had their principal office located therein, we make no determination as to the treatment of payments made to the Exchange, by either an individual physician or a P.C., for nonresident physicians, as a basis for the provision of insurance.↩
10. We assume the parties mean either the Securities Act of 1933, 48 Stat. 74,
11. Uniform Securities Law (1967),
2. Those physicians not having their respective corporations are still practicing medicine in New Jersey.↩
1. Underlining represents taxpayer-physicians. Spouses are listed because taxpayers filed joint returns.↩
3. Conceded in full by respondent.↩
12. In this latter category, the deficiency arose from respondent's inclusion of additional income to shareholder and nonshareholder/employees.↩
13. The case of Nayan Kothari, M.D., P.A., docket No. 1753-82, involves a P.C.; the two shareholders who in combination own 100 percent of the P.C. are Nayan and Grace Kothari (husband and wife), petitioners in docket No. 751-82. There is no representative case involving a P.C. as a petitioner where a deduction for the purchase of an SLC on behalf of a nonshareholder/employee was disallowed.
Nevertheless, even though this issue does not arise from a viewpoint of the deduction by the P.C., we do have the issue relating to petitioners in group III as to whether the purchase of the SLC by the P.C. represents additional compensation to the nonshareholder/employee. Presumably, if the purchase of the SLC did represent compensation to the nonshareholder/employee, then the P.C. would be entitled to a deduction for compensation paid to its employee.↩
14. It should be noted that there is no dispute as to the deductibility of the annual premiums for medical malpractice insurance. The dispute relates to the initial payment for the (SLC). Respondent concedes that annual insurance premiums paid for policies issued in conjunction with the certificates are deductible.↩
15. Note 14
16. Respondent also suggests that with respect to those petitioners who have written agreements to repay the P.C. amounts received in redemption of the SLC, such amounts constitute an interest-free loan from the corporation to the employee for the period of time that the employee continues to hold the certificate. Respondent chose not to develop this argument. Additionally, neither respondent nor petitioners suggest that, to the extent the value of an SLC received by shareholder/employees did not correspond to their pro rata interest in the P.C., it was a dividend only to the extent of their interest with any remainder being additional compensation. See note 13
17. See generally
18.
19. See, e.g.,
20. The appropriate time for deduction of the cost of a certificate, if ever, would be when the Exchange refused to redeem it after satisfaction of the required conditions precedent.↩
21.
22. See notes 13 & 16.↩
23. Although not developed at trial, there is some question whether a P.C. could, upon departure of a physician, simply have the certificate reregistered in the name of a new physician employee of the corporation.↩
24. Oral promises of principals to pay appear to be outside the New Jersey Statute of Frauds,
25. To the extent some of the petitioners did not testify, affidavits were submitted to the effect that they would have so testified. Respondent stipulated that they would testify to an agreement but withheld his right to object to the veracity of such testimony. At no time, however, did he make such an objection.↩
26. See note 16.↩
27. We need not determine at this time whether or not, upon terminating employment with a P.C., a shareholder or nonshareholder employee beginning a solo practice of medicine would have a taxable benefit, i.e., the use of a corporate asset (the certificate), making possible the purchase of malpractice insurance for the physician in his individual capacity. See note 23.↩