Journal of Accountancy Large Logo
Tax
Deducting the Cost of Laser Eye Surgery
By W. Terry Dancer
December 2004
 
TAX BRIEF

Many American taxpayers undergo clinical procedures to correct vision problems. The most common in today’s medical environment is laser eye surgery, commonly called Lasik.

Taxpayers cannot deduct the cost of cosmetic surgery unless the procedure is necessary to correct a deformity from a congenital abnormality, personal injury or disease—and the question of whether Lasik is a cosmetic procedure is open for discussion. IRC section 213(d)(1)(a) defines medical care expenses as amounts paid for the “diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body.” Clearly, laser eye surgery affects a structure or a function of the body and its purpose is to correct a physical defect.

Although there is no revenue ruling concerning the deductibility of laser eye surgery, the IRS did issue a letter ruling (9625049) addressing whether radial keratotomy (RK)—a predecessor of laser eye surgery—was deductible under section 213. Today, RK has been replaced almost entirely by Lasik, which is used in about 95% of the surgical procedures to correct nearsightedness, farsightedness and astigmatism.

Letter ruling 9625049 defined RK as “a surgical procedure that involves making small incisions in the cornea radiating outward from the central area.” The ruling also focused on Treasury regulations section 1.213-1(e)(1)(ic), which says, “Medical care includes operations or treatments, including surgery, affecting any structure or function of the body, which is primarily undertaken for prevention or alleviation of a physical or mental defect or illness.”

The letter ruling said that under the facts presented, RK was a surgical procedure that affected a structure or function of the body, its purpose was to correct a physical defect and it was not cosmetic surgery. Thus the procedure was deductible under section 213.

Observation. Absent a specific ruling on the deductibility of laser eye surgery, all of the evidence, including the definition of medical care costs and the letter ruling, would lead CPAs to believe the costs are indeed deductible. The reason the IRS hasn’t issued a ruling is perhaps because few if any taxpayers are taking deductions for the cost of Lasik.

Each year hundreds of thousands of Americans have laser eye surgery costing as much as $3,000 an eye. Deducting its cost may help taxpayers overcome the 7.5% of adjusted gross income (AGI) limitation for unreimbursed medical expenses, especially when married couples who both need the surgery do it in the same year. Where possible CPAs can recommend taxpayers bunch their medical expenses to generate substantial tax savings.

Prepared by W. Terry Dancer, PhD, associate professor of accounting, Arkansas State University, State University.


Tax
Court Review of IRS Abuse of Discretion
By Edward J. Schnee
December 2004
Various code sections give the IRS discretion to reduce or eliminate a tax liability for equity or hardship reasons. If the IRS fails to reduce a liability, the taxpayer can ask a court to mandate a reduction on the grounds the IRS abused its discretion. This type of judicial review has been the subject of litigation. Recently, a taxpayer won the right to submit information and evidence to the court that was not in the administrative record.

On October 31, 1995, James Robinette and the IRS entered into an offer in compromise for tax years 1983 to 1991. Robinette agreed to pay $100,000 of the total $989,475 liability and to timely file his next five tax returns, which he did; however, the IRS never received his 1998 return. As a result it ruled Robinette breached the offer in compromise and it assessed the additional tax. The taxpayer protested this decision. At the administrative hearing, the IRS representative rejected the taxpayer’s evidence of timely mailing of his return on the grounds the only acceptable proof was a certified or registered mail receipt. Since Robinette did not have either, the IRS rejected his appeal. The taxpayer filed a petition with the Tax Court to reinstate the offer in compromise on the grounds the IRS abused its discretion.

Result. For the taxpayer. The issue before the court was the correct standard of review it should apply. Robinette wanted a de novo (to start anew) review on the grounds the tax liability was at issue. The court rejected this argument; instead it held the appropriate review was for abuse of discretion.

The court then had to decide whether to limit its inquiry to the administrative record as the IRS argued or allow additional evidence (alternate proof he had mailed his 1998 return) as the taxpayer requested. To answer this question, the court had to determine whether the Administrative Procedure Act applied and—consistent with prior decisions—concluded it did not. The court then said its review would be de novo and, therefore, the taxpayer could submit evidence not in the administrative record.

Having won this battle, the taxpayer then had to convince the court the evidence he wished to present regarding the mailing of his 1998 return was relevant to the issues raised. Robinette was successful again. However, in a concurring opinion, several of the judges cautioned future taxpayers not to interpret this case as allowing the introduction of evidence withheld from the administrative hearing. Only new evidence or evidence rejected by the administrator will be considered in addition to the administrative record. In this case the administrator had rejected Robinette’s attempt to present his evidence of timely filing.

Earlier this year the Tax Court, in Commissioner v. Ewing, held that taxpayers could introduce additional evidence the IRS had abused its discretion by failing to grant innocent spouse relief under IRC section 6015 (f). As in Ewing, there were dissenting opinions. Thus the apparent conclusion that all abuse of discretion cases will be decided on the total evidence and not just the administrative record remains in doubt.

Future taxpayers should try to submit all evidence at the administrative hearings. If the evidence is rejected or new evidence comes to light, a taxpayer should be able to convince a court to review all the evidence to determine whether the IRS had abused its discretion. It’s not certain the courts will consider evidence the taxpayer had but chose not to provide at the administrative hearing. With this limitation it appears the courts are willing to consider all evidence an IRS failure to grant a taxpayer relief was an abuse of its discretion.

James M. Robinette v. Commissioner, 123 TC no. 5.

Prepared by Edward J. Schnee, CPA, PhD, Hugh Culverhouse Professor of Accounting and director, MTA program, Culverhouse School of Accountancy, University of Alabama, Tuscaloosa.


Tax
Is “Equitable Remedy” Settlement Excludable From Gross Income?
By Michael H. Brown
December 2004
Taxpayers are continually testing the legal definitions of “personal physical injuries” and “physical sickness.” The Tax Court recently decided an “equitable remedy” settlement did not meet the criteria for the tax treatment afforded these conditions.

In 1985 William Kidd filed a lawsuit against the state of California, its personnel board and its fish and game department, asserting the state’s affirmative action policy of “supplemental certification” violated his rights under the Equal Protection Clause of the 14th Amendment to the U. S. Constitution and the “merit” principle in the California constitution. Kidd had applied for positions with the fish and game department; it filled these positions, through a supplemental certification program, with individuals who had not performed as well as he had on competitive examinations. Kidd did not seek monetary damages; rather he sought to have the program stopped and employees hired under it dismissed.

While the lawsuit was pending in superior court, the state personnel board reexamined the supplemental certification program and concluded it was improper. The superior court dismissed Kidd’s lawsuit. The court of appeals reversed and remanded that decision with instructions to “fashion an equitable remedy to redress the violation of plaintiff’s constitutional and statutory rights.” In 2000 Kidd received a $132,000 settlement from the state of California. He did not include the sum on his 2000 federal income tax return. The IRS concluded he should have included the payment as income and filed a deficiency notice of $43,012.

Result. For the IRS. Kidd argued the state had awarded the payment to him for injuries unrelated to traditional work-related compensation, such as back pay or a lost job opportunity. He further asserted the $132,000 compensated him for the “abuse and mental distress” he had suffered as a result of the state’s treatment of him.

The Tax Court rejected these arguments. Since the settlement did not expressly state the reason for the payment, the court looked to the two-pronged test in IRC section 104(a)(2): (1) The underlying cause of action must be based upon tort or tort-type rights and (2) the payment must be on account of personal physical injuries or physical sickness. The court concluded the abuse and mental distress met neither the definition of personal physical injuries or physical sickness nor the emotional distress exception in section 104(a).

Kidd was one of a series of cases testing the definition of personal physical injuries or physical sickness. With the recently filed discrimination case against Wal-Mart, CPAs can expect such tests to continue.

William L. and Marsha G. Kidd v. Commissioner, TC Memo 2001-135.


Tax
Interest Paid as an Administrative Expense
By Michael H. Brown
December 2004
A court held that interest an estate pays on a charitable bequest is deductible as an administrative expense for estate tax purposes. Betsy Carolyn Turner was executor of the estate of Sally C. Jackson, who died in 1997. Jackson’s will made a bequest of $10 million to Fowler Homes on the condition it be recognized as an IRC section 2055(a) charitable organization. Fowler claimed tax-exempt status by virtue of its affiliation with the Disciples of Christ church. Turner waited until the estate received a closing letter for the IRS before funding the bequest.

Under Texas law interest began accruing at a 6% annual rate one year from the date the state issued testamentary letters to Turner. She funded the bequest on October 19, 1999, in the amount of $11,052,055, including interest. On September 13, 2000, Turner filed a refund claim seeking $450,108 based on an estate tax deduction of $1,052,055 in statutory interest. The IRS rejected the claim, arguing the estate should deduct the interest on its income tax return.

Note: The deduction was worth more on the estate tax return than on the income tax return since, in 2000, the top estate tax rate was 55% while the top individual tax rate was only 39.6%.

Result. For the taxpayer. For an administrative expense to be deductible under IRC section 2053, it must be (a) incurred in the administration of the decedent’s estate, (b) actually and necessarily incurred and (c) allowable by the laws of the jurisdiction under which the estate is being administered. The IRS challenged Turner’s assertion that the estate had met the second criteria. The IRS argued Turner had enough information (for example, church publications) from Fowler Homes to fund the bequest at an earlier point in time, and therefore, the interest paid was not “actually and necessarily incurred.”

The court disagreed, stating that given the size of the bequest and the explicit requirement in the decedent’s will that Fowler Homes be a charitable organization, Turner had “prudently determined” that the available information “was not reliable enough to permit funding of the bequest.”

This case illustrates that as long as an estate takes reasonable steps to fulfill and document a decedent’s instructions, IRS challenges should prove unsuccessful.

Estate of Sally C. Jackson v. United States, 306 FSupp2d 668, 93 AFTR2d 686.

Prepared by Michael H. Brown, CPA, PhD, assistant professor of accounting, Millikin University, Decatur, Illinois.


View CommentsView Comments   |  
Add CommentsAdd Comment   |  

AICPA Logo Copyright © 2010 American Institute of Certified Public Accountants. All rights reserved.
Reliable. Resourceful. Respected. (Tagline)