Billingham v. Commissioner
Opinion
*242
MEMORANDUM FINDINGS OF FACT AND OPINION
WILES,
FINDINGS OF FACT
Some of the facts have been stipulated and are found accordingly.
Richard P. Billingham (hereinafter petitioner) and Linda B. Billingham, husband and wife, resided in Seattle, Washington, when they filed their petition in this case. They filed their 1975 and 1976 joint Federal income tax returns with the Western Service Center, Ogden, Utah.
Petitioner graduated from the University of Rochester Medical School in June 1971. On July 1, 1975, petitioner began a residency in general surgery at Virginia Mason Hospital (VMH) is Seattle, Washington. He entered into a written residency agreement with VMH on November 12, 1974, covering the period from July 1, 1975 through June 30, 1976. This agreement was subsequently renewed for an additional one-year period ending June 30, 1977. During this two-year residency period, petitioner was not a candidate for a degree.
In the residency agreement, VMH agreed, among other things, to pay petitioner a yearly stipend of $10,878 and to provide him with both a suitable environment*244 for education experience in the area of general surgery and a training program that met the standards of the Essentials of Approved Residencies prepared by the Council on Medical Education of the American Medical Association. Petitioner agreed, among other things, to perform the customary services of residency, to observe hospital policies, procedures, and regulations governing residents, and to obtain a regular license to practice medicine in the State of Washington.
VMH is a nonprofit institution primarily dedicated to the care and treatment of patients. During 1975 and 1976, VMH maintained approximately 300 beds and was staffed by 125 physicians. Most of the staff physicians were associated with a private clinic affiliated with VMH. During the years at issue, there were 47 residents at VMH, 12-14 of whom (including petitioner) were general surgical residents. All residents at VMH were considered members of the medical staff.
During his residency at VMH, petitioner was rotated through several surgical subspecialties including general surgery, neurosurgery, othopedic surgery, surgical pathology, and surgical obstetrics and gynecology. When assigned to any of these areas, *245 petitioner was responsible for the care of approximately ten to fifteen patients at any given time. For each subspecialty, petitioner was assigned to a particular staff physician who supervised his work and had ultimate responsibility for the care and treatment of the patient. Petitioner's duties included interviewing and examining patients, taking medical histories, proposing diagnoses, ordering tests, preparing progress notes, supervising the work of interns, making daily rounds, instructing interns in various surgical procedures, handling emergency room treatment, consulting on outpatient cases and assisting the staff physician in performing operations. In addition to these duties, petitioner also attended conferences and seminars devoted to the discussion of individual patients at VMH and prepared several research papers on a variety of medical topics.
As a surgical resident, petitioner was expected to be on duty at VMH by a specified hour each morning to make his scheduled rounds and confer with other residents and staff physicians. He also had night call duty at various times during each month.
In 1975 and 1976, VMH paid petitioner stipends of $5,439 and $10,878, respectively, *246 from which it withheld Federal income taxes and Social Security taxes. The payments made to petitioner were not based on financial need. All similarly experienced residents at VMH were paid the same yearly stipend.
During the years at issue, petitioner also received substantial fringe benefits as a resident. VMH provided him with free uniforms and laundering thereof, comprehensive medical insurance, malpractice insurance, free meals and rooms while on duty, and two weeks of vacation. Petitioner was also entitled to discounts on drugs and medical supplies.
On his joint Federal income tax returns for each of the years 1975 and 1976, petitioner excluded $3,600 from his gross income as a scholarship or fellowship grant under section 117.In his notice of deficiency, respondent determined that these amounts were improperly excluded from petitioner's income, as they represented taxable compensation for services rendered.
OPINION
We must decide whether certain amounts received by petitioner during 1975 and 1976 while a resident at VMH are excludable from his gross income under section 117.Petitioner argues that the stipends received from VMH enabled him to pursue his research, *247 teaching and studies in the field of general surgery and, therefore, qualify as scholarship or fellowship grants excludable under
On the basis of the evidence in this record, we conclude that the primary purpose of the payments made by VMH was to compensate petitioner for his services. During the years at issue, petitioner rendered extensive and valuable services to VMH, the effect of which was clearly to provide a substantial quid pro quo for the payments he received.See
Petitioner argues, however, that his work at VMH merely duplicated work previously performed by staff physicians and was of no direct benefit to the hospital. We disagree. While there is evidence to indicate that some of petitioner's patients were occasionally examined by other residents and staff physicians, this does not render petitioner's work valueless. As we stated in
[In] providing medical treatment, the examination of the patient by several trained doctors and their views may often be of value, even though one of the doctors may have more experience than the others.
Moreover, considering the wide range of activities petitioner performed as a resident, we are convinced that he made a valuable contribution to patient care at VMH for which he was compensated. See
Besides the nature and extent of petitioner's services, there are other factors which support the conclusion that these payments were compensatory. The amount of the stipend paid to petitioner was not based on financial need, as is usually true of scholarship or fellowship grants, but only upon his length of service with VMH. See
Notwithstanding these facts, petitioner maintains he is entitled to exclude a portion of the payments on the authority of
We do not find the facts in this case materially different from the facts in many other cases which have held that stipends paid to medical residents constitute taxable compensation for services rendered. See, e.g.,
To reflect the foregoing,
Footnotes
1. Statutory references are to the Internal Revenue Code of 1954, as amended.↩
Case-law data current through December 31, 2025. Source: CourtListener bulk data.