DocketNumber: No. 24823-07
Judges: "Holmes, Mark V."
Filed Date: 1/5/2010
Status: Non-Precedential
Modified Date: 11/20/2020
MEMORANDUM OPINION
HOLMES,
Peter Cavaretta opened his dental practice in 1970, and ever since his wife Karen has kept the books and handled the billing. The practice served clients of several insurance companies, including Group Health, Inc. (GHI). Peter treated GHI patients at agreed rates and then billed GHI, which would send him a check. If he overbilled GHI, the contract required him to repay the difference. *6 If the practice didn't pay, GHI could simply deduct the amount owed from future reimbursement checks.
In 1995, Karen Cavaretta began billing GHI for "planing and scaling," a procedure that Peter never performed. She continued submitting these false claims until January 2001, when a postal inspector put a stop to it. He also extracted a statement from Karen admitting to the false claims. Both parties agree that Peter was unaware of his wife's enterprise. They also agree that the overcharges went into the practice's books as revenue -- which the Cavarettas duly reported to their accountant, who included it on their tax returns.
Once GHI learned of the false claims, it started asking for repayment. GHI sent a letter in March 2001 to "Dr. Cavaretta", with the subject line "Peter Cavaretta, DDS," the name of the practice. The letter demanded repayment of more than $ 1.1 million. A *7 later letter, addressed to Karen's defense lawyer but with the same subject line, increased the demand to over $ 1.6 million. But GHI then backed down from what may have been its own inflated estimates of the damage it had suffered, and finally agreed that Karen had submitted $ 544,216 in false claims that needed to be repaid.
Karen pled guilty to one count of health-care fraud in August 2001. United States District Judge Elfvin sentenced her to 18 months in prison, with two years of supervised release afterward. He ordered a $ 100 assessment as required under the federal sentencing guidelines, but ordered no fine or restitution.
Judge Elfvin attached to the sentencing judgment a letter from Karen's attorney saying that she would pay GHI $ 600,000 to "settle all civil claims against the Cavarettas, * * * and specifically those claims arising from matters dealt with in the criminal action brought in the Western District of New York." The letter provided that the first payment of $ 230,000 would be paid through Karen's lawyer, and the rest would go directly to GHI. In return, GHI wrote a letter supporting a home-confinement sentence.
In December 2001, Karen's lawyer sent a cashier's check *8 for $ 230,000 to GHI. He included a letter reading, "Due to the unusual fashion by which Ms. Cavaretta was sentenced, I was instructed by the probation officer to transmit this directly to [GHI]." The Commissioner and the Cavarettas stipulated that Peter made the payment, as well as payments of $ 165,833 in 2002 and $ 55,322 in 2003. *9
Peter deducted these payments as business expenses of the dentistry practice on his Schedule C.
The parties ask us to decide if Peter's payments were deductible as loss carrybacks and, if not, whether the deficiencies resulting from their disallowance should be subject to accuracy-related penalties. At the time they filed their petition, the Cavarettas lived in western New York.
We have jurisdiction *10 to hear this case because
This case is unusual in that both parties agree that the payments were deductible. The Cavarettas say the payments were deductible under
Lurking behind this dispute is the general rule that a taxpayer usually can't have *11 negative income -- if he suffers a very large loss in one year, he may be limited to reporting zero income. But
So our job is to decide whether the Cavarettas' payments were business or nonbusiness expenses. The parties frame the question as asking whether the payments were meant to settle GHI's potential contract claim against Peter or to comply with the criminal plea agreement with Karen.
The Commissioner very much wants us to find that the payments were Karen's, that they were "restitution", and that she made them as part of her plea deal. We do agree, and find as a matter of fact, that the payments were restitution. Most of *12 the documents in the record refer to the payments as restitution, including the settlement agreement between GHI and the Cavarettas, the letter from Karen's defense attorney to GHI attached to Judge Elfvin's sentencing judgment, and the sentencing judgment itself, which refers to the letter as "the civil restitution agreement."
The Commissioner thinks that's enough to win. He argues that
When
The Second Circuit reversed, but it didn't hold that all restitution is automatically deductible or nondeductible. It carefully distinguished punitive from compensatory restitution, even in criminal cases, and reasoned that Stephens' restitution payment *14 had both law-enforcement [punitive] and compensatory purposes, but that it was "primarily a remedial measure to compensate another party."
It also touched -- albeit lightly -- on the issue of whether restitution payments could be business expenses under
We decline to do so. The restitution in
In this case, the Cavarettas are very much disagreeing with the Commissioner about whether the restitution payments are deductible under
On the question of whether the restitution here is punitive,
But even if we swallowed the Commissioner's argument, and assumed Judge Elfvin had somehow bollixed the distinction between criminal and civil restitution, the Cavarettas' obligation to pay restitution was in addition to the sentencing of Karen to prison and supervised release.
The amount of the restitution also suggests that it was meant to make GHI whole, and not meant to punish -- the payments totaled $ 600,000 on a claim worth $ 550,000. But the claim had accrued over six years, and would have given rise to at least $ 50,000 in interest, meaning that the amount of the payments closely approximates (or even underestimates) what GHI was owed.
So we have little trouble concluding that the payments are noncriminal, compensatory restitution. But are they business expenses, deductible under
This was not *19 an ordinary contract claim, of course, but one that arose specifically because of Karen's wrongdoing. And even if we ignored Peter's contractual obligation to repay GHI, we would again agree with the Cavarettas that the payments were deductible -- businesses can sometimes deduct payments made to satisfy claims against a third party. See, e.g.,
From Peter's perspective, though, the situation is a lot like the one that we saw in
The Commissioner next suggests that the payments aren't deductible because they were Karen's alone. We, however, find that both Cavarettas were obliged to make them. The first letters from GHI demanding refunds were addressed to Peter at his place of business, even though Karen had by then admitted to the scheme. The letter attached to the sentencing judgment stated that *21 the payments were to "settle all civil claims against the Cavarettas." (Emphasis added.) And when GHI issued its final release of claims, it released "Karen Cavaretta and Dr. Peter Cavaretta, jointly and severally." Peter credibly testified that he viewed the term "restitution" to mean "paying back money that was overpaid to me."
A potentially more important difference between
The Commissioner's final salvo is that the Cavarettas would somehow get a double deduction if we allowed a carryback. It is true that the Cavarettas offset business expenses against illegal income in those years, but
That leaves only the penalty that the Commissioner asserts for the Cavarettas' alleged *23 negligence. *24 a penalty on any deficiency owed due to their disallowance. Decision will be entered under
1. The Commissioner makes much of the fact that the only GHI contract in the trial record is one from November 2000, toward the end of Karen's improper billing scheme. Peter credibly testified that he had to sign an agreement with GHI before he began seeing its clients, and that most insurance company agreements included similar obligations to refund overpayments. He also credibly testified that he had earlier contracts with GHI, and we specifically find that he had a contract with GHI during the years in question and that it required him to repay overcharges.
2. Although the Commissioner stipulated that Peter made the payments, he continued to jaw on this point; he claims that the lawyer's sending the check, when combined with the lack of evidence that the Cavarettas kept separate checking accounts, must mean that Peter was merely transmitting payments owed by Karen. But the Commissioner signed the stipulation saying "Dr. Peter D. Cavaretta made payments to GHI . . .," and Tax Court rules are clear that "[a] stipulation shall be treated, to the extent of its terms, as a conclusive admission," and says those admissions will be binding.
3. According to Schedule C of the tax return the 2003 payment was only $ 50,000, and the additional $ 5,322 was for uncontested business expenses, including telephone, dues and subscriptions, and outside services. The discrepancy has no effect on the amount of the carryback.↩
4. Consider
5. We held in
6. The statute covering joint returns at issue in these cases has been repealed, and joint returns are now covered in
7. We don't need to analyze the Cavarettas' other arguments that these payments might be deductible under
8. We point out for the parties'
Old Town Corp. v. Commissioner ( 1962 )
Lohrke v. Commissioner ( 1967 )
William E. Bailey v. Commissioner of Internal Revenue ( 1985 )
Commissioner of Internal Revenue v. J. Henry De Boer and ... ( 1952 )
Stephens v. Commissioner ( 1989 )
Jon T. Stephens and Susanne Stephens v. Commissioner of ... ( 1990 )