HCA v. Commissioner: Why a Landmark Tax Court Case Should Guide Your Conservative Tax Strategy
In the world of tax planning, the line between an aggressive position and a prudent one can mean the difference between sustained savings and a costly, stressful dispute. Few cases illustrate this balance better than the landmark 1996 Tax Court decision in Hospital Corp. of America v. Commissioner. While it centered on the “nonaccrual-experience” accounting method, the ruling’s core lesson resonates across all areas of tax strategy (especially when it comes to classification).
Today, we’re breaking down what this pivotal case means for your business and why it underscores the importance of a conservative, well-documented approach to tax classifications.
What Happened in the HCA Case?
At its heart, the case revolved around HCA’s attempt to use a favorable accounting method for bad debt. Let’s break it down:
A new opportunity. HCA elected the “nonaccrual-experience” method, allowing it to exclude from income the portion of receivables it expected not to collect.
The IRS disputed this on two fronts:
Classification: They argued a significant portion of HCA’s income came from selling medical supplies (tangible goods), not services, and the method was only for service income.
Calculation: They insisted HCA must use the IRS’s own prescribed formula, not a more favorable one.
The outcome was a split decision from The Tax Court:
HCA Won on Classification: The court ruled that medical supplies were an integral part of providing medical services. Therefore, that income qualified.
HCA Lost on the Formula: The court upheld the IRS’s mandated calculation method, rejecting HCA’s alternative.
This Is Why Classification is Everything
The HCA ruling is a masterclass in how the IRS scrutinizes how you classify your income, expenses, and assets. You might win on one technicality, but lose on another—and the process itself is burdensome. This directly applies to numerous areas of tax planning, but none more than cost segregation studies. In cost segregation, we classify building components into shorter-lived asset categories (like personal property or land improvements) to accelerate depreciation deductions. The IRS actively audits these studies, looking for aggressive or unsupportable classifications.
At USTAGI, we view every cost segregation study through the lens of cases like HCA. Just as the court looked at the true nature of HCA’s medical-supply income, we ensure every asset classification is rooted in the actual function and use of the component, not just wishful categorization. We follow IRS guidelines and appellate court decisions meticulously.
The court siding with the IRS on the required formula teaches a clear lesson: when the IRS provides a framework, use it. Our engineering-based studies employ well-recognized, audit-defensible methodologies that align with IRS guidance, protecting you from unnecessary risk. The strongest defense in any IRS review is contemporaneous, detailed documentation. We build an unassailable paper trail that justifies every classification, much like having the evidence to prove your income is truly “service-based.”
Why This Matters for Your Bottom Line
An aggressive, poorly documented cost segregation study can trigger an audit, lead to disallowed deductions, and result in back taxes with interest and penalties. Your real estate business deserves long-term stability. Our engineering-led approach delivers substantial, legitimate cash flow acceleration through accelerated depreciation while building an audit-ready case from day one. We give you the confidence that your tax position is built on solid ground.
Ready to accelerate your depreciation with confidence?
Contact USTAGI today for a free, preliminary assessment.

