High-earning medical professionals face some of the highest marginal income and self-employment tax rates in the nation. We convert sole proprietorships and basic LLCs into precision-tuned S-Corporations or PLLCs, establishing defensible reasonable compensation structures that save $15,000 to $35,000 annually in Medicare and Social Security taxes.
For growing medical practices, navigating the Corporate Practice of Medicine (CPOM) doctrine can be complex. We design and implement Management Services Organization (MSO) structures that separate the clinical operations from the administrative and real estate functions. This not only ensures regulatory compliance but also opens up significant avenues for asset protection, non-physician equity investment, and optimized tax harvesting across multiple entities.
Our tax architects structurally separate your medical services (PLLC) from your administrative operations (MSO), maximizing allowable deductions and providing clear lines of financial responsibility.
Defensible W-2 salary vs. exempt dividend distribution modeling backed by benchmark industry data.
Immediate 100% first-year tax write-off for diagnostic imaging machines, surgical lasers, and clinic renovations.
Legally rent your personal residence to your medical practice for up to 14 days of corporate board meetings tax-free each year.
Establish custom defined benefit retirement plans allowing up to $300,000+ in annual pre-tax retirement deductions.
Tax-efficient transition planning for admitting new partners or facilitating retiring physicians' exits.
Navigate economic nexus rules and state apportionment for practices offering cross-border telemedicine services.
Absolutely. We utilize encrypted, HIPAA-compliant client portals and document management systems. We ensure that our accounting processes for revenue cycle management do not expose Protected Health Information (PHI).
Section 179 allows practices to deduct the full purchase price of qualifying equipment and/or software purchased or financed during the tax year. This means if you buy a $150,000 laser, you can deduct the entire $150,000 from your gross income right away, rather than depreciating it over several years.
The IRS requires S-Corp shareholders to pay themselves a "reasonable salary" based on industry standards, geographic location, and actual services performed. We conduct specialized compensation studies to find the defensible sweet spot�often saving physicians thousands in unnecessary payroll taxes while keeping them completely IRS compliant.
Speak directly with a senior tax strategist specializing in your industry's exact regulatory codes and deduction opportunities.
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