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Business tax · Healthcare
Physicians often reach the highest tax brackets early and stay there. Owner-physicians, employed doctors with side income and practice groups each have different planning opportunities. We build a plan for each.
Serving United States, Virginia, Washington, DC, Maryland.
What we handle
For practice owners, the starting points are entity structure, a defensible owner salary, the state pass-through entity tax election and retirement plans. Health is a specified service business, so the section 199A deduction phases out at higher incomes. A cash balance plan paired with a 401(k) often produces the largest single deduction.
Employed physicians with locum, consulting or expert witness income can use a separate entity and solo 401(k). Equipment, medical office build-outs and practice-owned real estate add depreciation planning, and backdoor Roth contributions and charitable strategies help with long-term savings.
Speak with an advisorWhere we help
Health is a specified service trade or business, so the QBI deduction phases out for high earners.
Physician-owners must take reasonable salary before distributions.
Defined benefit limits allow large contributions for older physicians.
See our Medical Practices & Clinics industry page for practice-level issues.
Our approach
A senior advisor reviews your facts and documents.
Scope, fees and timeline in an engagement letter.
Returns, elections and forms prepared and reviewed.
IRS contact and planning all year.
Questions
If your question isn't here, call (703) 880-8412 and you'll reach a person.
Often yes for owner-physicians with profits well above a reasonable salary, but state rules for professional entities, partner arrangements and retirement plans affect the answer.
Only below the income phase-out range, because medicine is a specified service business.
It is self-employment income. A separate entity, solo 401(k) and careful expense tracking can reduce tax on it.
It usually fits practices with stable profits and owners age 45 or older. We model contributions and staff costs first.
Latest updates
Authorized representatives can now make balance-due, amended return, extension, proposed assessment and federal tax deposit payments for business clients online. Appropriate authorization for the client and tax matter is required.
Source: IRS (IR-2026-134)
For 2027 the joint-return standard deduction rises to $33,200, the estate tax basic exclusion to $15,480,000, the annual gift exclusion to $20,000 and the Section 179 expensing limit to $2,640,000. Our advisors recommend revisiting year-end gifting and equipment purchase plans with these figures in mind.
Source: IRS (IR-2026-133)
All 6,576 nominated census tracts, including 2,594 rural tracts eligible for enhanced benefits, become Opportunity Zones on January 1, 2027 for ten years. Investors with capital gains should review the new map before committing funds.
Source: IRS (IR-2026-132)
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