Medical practice tax advisor · RGV

Tax Planning for Physicians & Healthcare Practices

Practice owners often earn at the top tax brackets with little time to think about structure. We build an owner-compensation and entity plan that fits how your practice operates.

Book a Strategy Consultation Call (956) 897-9555

THE CHALLENGE

What keeps owners up at night

High personal tax brackets, inefficient owner pay, complex payroll splits between partners, and expensive equipment purchases made without a tax plan.

OUR APPROACH

Where planning makes a difference

We optimize practice entity selection and S-Corp compensation to manage self-employment taxes, plan equipment purchases around Section 179, and keep practice financials clean enough to support every decision.

Planning areas

How we help healthcare practices

Entity selection

Sole proprietorship, PLLC, S-Corp election or group structure: we compare the options for liability, payroll and tax, and help you transition when it makes sense.

Reasonable S-Corp compensation

The IRS expects S-Corp owners who work in the business to take a reasonable salary. We help set a defensible salary and distribution mix and document how it was determined.

Medical equipment & Section 179

Imaging, dental and diagnostic equipment can be expensive. We time purchases and elections so deductions line up with your income.

Practice bookkeeping & reporting

Clear monthly statements, payroll splits between providers and clean books for lenders, partners and tax season.

Frequently asked questions

Should my medical practice be an S-Corp?

It depends on your profit level, state rules for professional entities, payroll and retirement plans. An S-Corp election can reduce self-employment taxes for some practices, but it adds payroll and compliance requirements. We model the numbers before recommending it.

What is reasonable compensation for an S-Corp physician?

It is a salary comparable to what the practice would pay someone else for similar services, considering specialty, hours and location. Documenting how the figure was set is important if the IRS questions it.

Can I deduct medical equipment in the year I buy it?

Often, yes, through Section 179 expensing or bonus depreciation, subject to limits. Timing and financing affect the result, so plan major purchases with your advisor.

Let’s review your practice structure

Book a consultation to discuss entity choice, compensation and your next equipment purchase.

Book a Consultation Call (956) 897-9555