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Year-round tax tips: Plan now for April 2020

Article-Year-round tax tips: Plan now for April 2020

Year-round tax tips: Plan now for April 2020

Do you realize that, after the recent tax reform – between income, capital gains, Medicare, self-employment and other taxes – some physicians may still be facing marginal tax rates in excess of 50%? How many months are you working for the government before you start earning money for yourself? And, if you are like many physicians, you get very few tax planning ideas from your advisors.

Given these sobering facts, it is important that you discover ways to save, so we’ve put together a list of strategies to help you enter 2020 on the right path. Note, it is important to implement these planning concepts early in the year when you can best take advantage of them. Let’s examine them now:

Use the right mix of benefit plans

These areas are where many tax mistakes are made today – and where many physicians could benefit by up to thousands of dollars annually with the right analysis and execution. In the area of qualified retirement plans (QRPs), like 401(k)s and profit-sharing plans, many businesses and professional practices employ plans that are sub-optimal, either from a formula perspective (i.e., owners could be putting away more and getting higher deductions); a fee perspective (i.e., the third party administrator [TPA] or fund choices may charge higher fees than needed); or from a liability perspective (i.e., the business and owners are the sole fiduciary on the plan, giving them sole legal responsibilities for plan performance). All of these factors should be examined in a review/audit.
In addition to QRPs, there are additional planning opportunities using non-qualified plans. These plans have much different rules than QRPs – most importantly, such plans need not be offered to employees – practice owners can allow only themselves to participate. Despite this and other tax benefits, few medical practices utilize them today, which is unfortunate.  

Manage your investments with tax efficiency; explore investment managers who manage with taxes in mind

Make sure that you have the right investments in the right accounts. Investments that generate significant taxable income can be held in your retirement accounts while growth assets can be held in after-tax brokerage accounts. Since you cannot control the capital gains you will realize within mutual fund investments, consider other alternatives, but at a minimum, hold these assets in the proper accounts. Harvest capital losses against capital gains all year rather than waiting until December. Also, be aware of the holding periods of your investments and where possible, time your sales to get long-term capital gains treatment rather than short-term gains.
If you need help with these strategies, consider working with an investment firm that designs a tax-efficient portfolio for you and communicates with you each year to minimize the tax drag on that portfolio. In a mutual fund, you have only one-way communication – the fund tells you what your return is and the tax cost. Working with an investment management firm, you get two-way communication; the firm works with you to maximize the leverage of different tax environments, offset tax losses and gains, and other tax minimization techniques.  
Gain tax-deferral, asset protection through cash value life insurance
Mutual funds and personally owned securities will generate federal short- or long-term capital gains taxes (plus state taxes) when they are turned over (within a fund) or liquidated to become cash for retirement. However, similar assets within a cash value life insurance policy will generate no taxes – because the growth of policy cash balances is not taxable and, with proper management, the cash value in such policies can be accessed in retirement tax-free as well. 
Consider charitable giving
There are many ways you can make tax-beneficial charitable gifts while also benefiting your family. The most common tool for achieving this “win-win” is the Charitable Remainder Trust (CRT). A CRT is an irrevocable trust that makes annual or more frequent payments to you (or to you and a family member), typically, until you die. What remains in the trust then passes to a qualified charity of your choice.  
This article provides physicians with a few tax-saving ideas. If you want to save on taxes, the most important thing you can do is start looking for members of your advisory team who can help you address these issues in advance.  Otherwise, you will be in this same position on April 15, 2020 and for years to come.  

About the author

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Mr. Mandell is an attorney, consultant and author of more than a dozen books for doctors, including For Doctors Only. He is a partner in the wealth management firm OJM Group (, where Carole C. Foos, CPA, is a partner and lead tax consultant. They can be reached at [email protected]

SPECIAL OFFER: To receive a free print copy or ebook download of Wealth Management Made Simple or For Doctors Only: A Guide to Working Less and Building More, text OJMTAC to 555-888, or visit and enter promotional code OJMTAC at checkout.


OJM Group, LLC. (“OJM”) is an SEC registered investment adviser with its principal place of business in the State of Ohio.  SEC registration does not constitute an endorsement of OJM by the SEC nor does it indicate that OJM has attained a particular level of skill or ability.  OJM and its representatives are in compliance with the current notice filing and registration requirements imposed upon registered investment advisers by those states in which OJM maintains clients.  OJM may only transact business in those states in which it is registered or qualifies for an exemption or exclusion from registration requirements.  For information pertaining to the registration status of OJM, please contact OJM or refer to the Investment Adviser Public Disclosure web site

For additional information about OJM, including fees and services, send for our disclosure brochure as set forth on Form ADV using the contact information herein.  Please read the disclosure statement carefully before you invest or send money.

This article contains general information that is not suitable for everyone.  The information contained herein should not be construed as personalized legal or tax advice.   There is no guarantee that the views and opinions expressed in this article will be appropriate for your particular circumstances.  Tax law changes frequently, accordingly information presented herein is subject to change without notice.  You should seek professional tax and legal advice before implementing any strategy discussed herein.

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