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Running a profitable private practice does not automatically mean you are paying the lowest amount of tax legally required. In fact, many private practice owners overpay—not because they did anything wrong, but because their tax strategy has not kept pace with the growth of their practice. Here are five common reasons: 1. Your business entity no longer fits the practice The entity that worked when your practice first opened may not be the most tax-efficient structure now. As revenue and profit increase, remaining a sole proprietor or single-member LLC without reviewing other options could result in unnecessary self-employment taxes. 2. You wait until tax season to discuss taxes By the time your tax return is being prepared, most tax-saving opportunities for the prior year have already expired on December 31st. Tax preparation reports what happened. Tax planning helps you make strategic decisions before the deadlines pass. 3. You miss legitimate business deductions Private practice owners frequently overlook expenses related to professional development, technology, insurance, home offices, retirement contributions, business use of vehicles, and other costs associated with operating the practice. Missing deductions means paying taxes on income that could have been legally reduced. This also happens due to poor bookkeeping. 4. You do not maximize retirement and benefit strategies The right retirement plan can help you build wealth while lowering taxable income. Depending on your practice, there may also be opportunities involving health insurance, Health Savings Accounts, or benefits provided through the business. 5. You do not adjust your strategy as the practice grows A strategy that worked two years ago may be costing you money today. Overpaying in taxes is not always caused by one major mistake. It is often the result of several missed opportunities that add up over time. The goal is not simply to file an accurate return. The goal is to reduce taxes legally, remain compliant, and make proactive decisions that support the financial health of your practice. I help private practice owners heal costly tax problems, reduce taxes legally, and prevent future tax issues with proactive tax strategies and expert tax resolution. Schedule a paid tax strategy consultation to determine whether your current approach is still serving your practice. If you need assistance with a tax bill over $100,000, schedule your consultation to see what options are available to you. Karitsa Kerns, CPA, EA
I help private practice owners heal costly tax problems, reduce taxes legally, and prevent future tax issues with proactive tax strategies and expert tax resolution. DEADLINES September 15th -
October 15th -
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Have you ever been shopping during a sale, gotten to the register, and the cashier says: “Actually, I can give you another 25% off.” It wasn’t advertised. You didn’t know about it. But the cashier did. Would you say, “No thanks. I’d rather pay full price”? Of course not. Yet private practice owners do something similar with taxes all the time. They wait until tax season to talk to a tax professional. They get hit with a large tax bill and immediately start figuring out how to pay it. Or they...
The IRS recently announced a change that could make it easier for some taxpayers to get penalty relief. Starting this summer, the IRS will begin automatically removing certain penalties for taxpayers who have a strong history of filing and paying on time. In the past, you generally had to contact the IRS and request the First Time Penalty Abatement. Under the new process, called the Automatic Exemption from Penalty, eligible taxpayers will not have to ask. You may qualify if you filed your...
If the IRS accepted your tax return, congratulations—your return made it through the IRS processing system. But here’s what many private practice owners don’t realize: An accepted return is not the same as an accurate return. Many people are confused when I review prior tax returns, identify errors, missed deductions/opportunities, and explain how it's supposed to be done accurately and LEGALLY. This is also why many returns are later audited, amended, or assess additional taxes even though...