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Tax	and	Practice	Strategies	
You	Can	Sink	Your	Teeth	Into
Bassim	Michael,	CPA,	CVA,	MS	Tax
Michael	&	Company,	CPA	A	PC
www.onlyfordentists.com
bmichael@bmichaelcpa.com
559.436.8907	~	Fresno
408.333.9802	~	San	Jose
1‐877‐71‐Taxes	~	Toll	Free
www.OnlyforDentists.com 1
Presentation	Overview
Introduction
Survey
Economic	trends	in	dentistry
Overview	of	the	latest	tax	legislation
Tax	strategies	to	lower	your	taxes
Statistics	and	Case	Studies
Q&A
www.OnlyforDentists.com 2
Survey
Own	a	practice	vs.	associate	or	employee
Practicing	over	20	years?
Practicing	under	20	years?
How	many	are	optimistic	about	the	future	of	
dentistry?
How	many	feel	they	are	paying	too	much	in	taxes?
How	many	have	an	exit	strategy	or	plan?
www.OnlyforDentists.com 3
Economic	Trends	in	Dentistry
A	tale	of	two	cities,	the	best	of	times	and	the	worst	
of	times.		We’re	seeing	practices	that	are	taking	off	
and	thriving	and	others	that	are	declining.
Patients	are	paying	more	out	of	packet.
Dentistry	is	becoming	more	consumer	driven.
30%	percent	of	the	dentistry	is	delivered	out	of	
10%	of	the	locations.
Wall	Street	is	in	love	with	dentistry.		Dentistry	is	
the	most	profitable	business	in	America!
DSO’s	are	here	to	stay	and	are	shedding	the	clinic	
image.
www.OnlyforDentists.com 4
Economic	Trends	in	Dentistry
 Practices	that	are	thriving	are	doing	the	
following:
 Doctors	are	investing	in	their	own	prof.	development
 Focusing	on	practice	culture	and	investing	in	the	
team’s	development.		“Staff	is	an	infection,	team	is	the	
cure!”	Joseph	Blaes,	DDS,	Dental	Economics
 Wow	patients,	don’t	hurt	them
 Saying	YES	more	to	patients
 Professional	Management	– more	delegation
 Growing	revenues,	lowering	overhead	&	more	efficient
 Adding	new	patients	and	keeping	them
www.OnlyforDentists.com 5
Overview	of	the	Tax	Increase	
Prevention	Act	of	2014
 For	couples	earning	$457,600;	single	taxpayers	earning	
$406,750	it	raises	the	top	rate	to	39.6%	and	raises	long	
term	capital	gains	to	20%	from	15%
 Obama	Care:	With	respect	to	health	insurance,	your	
business	may	be	eligible	for	a	credit	for	contributions	to	
purchase	health	insurance	for	employees.	The	amount	of	
the	credit	increased	this	year	to	50	percent	(35	percent	for	
tax‐exempt	organizations)	of	premiums	paid.	The	tax	
credit	is	subject	to	a	reduction	if	you	have	more	than	10	
full‐time	employees	or	if	average	annual	full‐time	
employee	wages	exceed	$25,000.
 Extends	through	2014	tax‐free	distributions	from	IRA	
accounts	for	charitable	purposes,	relief	from	cancellation	
of	debt	income	for	principal	residences.
www.OnlyforDentists.com 6
Overview	of	the	Tax	Increase	
Prevention	Act	of	2014
Extends	through	2014	business	tax	provisions:
Section	179	asset	expensing	at	$500,000	
50%	bonus	depreciation	
Extends	through	2014	certain	energy	tax	
incentives	that	expired	at	the	end	of	2013	
including:	energy	efficient	credit	for	existing	
homes,	and	energy	efficient	credit	for	new	homes.
www.OnlyforDentists.com 7
Tax	Strategies	to	Lower	Your	Taxes
 Good	record	keeping	habits	will	help	you:
 Capture	all	your	deductions.
 Keep	your	deductions	in	case	of	an	audit.
 Help	you	manage	a	better	practice	– If	you	can’t	measure	it,	
you	can’t	manage	it.
 Understand	and	review	your	numbers	on	a	regular	basis.
 Ask	your	CPA	to	look	at	your	books	quarterly	to	make	sure	
you	are	looking	at	accurate	figures.
 As	early	as	July,	ask	your	CPA	to	provide	you	with	a	tax	
projection	and	ask	them	for	recommendations	to	lower	
your	liability.
www.OnlyforDentists.com 8
Tax	Strategies	to	Lower	Your	Taxes
 Why	is	the	mid‐year	tax	projection	important?
 It	will	make	you	consider	the	following:
Do	I	have	the	right	retirement	plan	in	place?
Am	I	maximizing	my	retirement	plan	deduction?
Do	I	need	to	consider	equipment	purchases	to	maximize	my	
depreciation	deduction?
Can	I	defer	billing	towards	the	end	of	the	year	so	that	
collections	would	come	in	next	year?
Can	I	accelerate	expenses	before	the	end	of	the	year?
 Follow	up	with	another	projection	in	November	to	make	
sure	you	are	on	track.	Last	minute	planning	does	not	work!
www.OnlyforDentists.com 9
Tax	Strategies	to	Lower	Your	Taxes
Don’t	overlook	the	tax	credits.
Federal	disabled	access	credit	‐ $5,000	maximum	
tax	credit	for	eligible	businesses	that	comply	with	
the	Americans	with	Disabilities	Act	of	1990.
California	New	Jobs	Credit	‐ $3,000	tax	credit	for	
each	net	increase	in	qualified	full	time	employees.		
The	state	allocated	$400	million	towards	that	tax	
credit.
Cost	Segregation	studies
Domestic	Production	Activities	Deduction	– Cerec
Machine
www.OnlyforDentists.com 10
Being	Proactive	Can	Save	You	$$$
The	data	we	have	compiled	show	that	dentists	
who	are	proactive	in	their	planning	save	more	in	
taxes	than	dentists	who	do	nothing.
Average	annual	tax	savings	for	dentists	around	$15K
Average	cost	segregation	savings	$25K‐35K
Average	annual	domestic	production	activities	
deduction	$1,500
New	hire	tax	credit	average	tax	benefit	$3K
Q	&	A
www.OnlyforDentists.com 11

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Tax planning for dentists 2015