SmartWealth

Year-End Tax Moves for Physicians

Simple, legal, and strategic steps to keep more of what you earn before year-end

SmartWealth Year-End Tax Moves for Physicians

Before December 31st, you have a narrow but powerful window to make moves that could save tens of thousands in taxes.


Most physicians wait until tax season—when options are limited and opportunities lost. But the most financially savvy doctors use Q4 to position themselves wisely for the year ahead.

Here’s your SmartWealth Year-End Tax Moves Checklist — concise, actionable, and designed to help you finish strong and start 2026 with confidence.

SmartWealth Year-End Tax Moves Checklist


Maximize Retirement Contributions

Make sure you've fully funded your 401(k), Solo 401(k), or Cash Balance Plan. These contributions directly reduce taxable income while accelerating long-term wealth building.

Optimize Your Entity Structure

If you operate as an S Corp, review your "reasonable compensation." Adjusting your salary and distribution mix can unlock significant tax savings before year-end.

Leverage Section 179 and Bonus Depreciation

Considering new medical or office equipment? Assets placed in service by December 31st may qualify for immediate expensing—boosting deductions and preserving cash flow.

Review Owner Draws & Distributions

Ensure your 2025 draws and distributions are documented and aligned with cash flow. Proper timing can prevent underpayment penalties and audit red flags.

Prepay Deductible Expenses

Ensure your 2025 draws and distributions are documented and aligned with cash flow. Proper timing can prevent underpayment penalties and audit red flags.

Charitable Giving with Intention

Amplify your impact and your deduction. Consider Donor-Advised Funds or gifting appreciated securities for optimal tax efficiency.

Conduct a Year-End Tax Strategy Review

A 30-minute strategic review can reveal missed deductions, overlooked credits, or entity adjustments that materially change your tax outcome.

The "Augusta Rule"

Did you know you can rent your home to your medical practice for up to 14 days per year—completely tax-free?

This IRS-approved strategy (Section 280A(g)) can allow physicians to shift legitimate business expenses—such as board meetings or retreats—into personal income exempt from tax.

Note: documentation and fair market valuation are key.

We often integrate this and other Advanced SmartWealth Tax Strategies during a private review session.

Customize Your Strategy


You've checked the list—now it's time to customize your strategy. Every practice is different, and the biggest savings often come from layered, physician-specific strategies.

Income Shifting

Advanced Depreciation Structuring

Entity Realignment

Tax-Efficient Wealth Transfers

↳ t o identify the exact moves that fit your income, goals, and entity structure.

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“Very thorough and informative service provided. The consultations were very professional and they gained my trust very quickly. I appreciate the guidance given and more importantly showing me where tax can be saved in the future. I will continue to use and make the most of the expert advice given and their services."

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