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.
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.
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.
Considering new medical or office equipment? Assets placed in service by December 31st may qualify for immediate expensing—boosting deductions and preserving cash flow.
Ensure your 2025 draws and distributions are documented and aligned with cash flow. Proper timing can prevent underpayment penalties and audit red flags.
Ensure your 2025 draws and distributions are documented and aligned with cash flow. Proper timing can prevent underpayment penalties and audit red flags.
Amplify your impact and your deduction. Consider Donor-Advised Funds or gifting appreciated securities for optimal tax efficiency.
A 30-minute strategic review can reveal missed deductions, overlooked credits, or entity adjustments that materially change your tax outcome.
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.
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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