Healthcare & Medical
Tax advisory for physicians, medical practices, and healthcare businesses. We help medical professionals minimize tax burden, structure practices optimally, and build long-term financial security.
Tax strategy as precise as your practice.
Physicians and healthcare professionals face some of the highest marginal tax rates of any profession. Without proactive strategy, a significant portion of your income disappears to taxes. We build the structures and implement the strategies that change that equation.
From early-career residents to practice owners and healthcare executives, we provide comprehensive tax planning that accounts for the unique financial dynamics of medical careers.
How we serve healthcare professionals
Practice-focused tax services for physicians and healthcare businesses.
Medical Practice Structuring
Design and implement optimal practice entity structures — professional corporations, LLCs, and partnerships — that minimize taxes while complying with state medical licensing requirements.
Physician Compensation Planning
Structure physician compensation, employment agreements, and equity arrangements to maximize after-tax income. Balance salary, distributions, and retirement contributions optimally.
Practice Buy-In & Buy-Out
Navigate the tax implications of joining or leaving a practice. Structure buy-ins to minimize goodwill tax and buy-outs to maximize capital gains treatment for departing physicians.
Hospital Employment Tax
Optimize the tax position of hospital-employed physicians. Maximize deductions available to W-2 employees and advise on non-qualified deferred compensation arrangements.
Healthcare Business Tax
Tax strategy for hospitals, ASCs, imaging centers, and other healthcare entities. Navigate the unique tax issues facing tax-exempt and for-profit healthcare organizations.
Retirement Plan Design
Implement defined benefit plans, cash balance plans, and 401(k)/profit-sharing combinations to shelter substantial income from high-earning physicians and practice owners.
Get expert healthcare tax advisory — built for high-earning medical professionals.
Get StartedExplore our tax services
Built for physicians who spend years earning the right to earn.
Medical training is a long and expensive road. You deserve to keep as much of the income it delivers as legally possible. Our strategies are designed specifically for the financial realities of high-income medical professionals.
Shelter your highest-earning years from taxation.
Physicians often hit their peak earning years at 40-55. Maximizing retirement plan contributions during this window creates enormous long-term benefits — reducing current taxes while building tax-advantaged wealth compounding for decades.
Cash Balance Plan Design
Implement cash balance plans to contribute $150K+ annually in deductible retirement savings beyond standard 401(k) limits.
401(k)/Profit-Sharing Combo
Combine employee deferrals with profit-sharing contributions to maximize the $69,000 annual addition limit.
Deferred Compensation
Structure non-qualified deferred compensation arrangements for hospital-employed physicians to defer current income to lower-tax years.
Backdoor Roth Strategy
Implement backdoor Roth contributions to build tax-free retirement assets even above traditional IRA income limits.
Why healthcare professionals choose Jaguar Tax
Medical Practice Expertise
We understand the unique constraints of medical practice — state licensing requirements, Stark Law implications, and the complex dynamics of physician partnerships.
High-Income Physician Planning
Physicians are among the highest-earning professionals. We implement aggressive but compliant strategies to reduce the tax burden on income that often exceeds $500K annually.
Practice Lifecycle Support
From residency financial planning through practice ownership and eventual succession, we provide continuous tax guidance at every stage of a physician's career.
Multi-State Medical Practice
Practices with multiple locations face complex multi-state tax issues. We manage apportionment, nexus, and state-specific professional licensing requirements seamlessly.
"As a specialist earning well above $1M, I thought my tax situation was just a fact of life. Jaguar Tax implemented a defined benefit plan and S-Corp structure that saves me $220K every year."
Healthcare Tax Questions
Common questions from physicians and medical practice owners.
Many states require physicians to practice through a Professional Corporation (PC) for liability reasons. Within that constraint, we optimize the entity election — typically S-Corp for tax purposes — to reduce self-employment taxes. In states allowing medical LLCs, we model both structures for your specific income and expense profile.