I just talked to my accountant and worked up a bit of a plan, where it would in fact be beneficial to go S corp- even while in CA. However I'm currently in a high earning phase. Net benefit for me would be about 4k after accounting for the CA franchise tax and increased taxes needing to pay the accountant. However I have well above average income so at "standard" EM of 300-400k likely the 1-2k benefit and may not be worth the extra hassle. Additional benefit of going S corp is that you can have you S corp rent your private residence from yourself for group entertainment and meetings. Just need to carefully document what was talked about and who was there. Get comps from local hotel meeting rooms, restaurants with private rooms and minimum spend. You can usually take a 1-2k deduction per day used and get 15 days per year of renting your main residence income tax free. This greatly expands the benefit of S corp. You just need to be able to clearly justify it. I'm a director for our physician group, and have other hospital admin roles so quite defensible.
Other deductions that I have found after extensive research these last few months in order from obvious to more esoteric:
- Max 401k, obviously.
- Max HSA if you have high deductible health plan
- Set up defined benefit plan or use group DBP
(Above should easily get you to 80k+, and well over 150k if you have a private DBP)
- Vehicle deductions. Can't deduct mileage commuting from home but commuting from home office to hospital is deductible. Need a defensible reason for home office ie telemedicine, admin work etc. Some neat tricks in there ie buying a vehicle in December and driving it 100% for business that month. You can then take a 179 deduction on the whole price of the vehicle if it's over 6000 lbs (ie Tesla Model X, BMW X5, Range Rover Etc). That gets you about 50% off right there and you can deduct the whole amount. If a smaller vehicle is your thing, then current tax law allows you to take accelerated depreciation of 18k first year, 16k year 2 etc. Keep in mind if you do anything other than straight line depreciation or milage deductions cars are listed property so you have to maintain >50% business use for 5 years to avoid paying recapture. After 5 year can give to family member etc and move on to the next one. You can sell the vehicle for below market rate ie to friends or family to avoid having to pay recapture and keeping sales price at the level you have depreciated to and give family a deal.
- Cell phone (My accountant recommended max 90%), home office, scrubs, work shoes, stethoscope other basic equipment
- CME, LLSA, hospital medical staff dues, DEA, state license and other obvious stuff
- Business meals: Even if you are our with friends from work this counts as we all talk about work and interesting cases anyways. Similarly if you are out with work friends for other events "ie group retreats" to winery, golfing with CMO etc. Use an app like Expensify and take a photo of the receipt for deductions later.
- Business travel: Conferences, job interview etc make flight and hotel deductible. American Seminar Institute is shady and stretching the letter or the law but you can get a CME certificate from anywhere and any duration of trip. I know a lot of people who have done this, but seems too shady for me.
- Real estate: Best combined if you have a spouse who is working part time. Get them real estate professional status (declared on tax return). This allows you to take an income property and do cost segregation and then accelerated depreciation which because of the REPS can be deducted against the higher earners other income, dramatically lowering the initial acquisition costs of a property and rehab costs. See Semi Retired MD website for more explanation.
- Can have rental real estate in vacation spot that you can inspect and maintain when you travel there to make your trip totally deductible in addition to the income produced. Bonus if this is in a no/low income tax state for further tax arbitrage so you can retire there and withdraw all those pre tax savings at an even lower rate.
- Conservation easements: Very complex and require careful record keeping and assessments. Beware of those selling you a syndicated conservation easement as these are listed transactions with the IRS and asking for audit. However if you want to buy a nice piece of country property you can set aside a large portion if it for conservation and ensure it can't be developed (hey...it's why you would want the property for the open space right?). You can have a portion still excluded ie for a primary residence. The rest can then be deducted as if you were going to develop it minus the purchase price for the raw land. The difference can frequently be 4x your purchase price in deductions and essentially negate the purchase price of the initial property if you can deduct it against several years in a row of high income. Aside from simply losing a ton of money in his businesses, this was the most common tax deduction/charitable contribution by Trump.
- Given current low interest rates and if you have a one time liquidity event or high income year plus feal charitably inclined there has never been a better time to set up a Charitable Lead Trust. Donor Advised Fund is less complex and my preference but I've been thinking about the former a bit for this year or next.
Hope that helps!