54 tagged with "Healthcare"
Financial management and accounting solutions for healthcare businesses
Section 199A SSTB Limitation: Why High-Earning Doctors, Lawyers, and Consultants Lose the 20% QBI Deduction
Section 199A's 20% QBI deduction phases out entirely for high-income doctors, lawyers, consultants, and other specified service trades or businesses (SSTBs) — costing a married surgeon at $700,000 of K-1 income roughly $52,000 a year. This guide covers the 2026 income thresholds (~$394,600 MFJ phase-in, ~$544,600 fully phased out), the de minimis safe harbor at 10% / 5% of receipts, the anti-"crack and pack" rules under Reg. §1.199A-5(c)(2), and practical strategies like defined-benefit plans and W-2 wage planning to preserve the deduction.
Section 199A's SSTB Cliff: Why Doctors, Lawyers, and Consultants Lose the 20 Percent QBI Deduction
Section 199A's SSTB rule denies the 20 percent qualified business income deduction to high-earning doctors, lawyers, consultants, and financial advisors. In 2026 the joint-filer phase-out runs from $403,500 to $553,500, and OBBBA added a permanent $400 minimum deduction for active business owners.
COBRA Notice Deadlines for Employers: The Five Windows That Decide Whether You Owe Excise Taxes
COBRA's notice scheme runs on five deadlines — 90, 30, 14, 60, and 45 days. Miss any one and a group health plan can face a $100-per-day Section 4980B excise tax, up to $110-per-day ERISA penalties, and private lawsuits. A practical guide for plan sponsors and HR teams.
PCORI Fee 2026: Self-Insured Plans, HRAs, and Form 720 by July 31
For plan years ending in 2025, self-insured plan sponsors and HRA employers must file Form 720 by July 31, 2026 and pay $3.84 per covered life ($3.47 for plan years ending before October 1, 2025). This guide covers who owes the fee, the three approved methods to calculate average covered lives, why HRAs count employees only, and the common Form 720 filing mistakes that trigger IRS notices.
QSEHRA vs. ICHRA in 2026: How Small Employers Without a Group Plan Can Reimburse Workers for Individual Health Insurance—Tax-Free
For 2026, QSEHRA caps tax-free reimbursements at $6,450 self-only and $13,100 family for employers under 50 FTEs, while ICHRA has no IRS cap and lets any-size employer vary contributions across 11 federal employee classes—provided the 9.96% affordability test, MEC requirement, and 90-day notice are all met.
Self-Funded vs Level-Funded vs Fully-Insured Health Plans: How Small Employers Cut Premium Costs Without Taking on Catastrophic Claim Risk
A funding-model guide for small employers comparing fully-insured, level-funded, and self-funded group health plans, with the math on stop-loss coverage, ERISA fiduciary exposure, Form 5500 filings, and when each model actually saves money.
The HSA: The Stealth Retirement Account That Beats Your 401(k) on Tax Efficiency
How the 2026 Health Savings Account combines tax-free contributions, tax-free growth, and tax-free medical withdrawals — and how the shoebox strategy turns an $8,750 family limit into a six- to seven-figure retirement vehicle by age 65.
Cash Balance Plans for High-Income Solo Practitioners: How Doctors, Lawyers, and Consultants Defer Six Figures Tax-Free
U.S. cash balance pension plans let solo doctors, attorneys, and consultants deduct $100,000–$370,000 a year on top of a Solo 401(k). 2026 contribution limits, a worked example for a 54-year-old physician, and the actuarial commitments to weigh before signing.
Small Business Health Care Tax Credit: The Complete Employer's Guide to Claiming Up to 50%
Employers with fewer than 25 FTEs and average annual wages below the IRS cap can claim up to 50% of health insurance premiums through the Small Business Health Care Tax Credit. This guide covers 2026 eligibility, the sliding-scale math, Form 8941 mechanics, and the mistakes that kill otherwise valid claims.
Form 8941: The Small Business Owner's Guide to Health Insurance Tax Credits
Form 8941 lets small businesses claim up to 50% of employee health insurance premiums as a direct tax credit — but only if you have fewer than 25 FTE employees, pay average wages below ~$65,000, and purchase coverage through the SHOP Marketplace. Here's how to calculate and claim it before your two-year eligibility window closes.
Tax Deductions for Therapists: The Complete Guide to Maximizing Your Write-Offs
Therapists in private practice can claim deductions for office space, telehealth software, continuing education, malpractice insurance, and retirement contributions — this guide covers every major write-off plus the ones most practitioners miss.
Medical Practice Accounting: A Complete Guide to Healthcare Financial Management
Learn the essential accounting practices every medical practice needs, from revenue cycle management and accounts receivable to tax planning and profit distribution models for group practices.