- A voice for independent doctors
- Are you prepared?
- How to fill your staffing needs
- The latest on AI and optometry
- More courses, more uses, more impact: Why more AOA member doctors, staff are turning to AOA EyeLearn
- Master paraoptometric certification exam prep with AOA’s study resources
- 5 things every office needs to practice full-scope optometry
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- Keeping your practice (and finances) safe
- Is your exam chair ADA compliant?
- 2.9% Medicare cut, broadly panned, looms over 2025 as advocates press Congress
- How to navigate political conversations in your practice
- Making the grade
- Does your malpractice insurance provider measure up?
- The power of delegation
- New technologies shaping optometry’s future
- How AOAExcel makes your life easier
- Next-gen optometry’s focus on independent practice
- Inferiority complexity?
- Is your staff connected? How peer connections benefit practices
- Protecting patient privacy when a clinical observer visits
- Does your practice do in-house billing? Here’s something to know
- Where to start? The tools and resources to leave a positive impact on your patients and community
- AOA boosts support for optometrists rocked by Change Healthcare cyberattack
- Be aware of new classification of employee vs. independent contractor from labor department
- Why optometrists love the AOA Business Card
- Paraoptometric Month
- Patient intake coding for medical diagnoses
- Set your practice up for success
- New federal Corporate Transparency Act
- How to compete with online sellers
- CMS finalizes 2024 physician fee schedule: AOA’s 8 takeaways for optometry
- How do you measure success in your practice?
- 4 tips to elevate the profession and educate the public
- Now we’re talking: Communicating with the public
- Level up your optometric surgical team: AOA launches surgical assistant coursework
- 4 essential personal financial tools for optometrists
- Coding for orthoptic training
- New remote testing option for paraoptometric certification saves time, distance
- Testing 1, 2, 3 … paraoptometric exam handbook, resources for certification testing
- 6 things every hiring practice owner should include in a career center listing
- Now we’re talking: Patient communication
- AOA, leading schools organize to safeguard and expand optometry’s independence
- Co-managed care rife with success stories for patients, doctors
- 3 ways to grow careers and practices at Optometry’s Meeting® 2023
- Why disability insurance is crucial
- Now we’re talking: Interprofessional communication
- Build your practice and protect the planet
- You’ve been served—now what? Where ethical intersects legal
- DEA’s new opioid training mandate: What you need to know
- How to handle bad reviews and ratings
- How the updated position statement can help guide telemedicine in optometry
- 3 questions to ask your malpractice insurance agent
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- AOA Antitrust Compliance Policy
- How the AOA Business Card can benefit your practice
- Combatting inflation
- How to earn an MBA while practicing
- AOA’s new Center for Independent Practice to amplify members-only resources for practice success
- Window Tinting
- The most important thing to know about retirement savings planning
- bolster your cybersecurity
- Identity Theft
- How the HIPAA Privacy Rule applies in a public health emergency
- Partners in care
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- When patients defect: A case study in emotional intelligence
- A career choice
- Be proactive: Identifying improper sales programs, financial incentives
- Scope of practice and malpractice insurance
- website ADA compliance
- Which retirement plan is right for you
- AOA practice success initiative can help with payer issues
- The most important questions to ask about disability insurance
- audio-only telehealth
- A case study in professionalism
- How to eliminate bias in the exam
- Keeping the practice’s mental health top of mind
- Managing expectations Telemedicines next step
- Optometrys Meeting Surgical Saturday
- 5 ways AOA membership can bring your practice success
- 6 ways to make a job posting pop
- The impact of paraoptometric certification
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- How to speak the universal language of care
- How to Obtain Hospital Privileges
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- AOA 2021 Virtual Learning Livecast opens for registration
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- Paraoptometric Exam Materials & Certification
- Keeping the medicine in telemedicine
- Know your options
- Business transition tips for buying or selling
- The wrong patient communication plan could be costly
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- 7 things to know to protect your future
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- AOA offers CE-eligible webinar-paraoptometric certification
- 8 lessons the COVID-19 pandemic has taught us
- talking politics keep peace in the practice
- Selling your practice to a private equity firm
- paraoptometric certification
- Life Insurance Awareness Month
- Members support AOA during COVID-19
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New tax rules good for small business, experts say
January 11, 2018
Tax consultants say new Tax Cuts and Jobs Act offers opportunities for independent operators, such as doctors of optometry.
Doctors of optometry have plenty to consider as they eye the new Tax Cuts and Jobs Act of 2017, which reduced corporate and individual tax rates while eliminating or altering long-held tax deductions.
For instance, beyond the drop in the corporate and individual tax rates, the act contains AOA-backed, small-business-friendly provisions. Among them are provisions that protect small business' ability to write off interest on loans; expand Section 179 of the tax code to allow businesses to fully claim expenses on investments; and allow for a "pass-through" income exception for which doctors of optometry previously did not qualify. Read about AOA's successful backing of key tax overhaul provisions.
Under the act, signed Dec. 22 by President Donald Trump, many optometric practices now qualify for a 20% deduction on pass-through income thanks to the advocacy efforts of AOA and others. The pass-through deduction generally applies to:
- Single filers with income under $207,500 ($157,000 pass-through and a phase-out for an additional $50,000 W-2).
- Married filers with income under $415,000 ($315,000 and a phase-out for an additional $100,000 W-2).
The pass-through provision has garnered the most attention, say executives with Capital Preservation Services based in Flowood, Mississippi, which provides tax consulting to doctors of optometry, dentists and other groups. The company also consults with optometric practices in Alabama, Colorado, Florida, New Jersey and Utah.
In a Q&A, company officials—J. Todd Mardis, president, and T. Walt Dallas, tax attorney—share what doctors of optometry and other small-business owners might consider as they unwrap the impact of the new tax rules. There's a lot for doctors of optometry to like, Mardis and Dallas say.
What impact will the new tax law have on optometric practices?
Mardis: Overall, the new tax bill has many opportunities for optometrists. The reduction of marginal rates, lowering the medical deduction to 7.5% of adjusted gross income and the new 20% flow-through deductions for pass-through entities are just a few. However, to maximize these opportunities, business owners will need to focus on corporate structuring with an emphasis on being able to 'time' receipt of income. While there has been a reduction in marginal rates, there also has been a significant reduction in deductions that business owners had been eligible to take in the past.
Will every optometric practice be affected?
Mardis: With any small business, it depends on how your practice is organized and how much income it earns. Some optometric practices are sole proprietorships. Sole proprietorships are a typical structure we would see for an optometrist who comes out of optometry school and has hung a shingle for the past five years as an owner. I'd say that 70 to 80% of the optometric clientele we work with are set up as S corporations.
Dallas: S corporations are the most common way we see doctor of optometry practices owned. Sole proprietorships and S corporations are both pass throughs—their practice income flows down to their individual tax returns. But S corporations will give a doctor of optometry more options as far as how to save taxes.
Is there an advantage to being organized as an S corporation?
Dallas: An S corporation allows the flow through of income to the owner, similar to a sole proprietorship and partnership, but it allows for a salary to be paid from the S corporation to the optometrist. So, the salary will be burdened with payroll taxes. However, the rest of the income, in excess of a salary, comes out to the optometrist free of payroll taxes. That's the main tax advantage of an S corporation to a doctor of optometry.
The pass-through provision has earned a lot of attention. Why?
Mardis: The excitement over the new Tax Cuts and Jobs Act is that there is a provision that applies to S corporations and other flow-through entities that allow a 20% deduction, if that optometrist's income falls below $314,000. Again, there is a phase out from $315,000 to $415,000.
Dallas: We may see some restructuring of practices to take advantage of the flow-through deduction. To reduce their practice income, they might consider splitting off some of those other types of services (labs or surgery centers, for instance). It may be that a practice could split off some of those other types of services to reduce practice income and qualify them for that pass-through deduction.
Any other changes of note for doctors of optometry in the new tax law?
Mardis: There are a number of deductions that have been removed that are going to affect small-business people. A couple of these would be (1) a $10,000 cap on state and property taxes. We just did a tax analysis with a physician who paid $42,000 in state and property taxes. He now is capped at $10,000 (through 2015). He lost a $32,000 deduction. In his tax bracket, that would equate to about a $12,000 to $13,000 increase in his taxes. The next deduction that was lost was (2) the ability to deduct meals and entertainment at 50%. They were subject to a 50% reduction in the past, but now there is no more deduction at all.
How would you get started in determining how an optometric practice might fare under the Tax Cuts and Jobs Act?
Dallas: Getting a general knowledge base is always a good first move. But, once they get past that initial understanding, then they need to rely upon someone who does this every day, full time. I would want to go to someone who knows how to proactively plan to take advantage of the new law—to understand the client situation, to see how the tax law applies to that situation and file the tax law documents, so they get the best benefit on a long-term basis.
Mardis: Significant tax reduction begins with corporate structuring and knowing what the tax code allows you to do, and not to do, in each corporate structure that you have set up.