| | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Lawful Hiring: How to Interview Applicants without Winding up in Court | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
The New Higher Tax Rates and What Dentists Can Do to Overcome Them
By Bruce Bryen, CPA
Managing Partner Bryen & Bryen LLP
Why All the Fuss?
Those dentists in the higher federal income tax brackets, as defined by the new rates on adjusted gross income, find themselves with less take home pay from the same or more revenue. Living expenses rarely decrease, so the dentist has less money to live on as of January 1, 2013. What the new tax rates mean, especially to those in states with high income tax rates, is that the effective federal and state tax rate for those dentists in this category is probably above 50%. For self-employed tax payers, the actual federal and state tax rates probably approaches 55% or more. Let’s look at an example of a high income earner who lives in a state like New York or New Jersey with high state tax rates. A self-employed person pays a high state rate, the highest marginal federal rate, and double social security and Medicare by virtue of being self-employed. With an increase in the Medicare tax on certain types of income and amounts, one can understand how the self-employed pay quite a bit more than 50% overall. This is a reason for all the fuss.
Are There Options Available to Reduce these High Tax Rates?
There are advantages to being self-employed that can assist in substantially reducing the new marginal federal income tax rate as well as simultaneously reducing the amount reported for state income tax purposes. With some sophisticated planning on behalf of the dental practice and the owner or owners, the taxable income from a flow through dental practice entity such as an “S” corporation or an LLC, LLP or proprietorship can be reduced substantially with little effect on cash flow. “C” corporations also have the advantage of lessening their taxable income with some innovative planning.
Since the total federal and state tax is so much higher, now is probably one of the best times to go ahead with a more sophisticated qualified employer sponsored retirement plan to reduce the overall tax rate and save more pretax dollars. The discussion between the dentist and his or her advisor may have included a review of the types of retirement plans for the dentist and staff before the new tax rates took effect. It could have been that the dentist felt the more sophisticated types of plans were too expensive or were weighted too heavily in favor of allocations for the employees and not enough for the dentist or other key employees. There are options to consider at this juncture because of the new tax rates that will assist in understanding that it is much cheaper to reconsider the advice or to get this type of advice for the first time about sheltering and keeping more money from their dental practice revenue and their personal filings with the state and federal government.
What are Some Examples of These Sophisticated Retirement Plan Designs?
With an expert dental CPA who can assist in constructing the design of the retirement plan, the owner can use legal forms of discrimination based on job description, age, years of service and other areas of classification to restrict the contribution allocated to the employees. An owner can receive an allocation, based on certain factors, of amounts up to and possibly more than $150,000. This takes sophistication on behalf of the advisor and the actuary working in coordination with the dental CPA.
The adoption of this type of retirement plan will substantially reduce the taxable income for state and federal purposes to a modest overall tax rate that can be afforded. Typical charges for these adoption agreements and IRS approval letters authorizing the acceptance of the plan design can be in the range of $7,500 to $10,000 for the first year. After the first year, the fees are more modest with annual administration charges and not an entire design formula that must be presented for IRS approval. What is achieved with the use of these plans, of course, is now much more important at the higher tax brackets than before the new rates and earnings levels were passed by congress to begin as of January 1, 2013.
Find the Right Advisors to Obtain the Most Sophisticated Advice
A first stop is definitely the dental CPA, who understands dental practices as well as innovation in the design of qualified employer sponsored retirement plans for the benefit of the owner and key people.
Bruce Bryen is managing partner of Bryen & Bryen LLP, certified public accountants. Bruce has forty years of experience in assisting dentists with their financial concerns. He has a strong expertise in retirement planning and has testified on numerous occasions as an expert witness regarding partnership disputes, business valuations and divorce proceedings.
Email Bruce at: Bruce@thedentistsnetwork.net or call 800-988-5674 ext. 112
His web site address is www.bryen-bryenllp.com
Forward this article to a friend
|
|
Digital Radiography
By Dr. Lorne Lavine, Dental Technology Consultants
As dentists continue to improve the technology systems in their practices, there are few areas generating as much interest as digital radiography. The benefits have been outlined in previous articles: the elimination of chemicals and processors, the reduction in radiation, and the ability to include the patient in the diagnostic process are all reasons in and of themselves for dentists to consider adopting one of the many digital x-ray systems on the market.
Unfortunately, the process of choosing the right sensor for each dentist can be an exercise in frustration. All of the systems are capable of diagnostic images, so how does an office choose? While many of the vendors would recommend that you look at the resolution, there are many other factors to consider. Since the process of purchasing a digital system often requires the same amount of thought as buying a diamond, I think this would make a good analogy. As many of you know, shopping for diamonds requires you to consider the “4 C’s”: Carat, Color, Cut, and Clarity. There are also “4 C’s” for choosing digital radiography: Comfort, Compatibility, Company, and of course, Cost.
Comfort
While some companies would have you believe that the thinner the sensor, the more comfortable it is, this doesn’t seem to hold true in my experience. Many of the complaints we see from patients are from using thinner sensors, while the thickest sensor on the market is often rated as the most comfortable. There are a few factors responsible for comfort. The edges of the sensor are something that should be evaluated, as this is what patients tend to feel. Also, since sensors require unique positioning systems, these can have more of an effect on comfort than anything else. Almost all systems come with a RINN-style positioner, but there are other systems, such as Wingers and Trollbyte.
Compatibility
Many offices are already using image management software for storing images, such as from intraoral cameras, digital cameras, or scanners. Some of these are integrated with the practice management software, and some are free-standing. It is crucial for an office that is considering digital radiography to choose an image management program before they choose a sensor. Many dentists prefer to have all their images stored in the same software. Therefore, if an office is already using an image program, they will be limited to whichever system is compatible with that software. In a perfect world, it would be easy to switch to another image program if you want…but this is rarely easy. To do so would require conversion of the images into the new program, and this is often difficult if not impossible. So, dentists choosing digital radiography systems will need to evaluate their software situation before picking a digital x-ray system.
Company
Primarily due to the growing popularity of digital radiography, there has been an explosion in the number of companies offering sensor systems, and this number is still growing. While some are backed by large dental supply companies like Carestream Dental, Schein and Patterson, many are from smaller companies with less financial resources or track record. There is nothing wrong with purchasing a system from a small company; the service and support is often excellent and their products are on par with any others out there. However, some companies have gone out of business in the past few years and dentists should understand all of the risks of buying a lesser known product. Another good sign of a company’s ability and willingness to support their products is the length of the warranty. While a few are only one year, some vendors now offer warranties as long as five years. As a caveat, though, these warranties usually only cover manufacturer’s defects, not damage, and should be supplemented with the office’s equipment insurance policy.
Cost
Finally, cost cannot be ignored…it’s typically given as the main reason why offices have chosen to not purchase a digital system. A basic single-sensor system starts at around $5,000 and can be as high as $14,000. Phosphor plate systems run from about $10,000 to $20,000. Often overlooked, however, is the infrastructure needed to run these systems. Besides computers in the ops, dentists will need to consider a dedicated server, monitors, monitor mounts, wireless keyboards and mice, inkjet printers, backup devices…the list is almost endless. Offices need to be aware of all the anticipated costs of “going digital” as the cost of the sensors is usually less than the hardware needed to run these systems.
By taking the time to review the different digital radiography systems, dentists can avoid a very expensive mistake.
Lorne Lavine, DMD is the Founder and President of Dental Technology Consultants. Dr. Lavine holds two prestigious certifications, the A+ Certified Technician designation and the Network+ Certified Professional. These designations demonstrate proficiency in computer repair, operating systems, network design and installation. Dental Technology Consultants provides dentists a full range of services relating to the implementation of technology.
Interested in having Dr. Lavine speak to your dental society or study club? Click here. Dr. Lavine can be reached at drlavine@thedentistsnetwork.net
Hear Dr. Lavine’s FREE podcasts at The Dentist’s Network - HEREForward this article to a friend
To unsubscribe: To discontinue receiving The Dentist's Network Newsletter,
click on the link at the very bottom of this page for instant removal,
To report technical problems with this newsletter or to request technical help,
please send a descriptive email to: webmaster@thedentistsnetwork.net
To request services, products or general inquires about The Dentist's Network activities
please send a descriptive email to: info@thedentistsnetwork.net
Copyrights 2006 The Dentist's Network - All Rights Reserved.
| This CoolerEmail was delivered to you by The Dentist's Network. You can take your email address off The Dentist's Network's email list, or update your preferences and/or send comments to The Dentist's Network. If you request to be taken off The Dentist's Network's email list, The Dentist's Network will honor your request pursuant to CoolerEmail's permission-based email terms and conditions. Postal address: 3252 Holiday Court, Suite 110, La Jolla, Ca 92037 |






No comments:
Post a Comment