Article

Tax Considerations When Expanding Your Dental Practice to Multiple Locations

January 1, 2025

Expanding your dental practice to multiple locations is an exciting opportunity for growth, but it comes with new financial responsibilities, particularly in tax planning. From facing state-specific tax laws to allocating income across multiple locations, the challenges can add up quickly.  

Working with a trusted professional, like a tax advisor in Ocala, can help you make informed decisions and optimize your tax strategy. In this guide, we’ll explore key tax considerations to ensure your expansion is financially efficient and compliant.

happy practice owner after getting help from a Tax Advisor in Ocala

State Tax Obligations: What You Need to Know

Operating in multiple states introduces varying tax requirements that can impact your practice’s bottom line.

Income Allocation Across States

When your practice spans different states, you must determine how income is allocated to each location. States have their own formulas for calculating taxable income, often based on revenue generated, employee location, and property use. Proper allocation ensures compliance and avoids double taxation.

Sales Tax for Dental Services and Products

Some states tax dental products like aligners or whitening kits sold directly to patients. Others may exempt medical services altogether. Knowing which items or services are taxable in each state helps you manage pricing and avoid unexpected tax liabilities.

Payroll Taxes for Multi-State Employees

If employees work across locations, you may need to withhold and remit payroll taxes to multiple states. Properly classifying their work location can prevent penalties and ensure accurate reporting.

Leveraging Tax Deductions for New Locations

Expanding comes with significant expenses, but many are tax-deductible.

Startup Costs and Lease Agreements

Initial costs like office renovations, new equipment, and legal fees can often be deducted. A tax advisor can help you decide whether to deduct these costs upfront or amortize them over time.

Employee Recruitment and Training

Expenses related to hiring and training staff for your new location may qualify for tax deductions. Keeping detailed records of recruitment efforts and training sessions can maximize your tax benefits.

Travel Between Locations

If you travel frequently between your practice locations, your transportation and lodging costs might be deductible. Be sure to document trips thoroughly to comply with IRS guidelines.

Navigating Multi-State Tax Credits

Expanding your practice could open doors to valuable tax credits.

Incentives for Job Creation

Many states offer credits for creating new jobs. If your new location brings employment opportunities to an underserved area, you might qualify for state and local incentives.

Economic Development Zones

Setting up in designated Opportunity Zones can reduce your tax liability. These areas offer significant tax breaks, such as capital gains deferrals, for investments to revitalize the local economy.

Green Tax Credits

Upgrading to energy-efficient equipment or designing an eco-friendly office qualifies your practice for federal and state green energy incentives. These credits reduce your taxes and appeal to environmentally conscious patients.

Multi-State Tax Risks and Avoiding Pitfalls

Expanding to multiple locations brings risks that require careful management.

Nexus Triggers

A “nexus” in a state means you’re subject to its tax rules. Nexus can be triggered by owning property, hiring employees, or conducting substantial business activity in a new state. A tax advisor can help identify and manage these obligations.

Audit Risks

Multi-state operations increase the likelihood of an audit. Each state may scrutinize your filings to ensure compliance with its laws. Keeping meticulous records and working with a tax expert can minimize this risk.

Overlapping Tax Laws

Conflicting state tax laws can create confusion. For example, one state might classify a specific dental service as taxable while another doesn’t. Staying informed about each state’s rules is crucial to avoid penalties.

Planning for Future Growth

Expansion isn’t just about the present; planning for future scalability is essential.

Tax Structures for Multi-State Practices

Reevaluating your business structure can optimize taxes. For instance, forming an LLC or corporation may simplify tax obligations as you grow.

Succession Planning and Long-Term Strategy

With multiple locations, succession planning becomes more complex. Structuring ownership to align with your long-term goals ensures continuity and tax efficiency when transitioning ownership.

Tax-Efficient Growth Investments

Investing in technology, patient care, or marketing can increase profitability and reduce taxable income. Aligning these investments with a tax strategy helps your practice grow sustainably.

Tax Advisor in Ocala at work

Why Work with a Tax Advisor in Ocala?

Expanding your dental practice is rewarding, but understanding the tax implications can be challenging. A knowledgeable tax advisor can help you navigate multi-state taxes. They can ensure you follow the rules and find ways to save money. Their expertise covers income allocation and using tax credits. With their guidance, you can improve your financial results while reducing stress.

If you want to improve your tax strategy as your dental practice grows, contact DeMeola Temple CPA Group today! Our team focuses on tax planning for dental professionals, helping you tackle growth challenges so you can focus on your success.