June 14, 2019
Thoughts About Employing a Spouse in the Practice

There are a number of good reasons to employ your spouse in your practice. However, before you start generating paychecks, work with your accountant to make sure you meet IRS rules for spousal employment. For example, and this is pretty basic, your spouse should have a position description and actually perform the functions of the job. In addition, you should avoid paying a salary that is in excess of market rates.
A great reason to hire your spouse is the valuable services they can render to your business. Through my work as a practice integration advisor, I’ve come to know some dentists that frankly could not operate without their spouse’s management of the practice. In some cases, the spouse is an office manager or a dental assistant or hygienist. Many dentists I know also find that having their spouse work in the practice provides valuable insight into the daily operation of the business and staff morale. They often are another set of eyes and ears in the practice when the dentist is busy with patients. Finally, dentists may find great comfort in working through the day-to-day problems of the practice with their wife or husband.
Paying a spouse provides some spending cash for family or individual personal expenses. I generally suggest not to “overpay” a spouse because it helps minimize the associated Social Security and Medicare payroll taxes. However, I also recognize the potential importance of the spouse having his or her own Social Security benefits in retirement.
The primary reason I would recommend dentists hire their spouse in the practice is to take advantage of the benefits afforded to owners and their spouses in qualified pension plans. In a 401(k) plan, both the doctor and spouse can maximize their salary deferrals, effectively doubling their tax-deferred savings while reducing their income tax bill. In cases where a dental practice has both a 401(k) and cash balance defined benefit plan, adding a spouse may enhance the dentist’s ability to maximize the dentist’s share of the employer’s contribution to both plans. A word of caution, however; pension rules are complex and I recommend you speak with a competent pension plan actuary before implementing any qualified plans.
This commentary originally appeared June 5 on DentalTown.com
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