Forward Thinking

Forward Thinking

Issue: April 2020
Disclosures: Bhatia and Mandell report no relevant financial disclosures.
April 17, 2020
4 min read

Physicians can benefit from a tax-savvy investment portfolio

Issue: April 2020
Disclosures: Bhatia and Mandell report no relevant financial disclosures.
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Physicians of all specialties, including orthopedic surgeons, want to reduce taxes whenever possible. Although many orthopedists typically focus on active professional income, it is also crucial they spend some time and effort on how their investments are taxed. In fact, writing a large check to the IRS serves as a harsh reminder that tax planning, including as it relates to investments, requires attention throughout the year. It is not a technique that can be properly managed only at tax time.

In this article, we provide six suggestions that could save you thousands of dollars in investment taxes over the next several years.

Account registration

Account registration matters. Many orthopedists are familiar with the term asset allocation as it relates to one’s portfolio. However, a common mistake that is often made is failure to implement an asset location strategy. Individually owned brokerage accounts, Roth individual retirement accounts and qualified plans are subject to various forms of taxation. It is important to utilize the tax advantages of these tools to ensure they work for you in the most productive manner possible. For example, investment vehicles that pay qualified dividends are preferred in an individual or joint brokerage account, while it is generally preferable for qualified accounts to own high yield bonds and corporate debt taxed at ordinary income rates. There are countless additional examples to discuss, but the lesson is it is important to review the pieces of your plan with an advisor who will consider both asset allocation and asset location as they relate to your specific circumstances.

Sanjeev Bhatia
David B. Mandell

Municipal bonds in taxable accounts

Consider owning municipal bonds in taxable accounts. Most municipal bonds are exempt from federal taxation. Certain issues may also be exempt from state and local taxes. This may be attractive to many orthopedists whose income puts them in the top income tax bracket. Under these circumstances, a municipal bond yielding 3% will provide a superior after-tax return compared with a corporate bond yielding as high as 5% in an individual or joint registration, in a pass-through limited liability company or in many trust accounts.

Holding periods

Be cognizant of holding periods. Long-term capital gains rates are more favorable than short-term rates. Holding a security for a period of 12 months or longer presents an opportunity to save nearly 20% on the taxation of your appreciated position. For example, an initial investment of $50,000 that grows to $100,000 represents a $50,000 unrealized gain. If an investor in the highest tax bracket simply delays liquidation of the position (assuming the security price does not change), the tax savings in that scenario would be $8,500.

Although an awareness of the holding period of a security would appear to be a basic principle of investing, many mutual funds and managed accounts are not designed for tax sensitivity. High income investors, like many orthopedic surgeons, need to be cognizant of this fact. Therefore, it is generally advantageous to seek the advice of a financial professional who is aware of holding periods and has experience executing an appropriate exit strategy.

Realize losses to offset gains

Proactively realize losses to offset gains. One benefit of holding a diversified portfolio is that, if it is structured properly, the securities typically will not move in tandem. This divergence of returns among asset classes not only reduces portfolio volatility, but it creates a tax planning opportunity. When some holdings within a portfolio have experienced gains, while others have declined, an astute advisor can use this situation to save clients thousands of dollars in taxes by performing strategic tax swaps prior to year-end. It is important to understand the rules relating to wash sales when executing such tactics. The laws are confusing and, if a mistake is made, your loss could be disallowed. Make certain your advisor is well-versed in utilizing tax offsets.

Gifting cash

Think twice about gifting cash. This is not to discourage your charitable intentions, but quite the opposite. However, a successful investor can occasionally find himself or herself in a precarious position. Perhaps you have allocated 5% of your portfolio to a growth stock with significant upside. Several years have passed, the security has experienced explosive growth and it now represents 15% of your investable assets. Suddenly your portfolio has a concentrated position with significant gains and the level of risk is no longer consistent with your long-term objectives. The sound practice of rebalancing your portfolio then becomes costly because liquidation of the stock could create a taxable event that may negatively impact your net return.

By planning ahead, you may be able to gift a portion of the appreciated security to a charitable organization that is able to accept this type of donation. The value of your gift can be replaced with the cash you originally intended to donate to the charitable organization. In this scenario, your cash will create a new cost basis. The charity has the ability to liquidate the stock without paying tax, and you have removed a future tax liability from your portfolio. Implementing the aforementioned gifting strategy offers the potential to save thousands of dollars in taxes over the life of your portfolio.

Mutual fund tax cost ratio

Understand the mutual fund tax cost ratio. The technical details of a mutual fund’s tax cost ratio is beyond the scope of this article. The intent is to simply bring this topic to your attention. Tax cost ratio represents the percentage of an investor’s assets that are lost to taxes. Mutual funds avoid double taxation, provided they pay at least 90% of net investment income and realized capital gains to shareholders at the end of the calendar year. However, all mutual funds are not created equally. Proper research will allow you to identify funds that are tax efficient.

A well-managed mutual fund will add diversification to a portfolio while creating the opportunity to outperform asset classes with inefficient markets. You should be aware of funds with excessive turnover. Moreover, an understanding of when a fund pays its capital gains distributions is critical. The bottom line is that understanding the tax cost ratios of the funds that make up portions of your investment plan will enable you to take advantage of the many benefits of owning mutual funds.


The steps in this article are by no means the only tax strategies experienced advisors can execute on behalf of their clients. In today’s tax environment, orthopedists must choose an advisor who will help them look beyond portfolio earnings and focus on strategic after-tax asset growth.

Disclosures: Bhatia and Mandell report no relevant financial disclosures.