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6 Proposed Tax Changes that Could

                                                                                     Affect High-Net-Worth Individuals


                                                                                   With tax season officially here, many Americans are
                      SFHHA 2017 Calendar                                         wondering how the new presidential administration will
                                                                                  affect their tax bill going forward. While we don’t yet know
                                                                                  which campaign promises will eventually become legisla-
           The 2017 educational offerings of the South Florida Hospital & Healthcare  tion, President Trump’s tax proposals could result in signif-
         Association (SFHHA) are in full swing! SFHHA is the best source in South Florida  icant rate changes for many Americans.
         for reliable information and sound advice for healthcare decision-makers. SFHHA  Two of my colleagues who specialize in helping busi-
         strives to improve the efficient delivery of quality healthcare services in South  nesses and individuals with tax planning, David Merzel,
         Florida by championing collaboration and communication among leaders across  CPA, CFE, EA, and Meredith Tucker, CPA, recently co-
         the healthcare continuum.                                                authored a blog post about the six proposed tax changes
           To do so, the SFHHA has selected the most timely and important topics as iden-  that are most applicable to high-net-worth taxpayers. The
         tified by our healthcare leaders and members, providing valuable educational  following is a summary of the proposed changes.
         opportunities in 2017. See below for the 2017 SFHHA calendar of upcoming  1. Reduction in top rates. Today’s federal income tax
         events. Save the dates!                                                  rates include seven brackets ranging from 10% at the low-  BY KEVIN N. FINE, MHA
                                                                                  est to 39.6% for the highest-earning Americans. Under the
         January 19: MACRA – How you can prepare now                              proposed changes, brackets would be reduced to three tiers, maxing out at a reduced rate
         February 3: Election’s Impact on Healthcare Policy                       of only 33% for incomes over $225,000. Long-term capital gains rates would be held at
         February 21: Winter Networker                                            20%.
         February 22: CJR Bundle                                                   2. Elimination of the Net Investment Income Tax. Americans earning over $250,000
         February 23: 2017 Health Tech Trends                                     were impacted by the 2013 implementation of the nation’s 3.8% surtax on investment
                                                                                  income. This surtax would be eliminated under proposed tax changes.
         March 17: Patient Experience + Networking
                                                                                   3. Limitations on itemized deductions and increases to standard deductions. Under
         March 28: Hospital Compliance
                                                                                  President Trump’s proposal, aggregate itemized deductions would be limited to a lump
         April 4: New Member Breakfast
                                                                                  sum total of $200,000 for married/joint filers and $100,000 for single taxpayers.
         April 6: Spring Networker
                                                                                  However, those utilizing the standard deduction would benefit with married/joint tax-
         April 15: Telemedicine                                                   payers receiving a bump to $30,000 in standard deductions, up from approximately
         April 19: CEO Think Tank – Networking “On the Road to Quality”           $13,000.
         April 21: Safety & Security Committee Training Session                    4. Elimination of Alternative Minimum Tax. President Trump’s proposal would elimi-
         May 11 & 12:  Annual Healthcare Summit: The TRIPLE AIM                   nate the Alternative Minimum Tax, a long-standing tax system that runs parallel to the
         Breakout Session Topics: Health Information Technology, Telemedicine,    regular tax system for wealthy taxpayers.
         Transition of Care “Secret Sauce”, Healthcare Finance                     5. Increase in carried interest tax rates. Carried interest earned by those in the private
         July 13: Health Information Technology Event (TBD)                       equity world is currently taxed at a preferential 20% rate akin to long-term capital gains.
                                                                                  Under Trump’s proposed changes, this income would revert to higher, ordinary tax rates.
         August 1: New Member Breakfast
                                                                                   6. Changes to estate and gift taxes. The current system imposes a 40% tax on an estate
         August 17: Summer Networker
                                                                                  to the extent it exceeds$5.45 million. Trump has proposed the complete repeal of estate
         September 8: Safety and Security Committee Training Session
                                                                                  taxes; however, capital gains held until death and valued over $10 million would be taxed
         September 26-28: Leadership Breakfast (Miami-Dade, Broward, Palm Beach)
                                                                                  at a 20% rate.
         October 4: Health Information Technology - Cybersecurity                  Speak to a tax advisor to learn how these and other proposed tax changes could affect
         October 23: Annual Golf Tournament                                       your tax situation.
         October 26: Fall Networker
         November 1: Quality Committee Education Session:                           Kevin Fine is a director of healthcare advisory services in the Miami office of Kaufman Rossin,
         “Regulatory Tsunami:Weathering the Storm”                                                                one of the Top 50 CPA and advisory firms in the U.S.
         November 7: New Member Breakfast                                                                          He can be reached at kfine@kaufmanrossin.com.
         December 7: Annual Meeting & Dinner
                                                                                      Wellington Regional Medical Center
                         SFHHA Is Calling Its
                           Members to Action:                                         Raises $18,500 for 41 Local Families

                     Requesting speaker presentation proposals                      Wellington Regional Medical Center (WRMC) proudly announced that through
                             for any of the topics above.*                        the generosity of the medical staff, hospital employees and the medical executive
                                                                                  committee, the hospital collected $18,500 to help 41 local families during the holiday
                                                                                  season. Through a partnership with nine local public schools, families with severe
            Send all proposals to Lourdes Barroso, Director of Program Development at  circumstances were identified.
          LBarroso@sfhha.com. Opportunities to underwrite these are also available.  Joseph Paul, Chief Financial Officer at WRMC, launched this initiative in 2013.
            Please call SFHHA for more information at (954) 964-1660 or visit     Since then, the hospital has assisted 103 school-aged children and their families and
          www.sfhha.com. Follow SFHHA on LinkedIn, and Twitter @sfhha for daily   has given over $50,000. The families each received a Walmart gift card for food,
          updates on news and events.                                             clothing, medicines, household goods, and toys for the children.



                        Coming next month in

                   South Florida Hospital News
                     and Healthcare Report...


                Annual Salute to Doctors Issue:  Physician Profiles
                          • Real Estate – Healthcare Design,
                           Construction, Facility Planning,
                                                                    •Leasing vs. Buying
                      •Physician Group Practice Management
                                                   •  Hospital/Physician Relations
                                        •Hospitalist Programs •MACRA Update

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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                         February 2017                            7
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