If you're a doctor who paid 30%+ in taxes in 2024...

You Probably Overpaid The IRS

By $80,000 Or More

Watch the Short Video Below to See How We Reduce Your Taxes

Your CPA Said "there's nothing more you can do."

We Showed These Doctors Otherwise.

Physician saves $400K in taxes through advanced real estate and business tax strategies.

Implemented cost segregation and bonus depreciation to maximize real estate deductions across properties in U.S. and Canada.

Optimized consulting business with entity restructuring, home office, and vehicle deductions.

Neurologist saves over $250K in taxes through strategic planning.

Maximized deductions with real estate depreciation, bonus depreciation, and accounting elections.

Optimized consulting income with entity structuring, home office, and vehicle deductions.

Delivered a comprehensive, year-round tax strategy, boosting cash flow and enabling reinvestment into business and real estate.

Cardiologist recovers $90K in overpaid taxes through amended returns (2022–2024).

Optimized entity structures and reporting for both medical contracting and business operations.

Leveraged real estate depreciation to reduce liabilities and improve cash flow.

Built a proactive, family-centered tax plan to manage $1MM+ income and fund priorities like their children's college tuition.

Health Insurance Co. resolves years of missed U.S. tax and FBAR filings, eliminating risk of IRS penalties and audits.

Achieved full international compliance across U.S. and Mexico operations.

Streamlined cross-border operations with bilingual CPA coordination.

Secured legal and financial peace of mind, protecting a multimillion-dollar business while enabling continued growth.

By the time doctors and medical professionals

find us, they’re frustrated, and rightfully so.

You’re earning at the top of your field.

Yet every year, you watch tens of thousands disappear to taxes.

When you ask your CPA how to fix it, you hear the same answer:

“That’s just part of being successful.”

But deep down, you know that can’t be right.

You are correct.

At Delerme CPA, we fix that.

Our Track Record

15+ Years Maximizing

Tax Savings

400+ Clients

Successfully Supported

A+ Rating from the

Better Business Bureau

Over $50 Million in
Client Tax Savings

After our call, you'll walk away with:

A clear picture of why you may be overpaying in taxes.

A personalized projection on how much you can save.

A step-by-step plan to start saving now and prevent future overpayments.

Confidence that your tax strategy is both optimized and compliant.

Why Work With Delerme CPA?

In-House Tax Attorneys

Our team includes dedicated tax attorneys who ensure every strategy we implement is 100% legal, fully compliant, and defensible.

For physicians who demand precision and airtight protection, this means your tax savings are built on a rock-solid foundation.

Wealth Structuring

We help structure your practice entity, design advanced retirement plans, and evaluate which investments deliver the greatest tax advantages.

Most physicians have multiple income streams, we help you leverage them to accelerate long-term wealth.

A Full Tax Team, Not Just One CPA

When you work with us, you’re not limited to a single accountant’s perspective. You get access to CPAs, tax attorneys, enrolled agents, and advisors who bring diverse expertise across industries and jurisdictions.

This team approach means sharper strategies, fewer missed opportunities, and stronger results.

Personalized, Global Solutions

No cookie-cutter strategies here. Every client’s plan is custom-tailored, accounting for cross-border investments, state and federal rules, and evolving financial goals.

With multi-jurisdictional licensing and compliance expertise, we guide you through complex landscapes seamlessly as your needs grow.

Streamlined Access and Communication

You’ll have a dedicated advisor and secure portal to track progress in real time.

Our process is designed for physicians’ busy schedules — efficient, transparent, and always available when you need clarity.

Smooth sailing and constant communication are our standards.

Proven Experience for

High Income Earners

With 16+ years of experience and 400+ clients served, our bilingual team specializes in tax planning for high-income physicians and professionals.

We craft strategies tailored to each unique situation, maximizing deductions, reducing taxes, and delivering measurable results most firms can’t match.

Frequently Asked Questions

How can I legally lower my tax burden as a high-earning physician?

There are many IRS-approved strategies to reduce your effective tax rate and taxable income. Some of the most powerful (especially for high earners) include:

- Maximizing contributions to high-limit retirement plans (e.g. defined-benefit, cash balance, or “stacked” plans)

- Using health-savings accounts (HSAs), flexible spending, or other pre-tax benefits

- Choosing the optimal entity structure or tax election (e.g. S-corp, LLC taxed as S, or a professional corporation)

- Accelerating or bunching deductible expenses, timing capital gains or losses, and smart charitable giving

- Depreciation, Section 179, cost segregation (for real estate or practice assets)

- State and residency planning (e.g. relocating, timing income, understanding domicile rules)

These techniques must be customized to your practice, personal goals, and risk tolerance. Our team builds a tailored long-term tax plan rather than using generic checklists.

What role should my CPA play in reducing taxes vs. just filing returns?

A high-value CPA (or firm) should not simply be a “tax return filer,” but a proactive tax planner / strategist. Here’s how they differ:

Tax preparer: Backward-looking: collect your documents, fill and file returns. Works mostly around tax season and ensures compliance while claiming deductions you already qualify for.

Tax planner / tax strategist: Forward-looking: design business & financial structure to reduce tax burden. Works all year long, not only during tax season, with periodic reviews. Their strategies lower your future taxes, shift income/deductions optimally, and anticipates changes.

Many CPAs or firms do both roles to a degree, but not all are skilled or experienced in advanced tax planning. Some may stick to preparation because it's lower risk, easier to standardize, or because they lack deep knowledge in strategies for high earners.

Your tax planner should essentially be your partner who sees your full financial picture and integrates planning into your business and personal life.

If these strategies are legal, why hasn't my previous CPA recommended them already?

Just because a strategy is legal doesn’t mean every CPA will (or can) recommend it. Below we'll outline some reasoning behind this:

Scope / specialization: Some CPAs focus primarily on compliance and preparation rather than proactive tax strategy (they may not have training or comfort with riskier structures).

Lack of depth or resources: Advanced planning often involves modeling, projections, multi-jurisdictional work, legal input, and deeper knowledge that not all CPA firms have. Many CPAs operate as a one-person show, which means less expertise among many different sectors and strategies.

Misalignment of incentives: A preparer may not be compensated (or incentivized) to dig into year-round planning.

Client timing / awareness: Many physicians only engage a planner late in the year (or after the tax season) — by then, many strategic “windows” are closed.

At our firm, we blend compliance, planning, and legal oversight (CPAs + tax attorneys) so clients aren’t left relying on one perspective.

What are the most common tax planning levers physicians underutilize?

Even among sophisticated professionals, many tax levers go unused or are poorly optimized. Some of the most underutilized:

- Cash balance / defined benefit retirement plans (these allow very high deductible contributions)

- Aggressive depreciation and Section 179 / bonus depreciation on equipment or real estate

- Choosing the right mix of salary vs distributions (in S-Corp / professional entity setups)

- Strategic timing of income and deductions (bunching, deferral, accelerating certain costs)

- Tax-efficient charitable giving: donor-advised funds, gifting appreciated securities, QCDs (for those over 70½)

- State and locality planning: domicile changes, income-shifting, favorable jurisdictions

- Collaboration with investment / wealth management strategies (e.g. Roth conversions, tax-sensitive allocation)

- Audit defense and documentation readiness (so you can safely use more aggressive positions)

We run “gap analyses” to compare what you could use vs what you currently use — the difference can be up to six-figures in tax savings.

How do I evaluate a CPA firm to ensure they're true tax planners and not just tax preparers?

Here’s a quick checklist of traits, questions, and signs of a genuine strategic tax partner:

✔ Credentials & specialization

- Look for CPAs with advanced tax credentials, credentials in multiple jurisdictions (or familiarity with cross-state issues)

- Experience working with high-income professionals (doctors, specialists)

- Partnerships with tax attorneys or in-house legal support

✔ Process and communication

- They should ask forward-looking planning questions (cashflow, risk tolerance, growth plans), not just “give me your W-2s/1099s”

- Year-round check-ins or midyear reviews, not just “once a year”

- Scenario modeling and forecasting, not vanilla “fill in blanks”

✔ Depth of offering

- Offer entity design (LLC, S-Corp elections, professional corp advice)

- Retirement plan design and contribution modeling

- State residency / domicile planning

- Audit defense or proactive documentation support

A Note from Victor Delerme,

Founder & CPA

"I’ve spent 15 years working exclusively with high-earning medical professionals, studying exactly where money leaks out—and how to stop it.

This is the same tax strategy system that’s helped 400+ doctors reduce their tax bills by six figures, year after year.

Our framework focuses on the few tax strategies that deliver the biggest results, so you don’t waste time chasing scraps or risky loopholes.

We apply what the top 1% already use, proactively and legally."

Your biggest tax savings are waiting, will you claim them or miss out?

DELERME CPA

LOCATIONS:

Atlanta: 4651 Roswell Road, B105, Atlanta, GA 30342

Puerto Rico: 807 Ave Ponce de Leon PMB 0406, San Juan, PR 00907

Miami: 31 SE 5th Street, Suite CU204. Miami, FL, 33131

CONTACT: 678-585-6580 | [email protected]