southern orthopaedic associationrobert d. zura, md soa board of trustees the southern orthopaedic...

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Southern Orthopaedic Association CME credits. This included a total of 120 abstract presentations accepted by the pro- gram committee. More than 75 rapid-fire papers and at least 40 podium presentations. Six subspecialty symposia and 2 mini symposia and more than 60 poster presentations round- ed out the program. The Social Program pro- vided all the options for family focused activities and the golf and tennis were popular as always. The SOA continues to be a strong regional society, which is an advocate for you and your practice on multiple levels. As our challenges in Orthopaedic Surgery practice continue to grow, we are here for you as an advocate in all areas. This will be reflected in our Annual Meeting next summer. In addition to an out- standing academic line up we will have a spe- cial focus on Survival in Orthopedic Practice and symposia focus on Physician Leadership. Speaking of our next Annual Meeting, it is not too early to mark your calendar now for yet another excellent SOA experience. The 2017 President’s Message Samuel I. Brown, MD meeting will be in beautiful Hilton Head, SC at the Westin Hilton Head Island Resort. Dr. Robert Zura, Chairman of Orthopaedics at LSU is our Program Chair and he is already crafting an academic meeting that should be exemplary. Dr. John Feagin has accepted the honor of Distinguished Southern Orthopedist and will be a part of our leadership symposium. In fact, his name is literally synonymous with the word Leadership. His incredible background includes having been Chief of Orthopaedics at the 86th Evacuation Hospital in Qui Nhon, Vietnam, Commander of Keller Army Hospital at West Point, Founder and President of AOSSM, Team Physician for US Olympic Ski Team, Professor of Surgery at Duke University, Division of Orthopaedics, Chief of Orthopae- Fall 2016 / Volume 16 / Number 2 / www.soaassn.org ear Colleagues, Greetings from the Southern Orthopaedic Association. Thank you for your incredible participation and support in this phenomenal organization. Especially we appreciate the outstanding work and contributions so many of you made in July as we completed one of our most successful summer meetings ever. It was held in Naples, Florida at the Naples Grande Resort under the leadership of Presi- dent Darren Johnson and his lovely wife Nan- cy. Our Program Chairman was Dr. Scott Mair. He put together an absolute “top shelf” program. A huge Thank You goes to the John- sons and Mairs for all their hard work! Can’t forget to thank the “Johnson Girls” (Darren and Nancy’s daughters) for keeping the dance floor going Saturday night! The educational side of the meeting provided an opportunity for over 23 AMA Category 1 D I N S I D E Meet the New Board Member p.2 In Memory of SOA Past Presidents p.3 Recap of the 33rd Annual Meeting p.4 Southern At The SEC p.4 Annual Meeting Sponsors and Exhibitors p.5 Money Matters p.6 Call for Abstracts he Southern Orthopaedic Association will present its next Annual Meeting June 28- July 1, 2017 at The Westin Hilton Head Island Resort & Spa on Hilton Head Island, South Carolina. The Annual Meeting is one of the premier meetings for orthopaedists practicing in the South. The Scientific Program will be developed to present timely reviews of prac- tice-related techniques and clinical research findings in orthopaedic surgery through ac- cepted outstanding abstracts. Nationally rec- ognized speakers will also be invited to participate. We invite you to submit one or more abstracts for the meeting, as this is an excellent oppor- tunity to present a paper to your peers. The submission deadline is January 13, 2017. Ab- stract applications may be submitted online through the SOA’s web site. Visit us at www.soaassn.org and click on the “Submit your Abstracts” link. We look forward to receiving your abstract(s) and to seeing you in South Carolina next year. T continued on p. 2 34th Annual Meeting Westin Hilton Head Island June 28-July 1, 2017 | Hilton Head Island, SC

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Page 1: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

Southern Orthopaedic Association

CME credits. This included a total of 120abstract presentations accepted by the pro-gram committee. More than 75 rapid-firepapers and at least 40 podium presentations.Six subspecialty symposia and 2 mini symposiaand more than 60 poster presentations round-ed out the program. The Social Program pro-vided all the options for family focusedactivities and the golf and tennis were popularas always.

The SOA continues to be a strong regionalsociety, which is an advocate for you and yourpractice on multiple levels. As our challengesin Orthopaedic Surgery practice continue togrow, we are here for you as an advocate in allareas. This will be reflected in our AnnualMeeting next summer. In addition to an out-standing academic line up we will have a spe-cial focus on Survival in Orthopedic Practiceand symposia focus on Physician Leadership.

Speaking of our next Annual Meeting, it is nottoo early to mark your calendar now for yetanother excellent SOA experience. The 2017

President’s MessageSamuel I. Brown, MD

meeting will be in beautiful Hilton Head, SC atthe Westin Hilton Head Island Resort. Dr.Robert Zura, Chairman of Orthopaedics at LSUis our Program Chair and he is already craftingan academic meeting that should be exemplary.

Dr. John Feagin has accepted the honor ofDistinguished Southern Orthopedist and willbe a part of our leadership symposium. In fact,his name is literally synonymous with theword Leadership. His incredible backgroundincludes having been Chief of Orthopaedics atthe 86th Evacuation Hospital in Qui Nhon,Vietnam, Commander of Keller Army Hospitalat West Point, Founder and President ofAOSSM, Team Physician for US Olympic SkiTeam, Professor of Surgery at Duke University,Division of Orthopaedics, Chief of Orthopae-

F a l l 2 0 1 6 / V o l u m e 1 6 / N u m b e r 2 / w w w . s o a a s s n . o r g

ear Colleagues,

Greetings from the SouthernOrthopaedic Association.Thank you for your incredibleparticipation and support inthis phenomenal organization.

Especially we appreciate the outstanding workand contributions so many of you made in Julyas we completed one of our most successfulsummer meetings ever.

It was held in Naples, Florida at the NaplesGrande Resort under the leadership of Presi-dent Darren Johnson and his lovely wife Nan-cy. Our Program Chairman was Dr. ScottMair. He put together an absolute “top shelf”program. A huge Thank You goes to the John-sons and Mairs for all their hard work! Can’tforget to thank the “Johnson Girls” (Darrenand Nancy’s daughters) for keeping the dancefloor going Saturday night!

The educational side of the meeting providedan opportunity for over 23 AMA Category 1

D

I N S I D E

Meet the New Board Member p.2

In Memory of SOA Past Presidents p.3

Recap of the 33rd Annual Meeting p.4

Southern At The SEC p.4

Annual Meeting Sponsorsand Exhibitors p.5

Money Matters p.6

Call for Abstractshe Southern Orthopaedic Association willpresent its next Annual Meeting June 28-

July 1, 2017 at The Westin Hilton Head IslandResort & Spa on Hilton Head Island, SouthCarolina. The Annual Meeting is one of thepremier meetings for orthopaedists practicingin the South. The Scientific Program will bedeveloped to present timely reviews of prac-tice-related techniques and clinical researchfindings in orthopaedic surgery through ac-cepted outstanding abstracts. Nationally rec-ognized speakers will also be invited toparticipate.

We invite you to submit one or more abstractsfor the meeting, as this is an excellent oppor-

tunity to present a paper to your peers. Thesubmission deadline is January 13, 2017. Ab-stract applications may be submitted onlinethrough the SOA’s web site. Visit us atwww.soaassn.org and click on the “Submityour Abstracts” link.

We look forward to receiving your abstract(s)and to seeing you in South Carolina next year.

Tcontinued on p. 2

34th Annual Meeting

Westin Hilton Head IslandJune 28-July 1, 2017 | Hilton Head Island, SC

Page 2: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

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SOA Central Office

PRESIDENTSamuel I. Brown, MD

PRESIDENT-ELECTMatthew J. Matava, MD

SECRETARY/VICE PRESIDENTRyan M. Nunley, MD

TREASURER Andrew A. Shinar, MD

IMMEDIATE PAST PRESIDENTDarren L. Johnson, MD

BOARD OF TRUSTEESJames A. Browne, MD

James R. Ficke, MDJeffrey A. Guy, MD

Christopher A. Heck, MD Lee R. Leddy, MD

H. Clayton Thomason III, MD

Historian (Ex-Officio)C. Lowry Barnes, MD

Editor (Ex-Officio)L. Andrew Koman, MD

SOA BOC RepresentativeFred C. Flandry, MD, FACS

2017 Program ChairRobert D. Zura, MD

SOA Board of Trustees

The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty oforthopaedic and trauma surgery. Its mission is to develop and foster the art and science of medicine in the specialty oforthopaedic and trauma surgery. SOA operates exclusively for charitable, scientific and educational purposes.

The SOA

President’s Message continued…

dics, Durham VA Medical Center as well as aMedical Missionary with International Medi-cal Missions.

In addition, we will have a very special Presi-dential Guest Speaker who will continue withour theme of Leadership and Endurance inOrthopaedic Surgery. Once again, all of thiswill be coupled with exciting family orientedoptions for social and entertainment activities.The Westin Resort is directly on one of thesouth’s most beautiful beaches. You will expe-rience the extraordinary sunrises each morn-ing and find everything from paddle boardingto dolphin cruises available to you and yourfamily. The wide, flat beach is ideal for walk-ing, running and biking or just soaking upsome rays if your ultraviolet exposure andVitamin D levels are at a deficit.

My wife Rosemary, along with Stacy Waldand our ace management team from DataTrace, are putting together some special thingsfor the spouses each morning. The popularbreakfast gatherings will be back and youshould look forward to a great family timetogether.

Rose and I want to personally invite you tocome to Hilton Head next summer. It’s reallya tropical paradise and we will honor thatgenre by avoiding things like coats and ties,tuxedos, evening dresses, etc. Instead, bringyour Caribbean (or Hawaiian) attire and keepyour eyes and ears open for some “Jimmy Buf-fet style” activities. Did I mention margaritas?They have plenty of margaritas in Hilton Head!

Thanks again for all of your support over thelast 30+ years. Thank you also to our BusinessExhibitors and the support they provide forthis educational event. We could not accom-plish this without you. Continued thanks toour SOA Board of Trustees, who work so hardto keep the Southern Orthopaedic Associationalive and healthy.

Mark your calendars for June 28-July 1, 2017.We look forward to seeing you there.

Sincerely,

Sam BrownSamuel I. Brown, MDPresident, Southern Orthopaedic Association

110 West Road, Suite 227Towson, MD 21204-2136

Phone: 866-762-0730Fax: 410-494-0515

E-mail: [email protected] Site: www.soaassn.org

Executive DirectorChuck Freitag

Director of OperationsCynthia Lichtefeld

Lee R. Leddy, MDDr. Lee R. Leddy did hisundergraduate work at Em-ory University where hereceived his BS in Biologi-cal Science while letteringon the varsity basketballteam. He then received his

MD from the University Of Florida College OfMedicine in Gainesville, FL. He returned toEmory University to complete an internshipand residency in the Department of Orthopae-dic Surgery. He followed that with a fellow-ship in Orthopaedic Oncology.

Meet SOA’s New Board Member

Dr. Leddy joined the faculty at the MedicalUniversity of South Carolina in 2009. He treatsbone and soft tissue tumors as well as metastat-ic cancer at MUSC Hollings Cancer Center. Hecurrently serves as the Residency Program Di-rector and helps to run the Sarcoma Immuno-therapy Lab.

He resides in Charleston, SC with his wife,Rebecca, who is a radiologist at MUSC as well.They have three children, Logan 7, Connor 6,and Sophia 3. In his free time he enjoys fishing,surfing, and boating with the family.

Page 3: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

Fall 2016 / Volume 16 / Number 2 / www.soaassn.org

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In Memory of SOA Past Presidents

Angus M. McBryde Jr., MDAngus M. McBryde Jr., MDof Columbia, South Caroli-na, passed away unexpect-edly on Tuesday, October 4,2016 at age 79. He was afounding member of SOA,the second President in1984 and the 2012 recipient

of the Distinguished Southern OrthopaedistAward.

Born in Durham, North Carolina on February24, 1937, he was the oldest child of Dr. AngusM. McBryde Sr. and Priscilla GregoryMcBryde. Dr. McBryde received his under-graduate degree from Davidson College wherehe excelled in both academics and sports. Hislove and support of Davidson continuedthroughout his lifetime whether as team phy-sician, Board of Trustees member or generalsupport of Wildcat activities. As a runner, he

held numerous records, including beingnamed the 1958 Southern Conference MileChampion and served as captain of both crosscountry and track teams. Dr. McBryde wassubsequently inducted into the Davidson Col-lege Sports Hall of Fame in 2007.

After medical school, Dr. McBryde conductedhis internship and residency in general surgeryat the Hospital of the University of Pennsylva-nia. He then spent the following two years inthe US Navy as a medical officer on the USS St.Paul and at Balboa Naval Hospital in San Diegoduring the Vietnam War. Dr. McBryde thenwent on to complete his orthopaedic residencyat Duke in the ensuing years and in 1971 wasappointed Clinical Assistance Professor of Or-thopaedics at Duke and later that year joinedthe orthopaedic teaching program at CharlotteMemorial Hospital. Dr. McBryde, in his longand distinguished medical career that fol-

lowed, earned numerous accolades andawards, including Alabama Sports Person ofthe Year, and 2013 Distinguished Alumnus ofDuke Medical School. Dr. McBryde led asChair of the Departments of Orthopaedic Sur-gery for the University of South Alabama atMobile and the University of South Carolina inCharleston. He was team doctor for the Game-cocks in Columbia and served as medical direc-tor for the USC athletic department. While inBirmingham he was team doctor for Alabama,Auburn and Troy. He also directed the Ankleand Foot Fellowship Program at the AmericanSports Medicine Institute in Birmingham, ALwhere he practiced at the Andrews SportsMedicine and Orthopaedic Center. He wascurrently serving as chairman of the SeniorPhysician Section of the AMA. He also servedon 11 editorial boards and published morethan 70 scholarly publications including 2books.

Neil E. Green, MDNeil E. Green, MD of Hil-ton Head Island, formallyof Nashville, Tennessee,died peacefully on Satur-day, July 9, 2016 at age75. He is survived by hiswife of 54 years, LesleyNield Green and chil-dren, Bruce Green

(Lynn) of Nashville, TN, and Lisa Green Brock(Charlie) of Lookout Mountain, TN and 4grandchildren: Lesley Brock, Taylor Brock,Laura Brock and Grant Green.

Dr. Green always knew that he wanted to bean orthopaedic surgeon and follow in his dad’sfootsteps. He earned his bachelor’s degree atFranklin and Marshall College and his medicaldegree at Albany Medical College.

Upon completion of his internship and resi-dencies in general surgery and orthopaedicsurgery at Duke University Medical Center, heserved in the US Air Force at Keesler Air ForceBase. Upon completion of his military obliga-tion, he joined the faculty at Vanderbilt Uni-

versity Medical Center where he recentlyretired after 38 years of service. While at Van-derbilt, Dr. Green was Vice Chairman of theOrthopaedic Department, Director of the Res-idency Program and Chief of the Division ofPediatric Orthopaedics. He also served asChair of the Vanderbilt Hospital MedicalBoard. While he loved surgery and his leader-ship obligations, his biggest pleasure camefrom educating his residents and mentoringthem in their careers.

A world-renowned pediatric orthopaedic sur-geon, Dr. Green authored or co-authored morethan 100 peer reviewed scientific publicationsand 30 book chapters. He gave more than 200presentations and guest lectures in the UnitedStates and around the world. Dr. Green wasthe editor of Skeletal Trauma in Children, laterrenamed Green’s Skeletal Trauma in Children.The American Orthopaedic Association hon-ored him as the Alfred Shands Guest lecturer.He has been a visiting professor at variousinstitutions, including being Visiting Professorin Residence in Paris, France.

Dr. Green served as President of the SouthernOrthopaedic Association, Pediatric Orthopae-dic Society of North America, the AmericanBoard of Orthopaedic Surgery, the TwentiethCentury Orthopaedic Association, the Tennes-see Orthopaedic Society, and the NashvilleOrthopaedic Society.

The Neil E. Green Lectureship was recentlyinstituted at Vanderbilt. It recognizes hismany contributions as a leader and role modelin advancing the missions of education, re-search and advocacy of the orthopaedic profes-sion and the impact he has had on the nextgeneration of orthopaedic surgeons withwhom he has interacted and influenced.

Funeral Services were held at Beth Yam Syna-gogue in Hilton Head Island on July 13. Hisfamily suggests donations to the Division ofPediatric Orthopaedics, Monroe Carell, Jr.Children’s Hospital at Vanderbilt, 2200 Chil-dren’s Way, Nashville TN 37232 or the charityof your choice.

continued on p. 6

Page 4: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

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Upcoming SOA Meetings

34th Annual MeetingJune 28 - July 1, 2017

Westin Hilton Head Island ResortHilton Head Island, SC

Southern at the SECSports Injury Update &

Case Based Discussion 2017March 9-11, 2017

Sheraton Music City HotelNashville, TN

Recap of the 33rd Annual MeetingThe 33rd Annual Meeting was a remarkableachievement, with a top notch Scientific Pro-gram. Program Chair Dr. Scott D. Mair alongwith the SOA Program Committee did an ex-ceptional job of putting together the 2016 Sci-entific Program.

Program highlights included an informativeDistinguished Southern Orthopaedist presen-tation by Dr. Peter A. Indelicato “The ACL...Where We've Been, Where We're Going.”The Presidential Guest Speaker, University ofKentucky head basketball coach, John Cali-pari, gave a motivational presentation “PlayersFirst.” The room was filled to capacity and Dr.Johnson provided all meeting attendees a copyof Coach Calipari’s new book. Dr. Darren L.Johnson gave an inspiring and thoughtfulPresidential Address “The House That BuildsUs: Faith, Family, Mentors, Colleagues, andPatients.” Keeping up with technology, thisyear Posters were changed to E-Posters pre-sentations and were well received by everyone.

The meeting kicked off with the WelcomeReception overlooking the pool deck at sunset.Everyone had a great time and had a chance to

mingle with old friends. The following eve-ning began with the Exhibitor Reception be-fore everyone went out on their own to enjoythe beautiful city of Naples or just relaxed atthe Naples Grand Resort. The meeting wasbrought to an end with the always enjoyableGala Dinner Dance. Spouse Hospitality alsoincluded the humorous wisdom of Kevin Le-man, PhD and an entertaining talk with CoachCalipari, before speaking in the main meetingroom.

It was a meeting to remember and we thankeveryone who attended. If you missed it, viewthe 2016 Naples pictures on the SOA websiteat www.soaassn.org and see what a great timethat was had by all the attendees.

Southern at the SEC: Sports Injury Update & Case Based Discussion 2017March 9-11, 2017, Sheraton Music City Hotel, Nashville, TN

You are invited to attend “Southern at theSEC” presented by the Southern OrthopaedicAssociation. Leading orthopaedists will pres-ent the latest clinical findings and techniquesin treating sports injuries and related condi-tions. Through the combination of lectures,panel discussions, and audience involvement,you will be able to earn approximately 11Category 1 CME credits.

The program is scheduled to take place March9-11, 2017 at the Sheraton Music City Hotel inNashville, Tennessee during the SEC Men’sBasketball Tournament. The educational ses-sions will take place each morning, leaving theafternoons and evenings free for you to attendthe tournament. SOA has reserved block of

SEC Basketball Tournament tickets for pur-chase by registered meeting attendees. Makeyour reservations early, as tickets are limited.

Visit the SOA website at www.soaassn.org formore information or to register.

2017 SECProgram Committee

Scott D. Mair, MD, ChairJeffrey A. Guy, MD, Vice Chair

Robert G. Hosey, MD

Page 5: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

Fall 2016 / Volume 16 / Number 2 / www.soaassn.org

5

Thank You Annual Meeting ExhibitorsThe Southern Orthopaedic Association would like to thank the grantors and exhibitors of the

Southern Orthopaedic Association’s 33rd Annual Meeting. Without the unrestricted educationalsupport of the companies listed below, we would not have been able to provide this conference.

PLATINUMDJO Global - Grantor

Pacira Pharmaceuticals, Inc.

GOLDArthrex, Inc.

EthiconMallinckrodt Pharmaceuticals, Inc.

THINK Surgical, Inc.

BronzeZimmer Biomet - Grantor

COPPER

DePuy Synthes CompaniesEndo Pharmaceuticals Inc.

Stryker

EXHIBITOR

Ferring Pharmaceuticals, Inc.Hospital Corporation of

America (HCA)Innovative Medical

Products, Inc.ITS.

LifeNet HealthLima Corporate

Lipogems®Medtronic Advanced EnergyModernizing Medicine, Inc.

Nutramax LaboratoriesCustomer Care, Inc.

Orthopaedic DesignsNorth America, Inc.

OREFProScan Reading Services

Radlink, Inc.Riverside Health System

Shukla MedicalSmith & Nephew, Inc.

AcumedAugustine Temperature

ManagementBBL Medical Facilities

Biocomposites, Inc.Breg, Inc.

CAE HealthcareCeramTec Medical

ProductsConforMIS

Exactech, Inc.

Page 6: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

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As we approach the 4th quarter of the year, mostof our physician clients now have a fairly goodidea of what their taxable income will be for2016. If you are like these clients, you may bewondering “is there anything I can do NOW tosave taxes on April 15th?” The answer is verylikely “yes.” In fact, the 4th quarter of the yearending and the 1st quarter of the new year arethe best times for focusing on tax reduction.

This short article will lay out a few ideas thatcould save you tens of thousands of dollars onyour 2016 income tax bill, depending on yourfacts and circumstances, as well as explainingsome capital gains and planning concepts.

Techniques to Reduce 2016 Income Taxes

Nearly 95 percent of physicians have some typeof QRP in place. These include 401(k)s, profit-sharing plans, money purchase plans, definedbenefit plans, or even SEP or SIMPLE IRAs, forthese purposes.

However, most of these plans are NOT maxi-mized for deductions for the business/practiceowner(s). The Pension Protection Act improved

the QRP options for practice owners. In otherwords, many owners may be using an “outdated”plan and forgoing further contributions and de-ductions permitted under the most recent rulechanges. By maximizing your QRP under thenew rules, you could increase your deductionssignificantly for 2016 and reduce your taxes onApril 15, 2017.

Unfortunately, the vast majority of physiciansbegin and end their retirement planning withQRPs. Most have not analyzed, let alone imple-mented, any other type of benefit plan. Have youexplored non-qualified plans in the last twoyears? The unfortunate truth for many physi-cians is that they are unaware of plans that enjoyfavorable short-term and long-term tax treat-ment. If you have not yet analyzed all options,we highly encourage you to do so. A number ofthese plans can help you reduce your taxableincome for years as part of a tax diversificationplan.

CICs are used by many of the Fortune 1000 for ahost of strategic reasons. For an orthopaedicpractice, a CIC can be equally beneficial, especial-ly for the practice owners. Here, you actually

create your own properly licensed insurancecompany to insure all types of risks of the prac-tice – often those that have little coverage today.These can be economic risks (that revenuesdrop), business risks (that electronic records aredestroyed), litigation risks (coverage for defenseof harassment claims or wrongful termination),and even coverage for surgery centers and realestate. If created and maintained properly, theCIC can enjoy tremendous income tax benefitsthat can translate into hundreds of thousands ofdollars of tax savings annually.

As the year winds down, we typically counselcash basis clients to prepay for some of the fol-lowing year’s expenses in the present year. Aslong as the economic benefit from the prepay-ment lasts 12 months or less, this can be done.Since 2017 highest marginal tax rates will likelybe the same as those in 2016, this makes sensebecause of the benefit of the early deduction.

Techniques to Reduce Taxes onInvestments

Beginning in 2013, the tax law imposed 3.8 per-cent surtax on certain passive investment income

continued on p. 7

Angus M. McBryde Jr., MD continued

A noted academician and skilled surgeon withnationally-recognized expertise in sports med-icine, Dr. McBryde served as team physicianfor the World Games in Yugoslavia in 1987and for the US National Team for both theSeoul and Atlanta summer Olympics. Dr.McBryde's love of medicine was constantly ondisplay in the extraordinary and generous carehe showed his patients and all those in need oforthopaedic advice over the length of his ca-reer. Dr. McBryde took the adage, "Time waitsfor no man," to heart, living each day of his life

quite literally to its fullest. He was a lovinghusband, father and friend and will be missedby all who had the privilege to know him.

Dr. McBryde is survived by his loving wife of27 years, Kay McBryde; sister; brother; 8 chil-dren and 19 grandchildren. In addition, heleaves behind numerous nieces and nephewswho loved him greatly. A memorial servicewas held to celebrate Dr. McBryde's life inCharlotte, NC at Christ Episcopal Church, onOctober 11.

In lieu of flowers, the family requests thatdonations be made to the Southern Orthopae-dic Association for the Angus M. McBryde Jr.,MD Memorial Fund c/o Chuck Freitag 110West Rd. Suite 227 Towson MD 21204. Foryour convenience a link is available athttp://www.soaassn.org/donations, the SOADonations webpage. Donations can also bemade to Davidson College for The McBrydeFamily Scholarship Fund, P.O. Box 7170, Da-vidson, NC 28035.

4th Quarter Tax Saving Tips:Year-End Tools and Techniques to Reduce Your 2016 Tax BillBy Carole C. Foos, CPA & David B. Mandell, JD, MBA

Page 7: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

Fall 2016 / Volume 16 / Number 2 / www.soaassn.org

7

of individuals, trusts and estates. For individuals,the amount subject to the tax is the lesser of (1)net investment income (NII) or (2) the excess ofa taxpayer's modified adjusted gross income(MAGI) over an applicable threshold amount.

Net investment income includes dividends, rents,interest, passive activity income, capital gains,annuities and royalties. Specifically excludedfrom the definition of net investment income areself-employment income, income from an activetrade or business, gain on the sale of an activeinterest in a partnership or S corporation, IRA orqualified plan distributions and income fromcharitable remainder trusts. MAGI is generallythe amount you report on the last line of page 1,Form 1040 adjusted by the above non-includibleitems.

The applicable threshold amounts are shown be-low.

Married taxpayers filing jointly$250,000

Married taxpayers filing separately$125,000

All other individual taxpayers$200,000

A simple example will illustrate how the tax iscalculated.

Example: Al and Barb, married taxpayers filingjointly, have $300,000 of salary income and$100,000 of NII. The amount subject to the surtaxis the lesser of (1) NII ($100,000) or (2) the excessof their MAGI ($400,000) over the threshold

amount ($400,000 -$250,000 = $150,000). Be-cause NII is the smaller amount, it is the base onwhich the tax is calculated. Thus, the amountsubject to the tax is $100,000 and the surtax pay-able is $3,800 (.038 x $100,000).

Fortunately, there are a number of effective strat-egies that can be used to reduce MAGI and or NIIand reduce the base on which the surtax is paid.These include (1) Roth IRA conversions, (2) taxexempt bonds, (3) tax-deferred annuities, (4) lifeinsurance, (5) oil and gas investments, (6) timingestate and trust distributions, (7) charitable re-mainder trusts, (8) installment sales and maxi-mizing above-the-line deductions. We would behappy to explain how these strategies might saveyou large amounts of surtax.

There are many ways you can make tax benefi-cial charitable gifts while benefiting your familyas well. Charitable Remainder Trusts (CRTs),Charitable Lead Trusts (CLTs), Private Founda-tions – these can all be used, within the IRS rules,to benefit charitable causes, reduce taxes andretain some benefits for families. If you haveconsidered any of these tools in the past, imple-menting them in a year of high income might bea good idea.

This article gives you a few ideas for potential taxsavings for 2016 income and beyond. The key isto take the time to evaluate which of these con-cepts, or others not mentioned in this short arti-cle, may work for you. In 2016, all physicians,including orthopaedic surgeons, need to be asfinancially efficient as possible.

S

Money Matters continued

Have you taken the Self-Assessment Exam yet?

It’s free for members (a $95 savings) and provides 10 CMEs toward yourMaintenance of Certification.

Register today at www.soaassn.org/sae

Page 8: Southern Orthopaedic AssociationRobert D. Zura, MD SOA Board of Trustees The Southern Orthopaedic Association (SOA) was founded in 1983 for physicians who are engaged in the specialty

Refer and sponsor newmember and receive 1/2 off

the registration fee for the nextannual meeting.

Refer and sponsor newmembers and the registration

fee for the next meeting is waived.Apply for

membershiponline at

or call

and ask foran application.

Member Benefits:» Free 10 CME credit Self-Assessment Exam

» 24 FREE CME credits per year through the

» Free subscription to the

» Eligibility to participate in Ortho-Preferred®, aprofessional liability insurance programexclusively for orthopaedic surgeons

» Substantial member discounts to SOA annualmeetings

» Registration fee discounts to other regionalsociety meetings

» Free subscription to official SOA newsletter—

» Awards and professional recognition

Completion of an accredited residency program and privileges topractice as an orthopaedist in a local hospital are the

requirements for both MD and DO candidates.

110 West Road, Suite 227Towson, MD 21204-2136E-mail: [email protected]