For Physicians, Medical Professionals, and Dentists Earning $400,000+
Get A Second Opinion On Your Last Three Tax Returns, While They Can Still Be Amended
Get A Second Opinion On Your Last Three Tax Returns, While They Can Still Be Amended
We build a projection from your own returns, accurate to within 96 percent, and you see what could be recovered before any engagement is signed.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
For Physicians, Medical Professionals, and Dentists Earning $400,000+
Get A Second Opinion On Your Last Three Tax Returns, While They Can Still Be Amended
We build a projection from your own returns, accurate to within 96 percent, and you see what could be recovered before any engagement is signed.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
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4.9 stars | 100+ reviews
4.9 stars | 100+ reviews
16 +
Years in practice
500+
Clients Served
$50M+
Client Tax Savings
93%
Of Physicians Renew
16 +
16 +
Years in practice
Years in practice
500+
500+
Clients Served
Clients Served
$50M+
$50M+
Client Tax Savings
Client Tax Savings
93%
93%
Of Physicians Renew
Of Physicians Renew
Your CPA Filed Every Return Accurately.
Your CPA Filed Every Return Accurately.
Your CPA Filed Every Return Accurately.
But Was It Also The Lowest?
But Was It Also The Lowest?
But Was It Also The Lowest?
Every April, a number appears on page one of your return and you sign it. Your CPA is qualified, the filing is on time, the estimated payments tracked correctly through the year, and you have no reason to doubt it.
Every April, a number appears on page one of your return and you sign it. Your CPA is qualified, the filing is on time, the estimated payments tracked correctly through the year, and you have no reason to doubt it.
But you would not accept a single clinical opinion on a complex diagnosis without seeking another. So why have you accepted a single opinion on a six-figure tax bill, every year you have filed?
But you would not accept a single clinical opinion on a complex diagnosis without seeking another. So why have you accepted a single opinion on a six-figure tax bill, every year you have filed?
The number is accurate. Whether it is the lowest number available is a question that has never been asked on your behalf.
The number is accurate. Whether it is the lowest number available is a question that has never been asked on your behalf.
The number is accurate. Whether it is the lowest number available is a question that has never been asked on your behalf.
For the last three years, that question can still change the number
For the last three years, that question can still change the number
For the last three years, that question can still change the number
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
The Overpayment
The Overpayment
The Overpayment
Lives In
Lives In
The Gaps Between Your Income Streams
The Gaps Between Your Income Streams
Lives In The Gaps Between Your Income Streams
The tax code was not written for one income stream at a time. It was written for the interaction between them.
The tax code was not written for one income stream at a time. It was written for the interaction between them.
A physician with clinical income, practice ownership, 1099 work, real estate, and investor activity has a combined tax position that is structurally different from five separate returns, and the gap between those two is where overpayment builds up.
A physician with clinical income, practice ownership, 1099 work, real estate, and investor activity has a combined tax position that is structurally different from five separate returns, and the gap between those two is where overpayment builds up.
When each stream files separately, those interactions are never visible to the person building the return. Coordinated architecture and accurate compliance are different categories of work.
When each stream files separately, those interactions are never visible to the person building the return. Coordinated architecture and accurate compliance are different categories of work.
"That is also why forming an LLC, on its own, changes nothing about what you owe."
"That is also why forming an LLC, on its own, changes nothing about what you owe."
The structure only works when your entity setup, your compensation, your deductions, and your timing are built into one plan around your situation, which is architecture, not a filing.
The structure only works when your entity setup, your compensation, your deductions, and your timing are built into one plan around your situation, which is architecture, not a filing.
A Medical CPA Team Specializing In Physicians, Backed By A Firm Of 35
Delerme CPA is a firm of 35 across its departments, and the tax team on your account is a medical CPA team built around physicians, the same team dentists hire as their dental CPA.
The depth behind that comes from over a decade of working the same income structures, the same entity arrangements, and the same recovery patterns, for physicians and dentists alike. We know where overpayment tends to sit and when it can still be recovered, because that is what a medical CPA does.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
A Medical CPA Team Specializing In Physicians, Backed By A Firm Of 35
Delerme CPA is a firm of 35 across its departments, and the tax team on your account is a medical CPA team built around physicians, the same team dentists hire as their dental CPA.
The depth behind that comes from over a decade of working the same income structures, the same entity arrangements, and the same recovery patterns, for physicians and dentists alike. We know where overpayment tends to sit and when it can still be recovered, because that is what a medical CPA does.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
The Institutional Foundation
The Institutional Foundation
The Institutional Foundation
Behind
Behind
The Method
The Method
The Method
Victor Delerme built his career in international tax at KPMG. International tax architecture trains you to see one thing: how the interaction between structures produces a different number than the structures in isolation.
Victor Delerme built his career in international tax at KPMG. International tax architecture trains you to see one thing: how the interaction between structures produces a different number than the structures in isolation.
That is the same principle we apply to a physician's income, and it is why a team with that institutional foundation, specialized as a medical CPA team for over a decade, is built to find the recoverable position that a generalist practice, building one stream at a time, can miss.
That is the same principle we apply to a physician's income, and it is why a team with that institutional foundation, specialized as a medical CPA team for over a decade, is built to find the recoverable position that a generalist practice, building one stream at a time, can miss.
Victor Delerme
Victor Delerme
Founder, Delerme CPA. | Former KPMG international tax professional | CPA specializing in physicians, medical professionals and dentists.
Founder, Delerme CPA. | Former KPMG international tax professional | CPA specializing in physicians, medical professionals and dentists.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
The Overpayment In The Gaps, Found
The Overpayment In The Gaps,
The Overpayment In The Gaps, Found and Fixed On Three
And Fixed On
Found And Fixed On
Three Real Accounts.
Three Real Accounts.
Real Accounts.
The Locum Anesthesiologist
The Locum Anesthesiologist
The Locum Anesthesiologist
A Locum Anesthesiologist Earning $900,000 Cut His Tax Bill From $270,000 To $70,000 In A Single Year.
A Locum Anesthesiologist Earning $900,000 Cut His Tax Bill From $270,000 To $70,000 In A Single Year.
This anesthesiologist worked 1099 with no entity behind his income and a crypto-heavy portfolio no one had handled with tax in mind. He suspected he was overpaying, watched peers pay far less, and wanted it fixed cleanly.
Once we restructured his 1099 income under the right entity and S-Corp election and folded his investments into the same plan, his liability fell to roughly $70,000, an effective rate near 7 percent on $900,000.
This anesthesiologist worked 1099 with no entity behind his income and a crypto-heavy portfolio no one had handled with tax in mind. He suspected he was overpaying, watched peers pay far less, and wanted it fixed cleanly.
Once we restructured his 1099 income under the right entity and S-Corp election and folded his investments into the same plan, his liability fell to roughly $70,000, an effective rate near 7 percent on $900,000.
THE DENTAL PRACTICE OWNER
THE DENTAL PRACTICE OWNER
THE DENTAL PRACTICE OWNER
A Dentist Earning $800,000 Recovered $150,000 From Prior Returns, With $50,000 A Year Projected Going Forward.
A Dentist Earning $800,000 Recovered $150,000 From Prior Returns, With $50,000 A Year Projected Going Forward.
He drew a W2 salary and owner income across three dental practices, around $800,000 a year. His CPA missed deadlines and never advised, so the overpayment rode along with the growth.
We amended the three years still open and recovered $150,000, then rebuilt the position, projected to save $50,000 a year. When he sold a stake in one practice, we structured the exit and saved another $230,000 in tax.
He drew a W2 salary and owner income across three dental practices, around $800,000 a year. His CPA missed deadlines and never advised, so the overpayment rode along with the growth.
We amended the three years still open and recovered $150,000, then rebuilt the position, projected to save $50,000 a year. When he sold a stake in one practice, we structured the exit and saved another $230,000 in tax.
The Dual-Income Household
The Dual-Income Household
The Dual-Income Household
A Two-Income Household Earning $477,000 Cut Their Tax Bill By $40,000 A Year Without Tying Up Any Capital.
A Two-Income Household Earning $477,000 Cut Their Tax Bill By $40,000 A Year Without Tying Up Any Capital.
This couple did everything by the book, a psychologist with W2 and consulting income, a spouse in real estate, two LLCs, and a six-figure tax bill every year with no system behind it.
They had no interest in the aggressive, illiquid plays that tie money up in oil and gas or film, and wanted something clean and repeatable to build on.
We built a long-term blueprint around their exact income mix, taking their liability to roughly $60,000. Because it comes from tax engineering rather than locked-up capital, it is designed to carry into the years that follow, while they stay fully liquid.
This couple did everything by the book, a psychologist with W2 and consulting income, a spouse in real estate, two LLCs, and a six-figure tax bill every year with no system behind it.
They had no interest in the aggressive, illiquid plays that tie money up in oil and gas or film, and wanted something clean and repeatable to build on.
We built a long-term blueprint around their exact income mix, taking their liability to roughly $60,000. Because it comes from tax engineering rather than locked-up capital, it is designed to carry into the years that follow, while they stay fully liquid.
These are individual client results. Results may vary and there is no guarantee of specific tax savings.
These are individual client results. Results may vary and there is no guarantee of specific tax savings.
These are individual client results. Results may vary and there is no guarantee of specific tax savings.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
Any Overpayment Compounds Every Year. Three Years Can Still Be Amended.
Without one position built across all income streams, a physician with clinical earnings, practice ownership, real estate, or 1099 work can file the same overpayment every year without anyone noticing.
Without one position built across all income streams, a physician with clinical earnings, practice ownership, real estate, or 1099 work can file the same overpayment every year without anyone noticing.
The interaction that created the gap last year created it the year before, and it can create it again next April unless the position is rebuilt.
The interaction that created the gap last year created it the year before, and it can create it again next April unless the position is rebuilt.
The projection shows whether that gap exists on your returns, and what could still be recovered from the prior three years, at no charge, before any engagement is discussed.
Every year it goes unasked is another year the number does not change.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
Any Overpayment Compounds Every Year. Three Years Can Still Be Amended.
Without one position built across all income streams, a physician with clinical earnings, practice ownership, real estate, or 1099 work can file the same overpayment every year without anyone noticing.
The interaction that created the gap last year created it the year before, and it can create it again next April unless the position is rebuilt.
The projection shows whether that gap exists on your returns, and what could still be recovered from the prior three years, at no charge, before any engagement is discussed.
Every year it goes unasked is another year the number does not change.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
Why Physicians Choose Delerme To Architect Their Tax Position, Not Just File It.
Why Physicians Choose Delerme To Architect Their Tax Position, Not Just File It.
Why Physicians Choose Delerme To Architect Their Tax Position, Not Just File It.
Six components, run by a medical CPA team specializing in physicians, on every account, every year
Six components, run by a medical CPA team specializing in physicians, on every account, every year
Three Years Of Amendments
Filed through power of attorney on every already-filed return that cleared the projection, to recover what the original filing may have left on the table.
Three Years Of Amendments
Filed through power of attorney on every already-filed return that cleared the projection, to recover what the original filing may have left on the table.
The Multi-Year Strategic Blueprint
One tax plan across clinical W2, practice ownership, 1099, real estate, and investor activity, built to hold the savings in place year after year.
The Multi-Year Strategic Blueprint
One tax plan across clinical W2, practice ownership, 1099, real estate, and investor activity, built to hold the savings in place year after year.
Current Year Filing
This year's return, filed with every income stream working toward a lower bill.
Current Year Filing
This year's return, filed with every income stream working toward a lower bill.
The Q4 Projection Meeting
A dedicated end-of-year session that sets next year's position before December 31, while there is still time to act.
The Q4 Projection Meeting
A dedicated end-of-year session that sets next year's position before December 31, while there is still time to act.
Your Dedicated Account Team
Once the engagement begins, a dedicated Onboarding Manager coordinates your account through to the end. You keep direct lines to your tax attorney and tax manager all year, with no VAs in the chain.
Your Dedicated Account Team
Once the engagement begins, a dedicated Onboarding Manager coordinates your account through to the end. You keep direct lines to your tax attorney and tax manager all year, with no VAs in the chain.
The Encrypted Client Portal
HIPAA-compliant chat with the full team on your account, and secure document handling through every filing.
The Encrypted Client Portal
HIPAA-compliant chat with the full team on your account, and secure document handling through every filing.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
A Second Opinion On Three Years Of
A Second Opinion On Three Years Of
A Second Opinion On Three Years Of Returns, In Three Simple Steps
Returns,
Returns,
In Three Simple Steps
In Three Simple Steps
Step 1
Step 1
Get Your Recoverable Projection
It starts with a 45-minute deep-dive call on your situation and your last three returns.
We map where overpayment could be sitting across your income streams before any number is put on it.
Step 1
Get Your Recoverable Projection
It starts with a 45-minute deep-dive call on your situation and your last three returns.
We map where overpayment could be sitting across your income streams before any number is put on it.
Step 2
Step 2
See The Number, Sign Or Walk Away
Before any engagement is signed, we present the recoverable figure tied to your account, accurate to within 96percent, and walk you through the scope line by line.
We only run the engagement when the math works strongly in your favor, and the number is yours either way.
Step 2
See The Number, Sign Or Walk Away
Before any engagement is signed, we present the recoverable figure tied to your account, accurate to within 96percent, and walk you through the scope line by line.
We only run the engagement when the math works strongly in your favor, and the number is yours either way.
Step 3
Step 3
Amend The Returns, Build The Position
Where the projection shows a recovery, we file your amendments through power of attorney.
Your current return is filed as a single position across all your income streams, with the multi-year blueprint built alongside it.
Step 3
Amend The Returns, Build The Position
Where the projection shows a recovery, we file your amendments through power of attorney.
Your current return is filed as a single position across all your income streams, with the multi-year blueprint built alongside it.
Normally $550. Yours At No Cost, Before Another Year Closes For Amendment.
You See The Numbers On Your Account Before Any Engagement Is Signed.
Before any engagement is signed, you see two figures from your own filings: what is recoverable on your last three returns, and what coordinating your income streams could save going forward.
Both are accurate to within 96 percent, with a high-level overview of where your position sits.
If the math does not work strongly in your favor, no engagement is offered. Either way, the numbers are yours.
If the math does not work strongly in your favor, no engagement is offered. Either way, the numbers are yours.
Reviewed By 100+ Clients
Reviewed By 100+ Clients
Reviewed By 100+ Clients
Rated 4.9 stars in
Rated 4.9 stars in
"They made tax season stress-free and were always available to answer questions. The team is highly professional, knowledgeable, and responsive. Highly recommend!"
Mireille Rivera
"Angel is great to work with and helped me a lot through the process of relocating back to PR after living over 10 years in the USA. Will use Delerme for my PR tax needs."
JJ Ortiz Rivera
"Tax matters were undertaken expertly by the team at Delerme. I am pleased with the results and a weight was lifted from me in the process."
Jmt
"The best treatment I've received so far related to financial planning and Act 60!!!"
Paul Hoover
"Excellent treatment. I feel like they really cared about my account. I didn't feel like just another client. Best CPA firm that I've worked with in over 30 years."
Hector Garcia
"Then we found Delerme CPA. Angel exactly understood my requirement. He handled it efficiently, returned the phone calls and emails explaining the next step. I will recommend Delerme CPA for individuals and businesses anyday."
Samar Mukherjee
"Excellent service. The process was explained very clearly from the beginning. They were also honest with information about what could happen during the process. The price of the consultation seemed fair."
Maria Santos Villabona Rojas
"If you are looking for an accountant that truly feels like a business partner, these guys are the place to go! The consultative approach has taken a huge weight off my shoulders compared to past firms."
Ryan Lamothe
"They made tax season stress-free and were always available to answer questions. The team is highly professional, knowledgeable, and responsive. Highly recommend!"
Mireille Rivera
"Angel is great to work with and helped me a lot through the process of relocating back to PR after living over 10 years in the USA. Will use Delerme for my PR tax needs."
JJ Ortiz Rivera
"Tax matters were undertaken expertly by the team at Delerme. I am pleased with the results and a weight was lifted from me in the process."
Jmt
"The best treatment I've received so far related to financial planning and Act 60!!!"
Paul Hoover
"Excellent treatment. I feel like they really cared about my account. I didn't feel like just another client. Best CPA firm that I've worked with in over 30 years."
Hector Garcia
"Then we found Delerme CPA. Angel exactly understood my requirement. He handled it efficiently, returned the phone calls and emails explaining the next step. I will recommend Delerme CPA for individuals and businesses anyday."
Samar Mukherjee
"Excellent service. The process was explained very clearly from the beginning. They were also honest with information about what could happen during the process. The price of the consultation seemed fair."
Maria Santos Villabona Rojas
"If you are looking for an accountant that truly feels like a business partner, these guys are the place to go! The consultative approach has taken a huge weight off my shoulders compared to past firms."
Ryan Lamothe
Over $50 Million In Tax Savings Delivered Across 500+ Client Accounts
Over $50 Million In Tax Savings Delivered Across 500+ Client Accounts
Either Something To Recover, Or The Certainty You Are Not Overpaying.
Either Something To Recover, Or The Certainty You Are Not Overpaying.
Either Something To Recover, Or The Certainty You Are Not Overpaying.
The process starts with a 45-minute call, and from there we build a projection from your actual filings and present two numbers before any engagement is signed: he recoverable position on the last three returns, and what coordinating every income stream could save going forward.
The process starts with a 45-minute call, and from there we build a projection from your actual filings and present two numbers before any engagement is signed: he recoverable position on the last three returns, and what coordinating every income stream could save going forward.
If the math is there, you see what could be recovered from the prior three years, with any forward savings on top. If the math is not there, those same numbers confirm you are not overpaying every year, with the return already at the lowest number available. The numbers are yours either way.
If the math is there, you see what could be recovered from the prior three years, with any forward savings on top. If the math is not there, those same numbers confirm you are not overpaying every year, with the return already at the lowest number available. The numbers are yours either way.
What You Get Before Any Engagement Is Signed:
What You Get Before Any Engagement Is Signed:
Whether anything is recoverable on each of your last three returns, and how much, projected and presented before any engagement is signed.
Whether anything is recoverable on each of your last three returns, and how much, projected and presented before any engagement is signed.
Whether anything is recoverable on each of your last three returns, and how much, projected and presented before any engagement is signed.
What coordinating your income streams into one position could save you going forward, on the same accuracy band.
What coordinating your income streams into one position could save you going forward, on the same accuracy band.
What coordinating your income streams into one position could save you going forward, on the same accuracy band.
What year one of the engagement would cover, walked through line by line before any letter is signed.
What year one of the engagement would cover, walked through line by line before any letter is signed.
What year one of the engagement would cover, walked through line by line before any letter is signed.
The numbers are yours from that point onward, whether the engagement runs or not.
The numbers are yours from that point onward, whether the engagement runs or not.
The numbers are yours from that point onward, whether the engagement runs or not.
Either result is worth 45 minutes: something to recover, or certainty there is nothing more to find.
Annual Income Of $400,000 Or More Required
Annual Income Of $400,000 Or More Required
Your Recoverable Projection Call Starts Here
Your Recoverable Projection Call Starts Here
Results may vary and there is no guarantee of specific tax savings.
© 2026 Delerme CPA. All rights reserved.
© 2026 Delerme CPA. All rights reserved.
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