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I'm not a tax person, but I've been trying to follow this thread. I still think (as I think Phil pointed out), that there's a terminology confusion. Sounds to me like the $104,999 that the doc calls "base salary" is really "total compensation". That is, that's the number that the practice is waving in front of him as his pay for the year, but it's really a combination of salary plus profit sharing contribution.

What he really has is $79,749 salary, from which they're withholding 401k and HSA contributions.

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