Chose the Best Type of Entity for your Practice – Part 2

By Andrew D. Schwartz, CPA

To read Part 1 of this series, click here.

In my previous article, we covered the basics of the most popular entity selections.? Let’s dig deeper into the benefits and pitfalls of S-Corps.? Remember: S-Corporations have the requirement of filing a separate tax return each year and are separate legal entities.

Benefits of S-Corporations

When your practice is set up as a sole proprietorship or LLC, you pay Social Security and Medicare taxes on 100 percent of the income that you report on your tax return.? By setting up your practice as an S-Corp, you have the option of taking a portion of the profits as an ?S-Corp Distribution? instead of as salary.? By doing so, you avoid paying these two taxes.? Currently, the maximum combined tax rate for these two taxes is 13.3%.? Take a salary of more than $110,100 (in 2012), and the rate drops to 2.9%.

Keep in mind that the rules require that you pay yourself no less than a ?reasonable salary? and then only take the excess income as S-Corp distributions.? Have the S-Corp issue you a distribution of $50k instead of a paycheck and you?ll save from between $1,450 and $6,650 in Social Security and Medicare taxes, depending on your total annual salary from the practice and other sources.

Pitfalls of an S-Corporation

There are some pitfalls with S-Corps to consider.? For starters, expect to pay higher accounting fees since the S-Corp needs to file its own tax return each year.? You should also look into the minimum tax that an S-Corp will need to pay in your home state as well as any other states where you operate your practice.

When it comes to deducting certain types of expenses, staying away from the S-Corp might be prudent.? It?s actually easier for people who operate their practice as a Sole Proprietor or LLC to claim the home office deduction or to deduct their automobile expenses.

If there are multiple owners to the practice, maintaining a LLC allows the owners to claim any professional expenses not run through the practice directly against their share of the practice income.? For practices set up as an S-Corp, each owner would need to claim these expenses as a miscellaneous itemized deduction, which are only allowable to the extent they exceed 2% of each owner?s income and then are capped for any owner subject to the Alternative Minimum Tax (AMT).

And you need to be careful if you earn a good salary working outside of your practice, and also own a profitable practice.? Since an S-Corp is required to pay its owners a reasonable salary, there is a chance that someone earning more than the FICA max might end up paying extra Social Security taxes if your salary from all sources exceeds $110,100.? Yes, you will get back the Social Security taxes withheld from your pay, but you don?t get back the Company match of 6.2%.? The cost of this tax could be as high as $6,93 ($110,100 * 6.2%).

In the last part of this series, I’ll discuss deducting losses and other considerations to think of when selecting an entity type.

Series: Choose the Best Entity Type for your Pratice – Part 1

By Andrew D. Schwartz, CPA

For doctors in practice, making a lot of decisions every day is just part of the deal.? While some practice management issues come with only one obvious solution, most require that you spend time researching a variety of options only to learn that there is more than one correct answer.? Selecting the best type of entity for your practice is one of those issues with multiple correct answers.

If you are in the process of opening or purchasing a practice, now is the time to determine which type of entity would work best for your practice over the long-term.? Or, if you have owned a practice for a number of years, why not take this opportunity to determine if you have selected the best type of entity for your situation.? Let?s take a look a pros and cons of the various entities available to healthcare professionals in practice.

Most Popular Entity Selection

Most healthcare professionals operate their practice as a Sole Proprietorship, a Limited Liability Company (LLC), or an S-Corporation.? Different rules apply to the different type of entity.? The first question, however, is why even bother to create an entity for your practice.? Why not just go with a sole proprietorship or a general partnership?

If you are involved with partners in your practice, setting up an entity is a must.? While asset protection laws vary by state, running your practice as an S-Corp or LLC should protect your personal assets from your business partner?s mistakes.? Without forming an entity, you would be running the practice as a General Partnership which offers no protection to that risk.

For practices with one owner, setting up an entity helps keep your practice separate from your personal finances.? Some people who own a practice and also own the real estate where their practice is located actually end up establishing two entities – one to hold the assets of the practice and a second to hold the real estate.

The Basics

Let?s start by looking at two major characteristics for these three options.? While Single Member LLCs and S-Corporations are separate legal entities, only an S-Corp comes with the requirement of filing a separate tax return each year.? Sole proprietors and Single Member LLCs report their income and expenses on a Schedule C filed as part of the owner?s individual income tax return.

Type of Entity

Separate Legal Entity

Files Own Tax Return

Sole Proprietorship



Single ? Member LLC






For Part 2 of this series, we’ll discuss the Benefits and Pitfalls of S-Corps.? Stay tuned!


To read Part 1 of this aticle, click here

So what are the comparative advantages of a Sole Proprietor vs an LLC vs an S Corporation?

Let?s start with a sole proprietor. A sole proprietor is not a separate legal entity and is not a separate taxable entity. Basically, it?s you, and you report the income and expenses from your practice to the IRS on a Schedule C attached to your federal tax return.

An S-Corporation, on the other hand, is a separate legal entity and files its own tax return, an 1120S. The S-corporation doesn?t pay its own taxes, however. Any income or allowable loss from the S-Corporation will flow through to your personal tax return and will be reported to you on a Schedule K-1.

An LLC is sort of a hybrid of a sole proprietor and an S-Corp. An LLC is a separate legal entity. If the LLC has only one owner, however, the LLC defaults to be treated as a “disregarded entity” for tax purposes, and you?ll report the income or expenses on a Schedule C attached to your tax return, just like you would as a sole proprietor.

Type of Entity


Files Own Tax

Sole Proprietor



Single Member LLC






An LLC with multiple owners would be treated as a partnership for tax purposes, and would therefore need to file a partnership tax return (Form 1065) each year.

Which type entity makes the most sense? It is usually easier for sole proprietors and LLCs to deduct losses ? especially in the early years of the practice. Sole proprietors and LLCs also have an easier time deducting personal-type expenses like automobile expenses and the home office deduction.

S-Corps, on the other hand, can help their shareholders save taxes once the practice becomes successful by letting them avoid paying Social Security and Medicare taxes on money paid out as ?S-Corp Distributions?. Plus, by paying yourself a salary through the practice’s payroll along with the other employees, you can avoid the headaches associated with remitting your personal income taxes through quarterly estimates.

Flexibility of an LLC:

One strategy we are seeing more often is for a person to open a practice as a Single Member LLC, and maintain their practice as an LLC until it makes sense to be treated as an S-Corp. At that time, the LLC will file a Form 8832 with the IRS to elect to have the LLC treated as a corporation, and then will elect S-Status by filing a Form 2553.

One huge benefit of this strategy is that you do not need to get a new Employer Identification Number for your practice if you decide to switch from being taxed as a Sole Proprietor to an S-Corporation. This will also allow you to continue to use the same NPI and avoid being required to re-credential with all the insurance companies.

To Incorporate or Not To Incorporate?

There are certain instances when incorporating your practice will most likely not make sense, and a Single LLC would be the preferable entity to select. We wrote about this in our July 2005 Newsletter in an article titled: To Incorporate or Not to Incorporate. Basically, if you earn a good salary each year, and then earn some extra money on the side by moonlighting or consulting, incorporating that practice might cost you a lot in extra taxes, state fees, and professional fees.

Which is Best for You?

Most of the practice clients we work with these days set up either an S-Corp or an LLC. There are pros and cons of each type entity, so you want to review your specific situation with your CPA and your lawyer to make sure you set up the correct entity based on the current set of facts and circumstances.