When does an S corporation election start making sense?
An S corporation election starts making sense when the tax savings exceed the cost and hassle of running it. That threshold varies by owner, and the only way to know is to run the numbers on your specific situation.
Here’s how an S corporation election actually saves taxes. When you operate as a sole proprietor or single-member LLC, all your business profit is subject to self-employment tax, currently 15.3% on earnings up to the Social Security wage base and 2.9% above that. When your LLC elects S corporation status, you split that profit differently. You pay yourself a reasonable salary, which is still subject to payroll taxes. The remaining profit passes through as distributions, which are not subject to self-employment or payroll tax.
The potential savings come from the portion you take as distributions. If your business clears $150,000 in profit and you pay yourself a $70,000 salary, the remaining $80,000 comes to you as distributions without self-employment tax. The savings on that $80,000 can be meaningful.
But the S election adds real costs. You need to run payroll for yourself, which means payroll software or a service and quarterly payroll filings. You file a separate S corporation tax return in addition to your personal return, which adds accounting fees. And the IRS requires your salary to be “reasonable compensation” for the work you do. You cannot pay yourself $20,000 and take $130,000 in distributions. The IRS looks at what someone in your role and industry would actually earn, and setting the salary too low invites scrutiny.
For a medical practice owner clearing $40,000 in profit, the payroll costs, extra return, and accounting fees often eat up most or all of the theoretical tax savings. For an owner clearing $120,000 or more in steady profit, the math usually works out in favor of the election. But these are rough guidelines, not rules.
The honest answer is that you need to run the numbers with your specific situation. What’s your projected profit? What will payroll and the extra return cost? What’s a defensible reasonable salary for your role? A tax strategy conversation with a CPA who knows your business will show whether the election makes sense now, in a year, or not at all.
If you’re wondering whether the election makes sense for your situation, book a consultation and we can look at your real numbers together.
Your Trusted CPA
Next Step:
A Short Conversation
Tell us about your business and what you need help with. We'll ask a few questions, explain how we can help, and tell you exactly what it will cost.
More Questions
What does a properly built chart of accounts do for a medical business?
A properly built chart of accounts separates revenue by service line, splits direct delivery costs from overhead, and tracks prepaid package liabilities. Without this structure, your books show totals but cannot answer margin questions.
Read answerMy practice management software shows one revenue number and my bank shows another. Which is right?
Both numbers are telling you something real, but neither gives the complete picture. Your software tracks what you charged and what's owed after adjustments. Your bank shows what actually collected. Proper bookkeeping reconciles both.
Read answerHow can I tell which of my services earn money and which just stay busy?
Track the direct costs that go into each service and compare them to what you charge. Many owners find that their busiest services aren't their most profitable, and without cost tracking there's no way to know which is which.
Read answerWhy does my profit and loss look fine while my bank account feels empty?
Your profit and loss statement and your bank account measure different things at different times. The gap usually comes from insurance receivables not yet collected, inventory purchased but not used, loan principal payments, prepaid package cash already spent, owner draws, and taxes never set aside.
Read answerI did my own QuickBooks setup and I am afraid to look at it. What now?
DIY QuickBooks files with miscategorized transactions and unusable reports are extremely common. We assess whether to repair or rebuild, restructure the accounts for your type of medical business, reconcile everything, and hand back books you can actually trust.
Read answerMy side business made real money this year. Why is my refund gone?
Your business profit stacks on top of your W-2 clinical income and gets taxed at your highest marginal rate, plus self-employment tax. The W-2 withholding that used to produce refunds was never meant to cover this extra layer.
Read answer