Answers

S-corp election and entity choice for practice owners

The S-corporation election is a tax election, not a type of company, and it is reversible in only one direction without cost. These are the questions owners of dental, medical, legal, and professional-services practices ask when deciding whether and when to make it.

Reviewed September 12, 2026 by Timothy A. Wijtenburg, CPA · Florida license #AC49291

When is an S-corp worth it for a practice owner?

An S-corporation election starts to pay when the business profit meaningfully exceeds what the owner's own labor is worth. Profit above a reasonable salary passes through without being subject to Social Security and Medicare tax, and that saving is the primary benefit. The saving on each dollar is smaller once profit passes the Social Security contribution and benefit base for the year, because the Social Security portion of self-employment tax already stops at that base, reduced by any wages paid to the owner in the year (Section 1402(b)(1)), so on the excess only the Medicare portion and, above the statutory thresholds, the Additional Medicare tax are at stake (Section 1401(b)(2)). Against it run real costs: running payroll, filing a separate Form 1120-S, higher preparation fees, and the exposure that comes with having to defend the salary figure. There is no universal dollar threshold, because the answer depends on how much of the profit is attributable to the owner's services rather than to staff, equipment, or capital.

What is the deadline to elect S-corp status?

Form 2553 must be filed no more than two months and fifteen days after the beginning of the tax year the election is to take effect, or at any point during the preceding tax year (Section 1362(b)(1)); for a calendar-year business electing for the current year that is March 15, and when that last day falls on a Saturday, Sunday, or legal holiday, a filing on the next day that is none of those is timely (Section 7503). A newly formed entity measures that window from the start of its first tax year, which is the date it first has shareholders, acquires assets, or begins doing business, whichever happens first.

Can I still elect S-corp status late?

Usually yes. Revenue Procedure 2013-30 provides simplified relief for a late election filed generally within three years and seventy-five days of the intended effective date, provided the entity had reasonable cause for missing the deadline, would otherwise have qualified, and everyone involved has reported consistently with the election having been in effect. The relief is requested on the Form 2553 itself with a reasonable-cause statement attached rather than through a private letter ruling.

Can a PLLC or professional corporation be an S-corp?

Yes. S-corporation status is a federal tax election layered on top of whatever entity a state allows, so a professional limited liability company or professional corporation can generally make it. The federal eligibility rules still apply: no more than 100 shareholders, only individuals and certain trusts and estates as shareholders, no nonresident alien shareholders, and only one class of stock. State law adds its own constraint, because most states restrict ownership of a professional entity to licensed members of that profession.

How does an S-corp reduce self-employment tax?

A sole proprietor or an LLC member active in the business pays self-employment tax on the net profit reduced by the deduction in Section 1402(a)(12) equal to one-half of the combined Social Security and Medicare rates applied to it (Section 1402(a)), with the Social Security portion stopping at the contribution and benefit base for the year, reduced by any wages paid to the owner in the year (Section 1402(b)(1)). In an S-corporation, only the shareholder-employee's wages are subject to Social Security and Medicare tax; the remaining profit passes through on a Schedule K-1 free of those taxes. The saving is therefore the employment tax on the profit above reasonable compensation, which is exactly why the salary figure is the number that gets examined.

What are the downsides of an S-corp?

Payroll has to be run and deposited on schedule, a separate Form 1120-S is due each year, and preparation costs rise. The one-class-of-stock rule limits how owners can be paid differently from one another. Shareholder basis must be tracked to know whether distributions and losses are usable. Health insurance premiums for a more-than-2% shareholder must be included in that shareholder's W-2 wages to stay deductible. And once revoked, an S election generally cannot be remade for five years without IRS consent.

General educational information about United States federal tax rules, current as of the review date above. Tax law changes and every situation turns on its own facts. This is not tax, legal, or financial advice and does not create a client relationship. Inflation-adjusted figures should be confirmed for the year in question before relying on them.

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Other answer topics

S-Corp Owner Salary

Reasonable compensation: how the number is actually determined, why the "60/40 rule" is not a rule, and what happens when an owner skips salary entirely.

Quarterly Estimated Taxes

Due dates, the safe harbors that stop the underpayment penalty, and the withholding trick that fixes a shortfall late in the year.

Equipment Deductions

Section 179 versus bonus depreciation, why financing does not matter, what "placed in service" really means, and the recapture waiting on resale.

Retirement Plans

Solo 401(k) versus SEP versus cash balance, whether you can still set one up for last year, and what hiring your first employee changes.

Florida Practice Taxes

What a Florida practice actually files beyond the federal return: reemployment tax, the DR-405 nobody knows about, and local business tax receipts.

Reasonable Compensation Reports

What a reasonable compensation report is, whether a formal study is required, the three methods behind the number, and what an IRS examination looks like without one.

Catch-Up Bookkeeping

What catch-up bookkeeping is, what drives its cost, how far back books can be rebuilt, what records it takes, and why books come before the tax returns.

QuickBooks Cleanup

What a QuickBooks cleanup service actually does, how a diagnostic file review works, the signs books are wrong, and cleanup versus starting a new file.

Late S-Corp Election

How a missed Form 2553 gets fixed: Revenue Procedure 2013-30 relief, reasonable cause, filing routes, the window, and how acceptance arrives.

Dental Practice Taxes

Whether the S-corp election pays for a dentist, what a dentist should be paid, the QBI deduction for an SSTB, Section 179 and bonus depreciation on equipment and buildouts, how a practice purchase is deducted, how an orthodontist reports treatment-contract income, and what happens to contracts in progress when an orthodontic practice is sold.

Selling a Dental Practice

How a dental practice sale is taxed, what personal goodwill is and when it holds up, how DSO rollover equity works, the C-corporation problem, installment sales and earnouts, and what happens to receivables, the covenant, and the post-sale employment agreement.

Physician Practice Taxes

Whether the S-corp election pays for a physician, what a physician-owner should be paid, the QBI deduction for a medical SSTB, how 1099 locums and moonlighting income is taxed, travel and multi-state rules, and direct primary care fees and HSAs after Public Law 119-21.

CRNA 1099 Taxes

How 1099 nurse anesthesia income is taxed, whether an S-corp pays for a solo CRNA, what to take as salary, the solo 401(k) alongside a hospital plan, multi-state and travel rules, and the QBI deduction for a CRNA who moved from W-2 to 1099.

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