06/17/2026
Most physicians are still running the same entity structure they set up in residency β despite their income having 10x'd. That mismatch is very expensive. π₯π
Here's the evolution most physicians never complete:
Residency: LLC taxed as sole prop β makes sense when income is small.
First attending job: Convert to S-corp β logical as income jumps.
$1M+ income: Consider C-corp β retain earnings taxed at 21% instead of 37% personally.
A physician retaining $500K inside a C-corp instead of distributing it? That's potentially $80,000 in annual tax savings β compounding inside the entity.
But major caveats: pull the money out personally and qualified dividend tax applies. And watch for the Accumulated Earnings Tax and Personal Holding Company tax β the IRS doesn't let you park money indefinitely without consequences.
This isn't tax CPR. It's preventive medicine. The earlier you plan the structural transition, the bigger the long-term return.
π©Ί Doctor, dentist, or healthcare professional ready to optimize your entity structure? Grab your free consultation today.
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