top of page

Entity Structuring for Physicians & Practice Owners

For any physician with practice or 1099 income, the business entity you operate through is one of the highest-leverage tax decisions you'll make — and one of the most commonly left on autopilot. The right structure, paired with a defensible compensation strategy, can reduce your tax exposure every single year. Elite Tax Strategists designs and implements entity structures built around your specific income and goals.

Why Entity Structure Matters So Much

Self-employment and practice income can be taxed very differently depending on how your business is organized. The wrong structure means overpaying self-employment tax, missing retirement-plan opportunities, and leaving deductions unused — quietly, year after year. The right one becomes the foundation nearly every other strategy builds on.

What We Evaluate

The Right Entity for Your Situation

Sole proprietor, LLC, S-corp, or a more layered structure — the best answer depends on your income level, practice type, and long-term plans. We model the options rather than defaulting to a template.

S-Corp for Physicians

Reasonable Compensation

An S-corp only saves money when owner compensation is set correctly. We help you land on a defensible salary-versus-distribution split that holds up to scrutiny.

Multi-Entity & Real Estate Structures

For practice owners who also hold real estate or multiple income streams, coordinating entities can unlock additional planning.

Real Estate Tax Optimization

Retirement Plan Alignment

Your entity choice directly affects which retirement plans you can use and how much you can contribute — a key lever for high earners.

Who This Is For

Practice owners, physicians with 1099 or locum income, and healthcare entrepreneurs building something bigger. 

Tax Planning for Physicians

1099 & Locum Tenens Physician Taxes

Frequently asked questions

General educational information, not tax or legal advice. Entity and compensation decisions are fact-specific — consult a qualified advisor.

bottom of page