LLC vs S corp for physicians (2026)
At $270,000 of profit, an S corp election saves a physician money over a sole proprietorship in 4 of 51 states, with a $189,000 salary. Pick your state for the calculator with these numbers filled in.
- The IRS treats this work as a specified service trade or business, so the 20% QBI deduction phases out above $201,750 of taxable income (single). Health is a specified service under Treas. Reg. 1.199A-5(b)(2)(ii), which covers medical services by physicians, nurses, dentists and similar practitioners. law.cornell.edu
- Pay figure is for family medicine physicians, the largest group with a published median. Many states make licensed professionals use a professional LLC or professional corporation, and California does not let an LLC render services that need a state license, so check the state board before forming. leginfo.legislature.ca.gov
- Median pay for employees in this job: $244,180 (BLS, May 2025).
| State | Sole proprietor | S corp | Saving |
|---|---|---|---|
| New Hampshire | $85,502 | $84,062 | $1,440 |
| South Carolina | $90,807 | $90,118 | $689 |
| Maryland | $91,941 | $91,654 | $287 |
| District of Columbia | $102,619 | $102,613 | $6 |
| Virginia | $93,117 | $93,302 | +$185 |
| New Mexico | $90,722 | $90,964 | +$242 |
| Kansas | $92,698 | $92,960 | +$262 |
| Alabama | $91,754 | $92,090 | +$336 |
| Nebraska | $90,168 | $90,552 | +$384 |
| Georgia | $91,245 | $91,648 | +$403 |
| Missouri | $90,317 | $90,721 | +$404 |
| Montana | $92,316 | $92,746 | +$430 |
| Mississippi | $88,738 | $89,171 | +$433 |
| West Virginia | $90,059 | $90,533 | +$474 |
| Idaho | $91,676 | $92,192 | +$516 |
| Michigan | $89,856 | $90,397 | +$541 |
| Oklahoma | $90,199 | $90,767 | +$568 |
| Arkansas | $88,534 | $89,215 | +$681 |
| Utah | $90,617 | $91,308 | +$691 |
| Iowa | $88,348 | $89,056 | +$708 |
| Louisiana | $86,535 | $87,260 | +$725 |
| Kentucky | $88,077 | $88,836 | +$759 |
| Indiana | $86,763 | $87,596 | +$833 |
| New York | $93,573 | $94,432 | +$859 |
| Arizona | $85,252 | $86,127 | +$875 |
| North Carolina | $88,936 | $89,838 | +$902 |
| Illinois | $91,747 | $92,918 | +$1,171 |
| Maine | $95,421 | $96,815 | +$1,394 |
| Texas | $79,272 | $80,783 | +$1,511 |
| Wisconsin | $91,404 | $92,936 | +$1,532 |
| South Dakota | $79,272 | $80,832 | +$1,560 |
| Florida | $79,272 | $80,839 | +$1,567 |
| Connecticut | $92,618 | $94,225 | +$1,607 |
| Delaware | $94,896 | $96,549 | +$1,653 |
| North Dakota | $82,963 | $84,624 | +$1,661 |
| Pennsylvania | $87,099 | $88,796 | +$1,697 |
| Minnesota | $96,195 | $98,038 | +$1,843 |
| Wyoming | $79,272 | $81,170 | +$1,898 |
| Rhode Island | $90,425 | $92,398 | +$1,973 |
| Alaska | $79,294 | $81,316 | +$2,022 |
| Vermont | $94,861 | $96,972 | +$2,111 |
| Massachusetts | $91,799 | $94,003 | +$2,204 |
| Colorado | $89,781 | $92,054 | +$2,273 |
| Nevada | $79,362 | $81,718 | +$2,356 |
| New Jersey | $93,322 | $95,934 | +$2,612 |
| Ohio | $79,420 | $82,074 | +$2,654 |
| California | $96,955 | $101,314 | +$4,359 |
| Tennessee | $79,272 | $83,799 | +$4,527 |
| Oregon | $98,490 | $103,809 | +$5,319 |
| Hawaii | $105,480 | $111,773 | +$6,293 |
| Washington | $82,780 | $89,459 | +$6,679 |
Yearly federal and state tax and fees at $270,000 profit and $540,000 revenue, single filer, $1,800 a year of payroll and return costs.
Questions
Should a physician form an S corp?
At $270,000 of profit and a $189,000 salary, an LLC taxed as an S corp costs less than a sole proprietorship in 4 of 51 states. The biggest saving is in New Hampshire ($1,440 a year), and in Washington it costs $6,679 more.
What salary should a physician pay themselves?
The IRS expects pay in line with what the work would earn an employee. The median for employees in this job is $244,180 (BLS, May 2025). The figures here use that, capped at 70% of profit. More on reasonable salary.
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