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This has been such an educational thread! As someone who just started their first "real" job out of college, I was completely baffled by all the different deductions on my paycheck. I kept thinking something was wrong because after federal income tax, I was seeing additional deductions for "OASDI" and "Medicare" that I didn't expect. I actually called my HR department thinking there was an error, but they explained it the same way everyone here has - these are separate payroll taxes that everyone pays. What really helped me was actually calculating it out: on my $55k salary, I pay about $3,410 in Social Security tax (6.2%) and $798 in Medicare tax (1.45%) on top of my federal income tax. Seeing the actual dollar amounts made it much more concrete than just thinking about percentages. One thing I wish I had known earlier is that you can actually see these taxes listed separately on your pay stub every pay period, so you can track them as you go rather than being surprised at tax time. It's also reassuring to know that the Social Security and Medicare taxes I'm paying now will contribute to my benefits when I retire. Thanks everyone for sharing your experiences and practical tips!
Welcome to the workforce! Your experience is so relatable - I remember having that exact same panic when I saw all those "extra" deductions on my first real paycheck. It's totally normal to think something's wrong when you're not expecting OASDI and Medicare to be separate line items. Your calculation is spot on too - $3,410 + $798 = $4,208 total in payroll taxes on $55k, which is exactly that 7.65% everyone's been mentioning. It's a significant chunk, but like you said, it's reassuring to know it's going toward your future Social Security and Medicare benefits. One tip that helped me when I was starting out: if you want to get a rough estimate of your total take-home pay, you can use the rule of thumb that about 25-30% of your gross pay will go to all taxes combined (federal income tax + OASDI + Medicare + state taxes if applicable). Obviously this varies based on your tax bracket and state, but it's a decent ballpark for budgeting purposes. Congrats on the new job, and don't worry - understanding your paystub gets much easier once you know what to expect!
This thread has been incredibly helpful for understanding the tax breakdown! As a newcomer to this community, I just wanted to share a resource that helped me when I was similarly confused about payroll taxes. The IRS actually has a really clear publication (Publication 15) that explains the difference between income tax withholding and payroll taxes. What I found most helpful was their explanation that FICA taxes (OASDI + Medicare) are "pay-as-you-go" taxes - meaning the amount you pay is fixed based on your wages, while income tax withholding is just an estimate that gets trued up when you file your return. This distinction helped me understand why my payroll taxes never change (always exactly 7.65% of my wages), but my federal income tax withholding can vary if I adjust my W-4 or have other circumstances change. For anyone still wrapping their head around this, I'd also recommend looking at your pay stub and calculating what percentage each deduction represents of your gross pay. Seeing the actual math makes it much clearer than just reading about it in theory. Thanks to everyone who contributed such practical explanations - this community is a great resource for tax questions!
As someone who's dealt with similar contractor classification issues in healthcare, I'd strongly recommend double-checking whether all your medical professionals should actually be classified as contractors versus employees. The IRS has gotten much stricter about this, especially in healthcare where there's often significant control over how and when services are provided. For hospice care specifically, if you're setting schedules for on-call physicians, providing equipment, or directing how they provide care to patients, you might need to reclassify some as employees rather than contractors. This would mean W-2s instead of any 1099 form. The control test is really important here. That said, for legitimate contractors, you're right that 1099-NEC is typically the correct form for professional services. Just make sure you can pass the IRS contractor test first - it'll save you major headaches down the road if they audit your worker classifications.
This is such an important point that often gets overlooked! I've seen so many healthcare organizations get into trouble because they assumed medical professionals were automatically contractors. The IRS worker classification test really does focus heavily on the control factor. For hospice care, things like requiring specific protocols for patient care, mandating participation in team meetings, or providing clinical equipment can all point toward employee status rather than contractor. Even if someone is highly skilled (like a physician), if you're controlling how they do their work rather than just the end result, that leans toward employee classification. It might be worth doing a quick analysis using the IRS Form SS-8 criteria before finalizing any 1099s. Better to catch this now than face reclassification penalties and back taxes later!
Given the approaching deadline and the complexity you're dealing with, I'd recommend focusing on getting the forms filed correctly first, then addressing any classification questions later if needed. For your immediate situation: Use 1099-NEC for the physicians receiving stipends for on-call services and for any nurses you're paying directly. The 1099-MISC Box 6 is really for direct medical payments (like insurance reimbursements to providers), not for professional services contracts. For nurses through staffing agencies, you're correct that the 1099 goes to the agency, not the individual nurses. And as others mentioned, make sure you have current W-9s on file with correct TINs. One quick tip from my own experience with medical contractors - if any of your physicians have incorporated their practices, double-check whether they're C-Corps (which are generally exempt from 1099 reporting) versus other entity types. This can save you some paperwork and potential errors. The worker classification question raised by others is valid and important for long-term compliance, but for immediate 1099 filing purposes, if you've been treating them as contractors and have documentation supporting that relationship, proceed with the 1099-NECs to meet the deadline. You can always reassess classifications for next year if needed.
Just a heads up - if you're filing more than 10 1099s, you're required to e-file them with the IRS now! The old rule used to be 250 forms, but they've been lowering the threshold. So even if you mail or email copies to your contractors, you'll still need to submit them electronically to the IRS.
Is that true for small businesses too? I thought there was an exception if your business is below a certain size. I've been paper filing my 15-20 1099s for years!
Yes, the 10-form threshold applies to all businesses regardless of size! The IRS lowered it from 250 to 10 forms starting with the 2024 tax year (forms filed in 2025). There aren't any small business exceptions for this rule unfortunately. You'll need to use the IRS FIRE system (Filing Information Returns Electronically) to submit them. It's free to use, though the interface takes some getting used to. Alternatively, many tax software programs and payroll services can handle the e-filing for you if you don't want to deal with the IRS system directly. Since you mentioned filing 15-20 forms, you'll definitely need to switch to electronic filing this year. Better to get ahead of it now rather than scramble at the deadline!
Thanks for all the helpful information everyone! As someone who's been dealing with 1099s for my small consulting business, I wanted to add that if you do decide to email PDFs, make sure you keep detailed records of when you sent them and any delivery confirmations you receive. The IRS may ask for proof that recipients actually received their forms if there are any disputes later. I learned this the hard way when one contractor claimed they never got their 1099 (even though my email showed it was delivered). Now I use email services that provide read receipts or delivery confirmations, and I save screenshots of those confirmations with my tax records. Also, don't forget that even if you email Copy B to contractors, you still need to file Copy A with the IRS by the January 31st deadline. The electronic distribution to recipients doesn't change your filing obligations to the government.
This is such great advice about keeping delivery records! I just started my own freelance business this year and will definitely need to issue 1099s for the first time next year. The read receipt idea is brilliant - I never would have thought about needing proof of delivery for tax documents. Quick question though - do you know if there's a specific retention period for these delivery confirmations? Like how long should I keep the screenshots and email records in case the IRS asks about them later?
This thread has been incredibly helpful! I'm also self-employed with COBRA coverage and was making this way more complicated than it needed to be. Just to summarize what I'm understanding from everyone's advice: - My COBRA coverage gets reported on 1095-B (which I don't even need to file) - As self-employed, I should use the self-employed health insurance deduction on Schedule 1, Line 17 - This is much better than trying to itemize medical expenses since there's no 7.5% threshold - The deduction is limited to my self-employment profit One thing I'm still unclear on - do I need to wait for my 1095-B to arrive before I can file, or can I go ahead and file my return with just my COBRA payment records? My insurance company is always slow sending these forms out.
You don't need to wait for the 1095-B to file your return! Since you're not actually filing the form with your taxes, you can go ahead and submit using your COBRA payment records (bank statements, receipts, etc.). The 1095-B is just proof of coverage that you keep for your records. As long as you have documentation of what you paid for COBRA premiums throughout the year, you're good to go. I filed in February last year and didn't get my 1095-B until April - no issues at all. Just make sure you keep good records of all your COBRA payments in case the IRS ever asks for documentation during an audit. But there's no reason to delay filing over a form you don't even submit!
I went through this exact same confusion last year! As a fellow self-employed person with COBRA, I can confirm what everyone else is saying - you want the self-employed health insurance deduction, not the itemized medical expenses route. The key thing that helped me understand this: the 1095-B from your COBRA coverage is just proof you had insurance. You don't submit it with your taxes. What matters for the deduction is how much YOU paid in premiums (not what your former employer contributed). In TurboTax, I found the self-employed health insurance section under "Business Income and Expenses" then "Business Expenses." It asks for the total amount you paid for health insurance premiums during the year. Just enter your total COBRA payments and you're done. One heads up - make sure you calculate this correctly if you had any employment income during the year too. The deduction can get limited if you were eligible for employer coverage during part of the year, but since you mentioned you've been contracting all year, you should be fine to deduct the full amount (up to your self-employment profit). Good luck with your return!
This is such a relief to read! I've been overthinking this whole situation for weeks. I'm also self-employed and have been paying COBRA premiums all year, but I kept getting confused by all the different forms and deduction options. Your explanation about the self-employed health insurance deduction being separate from itemized medical expenses really clarifies things. I was trying to figure out if I should itemize or take the standard deduction, but it sounds like this deduction happens regardless of which route I choose since it's "above the line." One quick question - when you say it can get limited if you were eligible for employer coverage, does that apply even if you didn't actually take the employer coverage? I had a brief contract early in the year where the client offered health benefits, but I stayed on COBRA instead since it was simpler. Hoping that doesn't mess up my deduction eligibility! Thanks for sharing your experience - it's so helpful to hear from someone who went through the same situation.
Nia Jackson
This is such a common dilemma for new LLCs! From what I've seen in similar situations, the $2k monthly guaranteed payment route might actually work better for you given your income level and the QBI considerations mentioned earlier. Here's why: with $27k in net income and you being the active partner, a $24k guaranteed payment would be reasonable compensation for your services. This leaves only $3k to be split as distributions, which means your silent partner gets their fair share ($1.5k) without you having to pay self-employment tax on income that really reflects your labor. The key insight others touched on is that you'll pay self-employment tax on your distributive share of partnership income regardless of whether it's distributed. So structuring it as guaranteed payments might actually be cleaner from a tax perspective, even though you lose some QBI deduction benefits. Have you run the numbers both ways including self-employment tax, regular income tax, and the QBI deduction impact? That comparison should give you a clearer picture of which approach saves more money overall.
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CosmicCaptain
β’This is really helpful analysis! I'm curious though - when you say "you'll pay self-employment tax on your distributive share regardless of whether it's distributed," does that apply even if most of the income is allocated to the silent partner through distributions? I thought only the active partner's share would be subject to SE tax, not the total partnership income. Also, have you found any good resources for running those comparative calculations? I'm getting overwhelmed trying to factor in all the different tax implications manually.
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Anna Xian
β’You're absolutely right to question that! I should have been clearer - only the active partner's distributive share of partnership income is subject to self-employment tax, not the silent partner's portion. The silent partner's share is generally not subject to SE tax since they're not materially participating in the business. So in the original scenario with $27k net income split 50/50, the active partner would pay SE tax on $13.5k of their distributive share, while the silent partner would only pay regular income tax on their $13.5k share. For running the comparative calculations, I've found that the IRS Publication 541 (Partnerships) has some good examples, but honestly the math gets complex quickly when you factor in QBI, state taxes, and SE tax. A few people mentioned https://taxr.ai earlier in this thread - that type of tool might be worth trying for the comprehensive analysis rather than trying to calculate everything manually. The key is making sure you're comparing apples to apples across all the different tax implications.
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Ana ErdoΔan
As someone who just went through this exact decision process with my LLC partnership, I wanted to share what ultimately worked for us. We ended up going with a hybrid approach that balanced the tax benefits of both structures. After consulting with our CPA and running detailed projections, we settled on a $18k guaranteed payment for the active partner (me) plus unequal distributions of the remaining $9k split 70/30 in favor of the active partner. This gave us the benefits of reasonable compensation for services while still maximizing QBI deduction eligibility on the distributed income. The key insight was that the guaranteed payment amount should reflect fair market value for the services provided - not just what's left over after distributions. We documented this by researching comparable salaries for similar roles in our industry and including that analysis in our partnership agreement amendments. One thing that really helped was creating a detailed operating agreement that spelled out exactly how we determined the guaranteed payment amount and distribution percentages. This documentation will be crucial if the IRS ever questions our allocation methods. The tax savings compared to either pure guaranteed payments or pure distributions was significant - about $2,400 in our case when factoring in SE tax differences and QBI benefits. Definitely worth the extra complexity in our partnership paperwork!
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Zara Mirza
β’This is exactly the kind of real-world example I was hoping to see! Your hybrid approach with $18k guaranteed payment plus the 70/30 distribution split seems like it strikes a great balance. I'm particularly interested in how you documented the fair market value research for the guaranteed payment - did you use specific salary databases or industry reports? Also, when you mention $2,400 in tax savings, was that comparing against a pure distribution approach or pure guaranteed payment approach? I'm trying to get a sense of the magnitude of difference these structural choices can make. Your point about the operating agreement documentation is well taken - I imagine that level of detail would give a lot more confidence if questions ever came up later.
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