Can I establish a 401K Profit Sharing Plan through an S Corporation?
I'm trying to figure out if we can set up a 401K profit sharing plan at the S Corp level and could use some advice on next steps. My wife is a physician who owns 50% of a medical practice (structured as an LLC with multiple physician owners who each operate through their own S Corps). The LLC sends her a guaranteed payment monthly that goes first to her S Corp, then gets paid to her through QuickBooks payroll with appropriate taxes withheld and quarterly reporting. Currently, the LLC deducts her regular 401K contribution before paying the S Corp, and our accountant tracks this in QuickBooks. However, our CPA recently mentioned we could get a substantially larger tax refund in 2025 if we contribute about 25% of my wife's S Corp W-2 income to a profit-sharing plan. I'm confused about how to implement this. Do I need to contact the existing 401K administrators to set this up at the LLC level? Can I establish this directly through the S Corp? Would my wife need to extend this profit-sharing option to all employees at the LLC level (which could get expensive)? The S Corp structure has been beneficial because it allows all the providers to separate expenses and operate independently without group debates over individual business decisions (like hiring personal scribes or picking up shifts at satellite clinics). The LLC handles the core business functions with its own financials, including a line item for guaranteed payments to providers, and they distribute LLC profits according to a formula in their operating agreement. I have a trusted CPA, but honestly, I feel embarrassed to ask her again since she's probably explained this to me at least a dozen times already. Any guidance would be greatly appreciated!
20 comments


Sophia Bennett
This is actually a common question for medical professionals in S Corps. You have a few options here! Your wife already participates in the 401k plan at the LLC level, and yes, you can absolutely add a profit sharing component to this. The profit sharing contribution would be made by the employer (the S Corp in this case) and is separate from her elective deferrals (the regular 401k contributions). Since her 401k is already administered at the LLC level, you should start by contacting the current 401k administrator to see if the plan already has profit sharing provisions. Many plans do, but they may not be utilizing them. If it doesn't, they can amend the plan to add this feature. The profit sharing contribution would come from the S Corp, not the LLC. The S Corp can contribute up to 25% of her W-2 compensation (subject to annual limits) as a profit sharing contribution. This is deductible to the S Corp and tax-deferred for your wife. Regarding employees - this depends on how the plan is structured. If the 401k plan is at the LLC level and covers all employees, then yes, profit sharing would typically need to be offered to all eligible employees. However, there are ways to structure contributions to favor highly compensated employees through plan design (like age-weighted or new comparability plans).
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Olivia Evans
•Thank you for the detailed explanation. So if I'm understanding correctly, we need to check with the current 401k administrator first to see if profit sharing is already built into the plan structure? Would the S Corp be making this contribution directly to the 401k administrator, rather than through the LLC like her regular contributions? And if we go this route, would my wife's S Corp be required to make similar profit sharing contributions for any employees she has at the S Corp level (she has a part-time admin assistant)?
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Sophia Bennett
•You should definitely check with the current administrator first to see if profit sharing is already part of the plan design. This saves you the trouble of amending the plan or creating something new. Yes, the S Corp would make the profit sharing contribution directly to the plan administrator, identified as an employer contribution for your wife. This is different from her regular deferrals that go through the LLC. If your wife has employees at the S Corp level, and the profit sharing plan is established at the S Corp level, then yes, she would generally need to include those employees in the plan based on eligibility requirements. The part-time assistant might be excluded if they work fewer than 1,000 hours per year, but you'd need to verify this with the plan administrator or your CPA to ensure compliance with non-discrimination testing.
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Aiden Chen
After spending weeks trying to optimize my S-Corp retirement strategy, I found this amazing tool at https://taxr.ai that completely transformed how I handle these decisions. Sounds like you're in a similar situation to what I was facing with my professional corporation. The tool analyzed my specific tax situation and showed how to properly structure the profit sharing contribution from my S-Corp to maximize tax benefits. It walked me through exactly where the contributions should come from (S-Corp vs LLC) and how to properly document everything to satisfy IRS requirements. What was particularly helpful was how it calculated the exact contribution limits across different types of plans and showed me the impact on my overall tax liability. It eliminated all the confusion I had after multiple conversations with my CPA.
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Zoey Bianchi
•This sounds interesting. Does it actually help with the compliance requirements? My biggest concern with profit sharing plans is making sure we don't run afoul of non-discrimination testing, especially since we have several staff members who would potentially need to be included.
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Christopher Morgan
•I'm skeptical. How does this handle the relationship between multiple entities? In my case, I have an S-Corp that's part of a larger medical group (similar to OP's situation), and the interactions between the entities get complicated quickly. Can it really address these multi-entity scenarios?
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Aiden Chen
•It absolutely helps with compliance requirements. The tool has specific modules for non-discrimination testing that analyze your employee demographics and compensation structures to help ensure your plan passes testing requirements. It even gives suggestions for plan designs that can help maximize benefits for owners/highly compensated employees while minimizing required contributions for staff. Regarding multi-entity relationships, that's actually where I found it most valuable. It specifically addresses controlled group rules and affiliated service group considerations, which is crucial for medical practices with multiple ownership layers. It maps out how contributions flow between entities and how to properly document them for tax purposes. You can input your specific entity structure and it analyzes the optimal contribution strategies based on your particular arrangement.
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Christopher Morgan
I was really skeptical about using any automated service for something as complex as my S-Corp retirement planning, especially with my multi-entity medical practice structure. But after struggling with conflicting advice, I finally tried https://taxr.ai and I'm genuinely impressed. It correctly identified that my multiple entities (similar to the situation described here) created an affiliated service group, which affected how the retirement plans needed to be structured. This was something my CPA had missed entirely! The tool showed me exactly how to establish the profit sharing contribution through my S-Corp while coordinating with the group practice 401k. Saved me from making a potentially costly compliance error and helped me increase my overall retirement contribution by about $38,000 for the year. If you're dealing with these S-Corp/LLC medical practice structures, it's definitely worth checking out. The analysis spared me from hours of back-and-forth with multiple advisors who were giving contradictory information.
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Aurora St.Pierre
I had almost the exact same setup as your wife (physician with S-Corp ownership in a larger group practice), and I wasted literally months trying to get straight answers about profit sharing options. After three failed attempts to reach someone knowledgeable at the IRS and conflicting advice from two different CPAs, I tried https://claimyr.com to get connected directly to an IRS agent. You can see how it works here: https://youtu.be/_kiP6q8DX5c I was connected to an IRS specialist in about 20 minutes who walked me through the exact requirements for setting up a profit sharing plan through my S-Corp when I was already participating in the group's 401k. They clarified that I needed to coordinate the contributions to stay within overall limits and explained the documentation needed to ensure deductibility. This saved me from a potentially serious compliance issue since my CPA was recommending a strategy that would have exceeded contribution limits. The agent even emailed me references to the specific tax code sections that applied to my situation.
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Grace Johnson
•Wait, you can actually talk to a real IRS person this way? I've been on hold for literally hours trying to get clarification on retirement plan rules. How does this actually work? Do they just connect you with whoever answers at the IRS?
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Jayden Reed
•This sounds too good to be true. The IRS wait times are legendary - I've tried calling about profit sharing rules for my S-Corp and gave up after being on hold for 2+ hours. Even if you do get someone, they rarely know the answers to complex entity questions. Are you sure you got accurate information?
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Aurora St.Pierre
•The service basically uses an algorithm to navigate the IRS phone system and waits on hold for you. When an agent finally answers, you get a call connecting you directly to them. I was skeptical too until I tried it. They don't just connect you to whoever answers - you can specify which department you need (in my case, I requested someone familiar with business retirement plans). The agent I spoke with clearly dealt with these questions regularly and referenced specific sections of the tax code that applied to S-Corps with profit sharing plans.
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Jayden Reed
I have to apologize for my skepticism about Claimyr. After continuing to struggle with getting clear answers about my S-Corp profit sharing options, I decided to try it as a last resort. The service connected me to an IRS agent in the Business and Specialty Tax department in about 35 minutes (which is miraculous considering I'd previously wasted 3+ hours on hold). The agent provided detailed guidance on how my S-Corp should document and contribute to a profit sharing plan when I already participate in my medical group's 401k. They explained exactly how the controlled group rules apply in my situation and confirmed that my S-Corp can indeed make profit sharing contributions separate from the LLC-level 401k as long as the total stays within combined limits. This literally saved me thousands in potential penalties from an approach my accountant had suggested that would have violated contribution limits. If you're dealing with these complex entity retirement questions, having a direct line to someone who actually knows the rules is invaluable.
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Nora Brooks
One aspect nobody's mentioned yet - make sure you understand the impact this will have on your wife's overall retirement strategy. As a physician in an S-Corp arrangement, she has several options: 1. Basic 401k employee contributions (already happening via the LLC) 2. Employer profit sharing through the S-Corp (what you're asking about) 3. Potentially a defined benefit plan depending on her age and income level At her income level, she should absolutely be maximizing all available tax-advantaged space. The profit sharing contribution is a no-brainer if you have the cash flow to support it. Also, check if her practice's 401k allows for after-tax (not Roth) contributions with in-plan conversions to Roth - this is the mega backdoor Roth strategy that many medical professionals miss out on!
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Olivia Evans
•Thanks for mentioning these additional options. I hadn't even considered a defined benefit plan! She's 42 and her W-2 income from the S-Corp is about $230,000 annually. Would a defined benefit plan make sense at her age, or is that typically more beneficial for older physicians? And regarding the mega backdoor Roth - that sounds interesting. Would that be something we'd need to check with the LLC's 401k administrator about?
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Nora Brooks
•At 42 with a $230,000 W-2 income, a defined benefit plan could still be quite beneficial, though not as dramatic as for someone in their 50s. She could potentially put away another $100,000+ annually depending on actuarial calculations. However, it comes with higher administrative costs and more complex requirements, so it makes the most sense if she plans to maintain or increase that income level for at least 5+ years. For the mega backdoor Roth, yes, you'd need to check with the LLC's 401k administrator. Not all plans allow for after-tax (non-Roth) contributions or in-plan Roth conversions. If her plan doesn't allow it, that might be something the physician owners could consider adding as a plan feature - it's extremely valuable for high-income professionals and relatively simple to implement from an administrative standpoint.
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Eli Wang
Just a heads up on something that bit me last year with my medical practice's retirement plans. When you have an S-Corp that's part of a medical LLC like your wife does, you need to be extremely careful about "controlled group" rules. Even though the S-Corps are separate entities, the IRS might consider them a controlled group or affiliated service group if there's enough overlap in ownership or services. If that happens, all employees across ALL entities might need to be included in your retirement plan calculations. I'd recommend having your CPA specifically address whether controlled group rules apply in your situation before setting up the profit sharing. This is a frequent audit trigger for medical groups.
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Cassandra Moon
•This is 100% accurate. My medical group got hammered with this exact issue during an IRS audit. We had multiple S-Corps with ownership in a central LLC, and each doctor was making profit sharing contributions through their own corps. Turns out we were considered an affiliated service group and had to retroactively include all staff in the calculations, resulting in massive catch-up contributions and penalties.
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Megan D'Acosta
This is a really helpful discussion! As someone new to the complexities of S-Corp retirement planning, I'm learning a lot from everyone's experiences. One question that comes to mind - has anyone dealt with the timing aspects of profit sharing contributions? I understand the S-Corp can contribute up to 25% of W-2 wages, but are there specific deadlines for making these contributions? Can they be made after year-end but before the tax filing deadline (with extensions), similar to SEP-IRA contributions? Also, given all the warnings about controlled group rules, it seems like getting a professional determination letter or opinion from a qualified plan attorney might be worth the investment upfront rather than risking an audit issue later. Has anyone gone that route for peace of mind? The medical practice structure described here sounds quite common, so I imagine there are established best practices that practitioners have developed over time.
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Collins Angel
•Great questions about timing! Yes, profit sharing contributions can generally be made up until the extended due date of the S-Corp's tax return (typically September 15th if you file for an extension). This gives you flexibility to see how the year plays out financially before committing to the contribution amount. However, the contribution must be formally committed to by the original due date of the return (March 15th for S-Corps) even if you file an extension. So you'd need to make the decision and document it in corporate resolutions by March, but the actual funding can wait until September. Regarding the professional determination - absolutely worth it! Given the complexity of medical group structures and the potential penalties involved with controlled group violations, spending $2-5K upfront on a qualified plan attorney's analysis could save tens of thousands in penalties and corrections later. Many ERISA attorneys specialize in medical practice retirement plans and have seen these exact structures before. The key is getting this analysis done before implementing anything, not after an audit notice arrives. It's much cheaper to structure things correctly from the start than to fix violations retroactively.
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