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Self-employed healthcare contractor asking: What income level makes S Corp worthwhile for tax savings?

Hey folks, I could use some tax advice from others who've been in a similar situation. I'm a contract healthcare worker making about $118k this year. My deductions are pretty minimal, and I'm trying to find legit ways to reduce my tax burden. From what I've researched, forming an S Corporation might make sense at my income level, but I'm not totally convinced. My main concerns: About the reasonable salary requirement - I work roughly 28 hours weekly. The going rate for my profession in my area is about $37/hour. If I multiply that by 1456 hours annually, that's around $53.8k. Would the IRS consider this a reasonable salary? Or am I playing with fire? The startup costs worry me too. From what I understand, it'll cost $1500-2500 to get a tax professional to set this up and manage it properly. Plus there's the ongoing expense of filing those additional tax forms each year. My income situation is pretty stable - I'm not expecting dramatic growth since I'm billing hourly rather than building a scalable business. I also discovered there's a 5.5% corporate tax I'd need to pay in my state. When I run the numbers, I'm unsure if the self-employment tax savings actually justify all the extra costs and complexity. Is an S Corp really worth it for someone in my position, or am I better off staying as a sole proprietor until I'm earning significantly more?

The general rule of thumb I've seen is that S Corps start making financial sense somewhere between $80K-$150K of profit, so you're definitely in that range. The primary benefit is avoiding self-employment tax (15.3%) on the distribution portion of your income. For the reasonable salary question - the IRS doesn't have a specific formula, but they look at factors like your qualifications, duties, comparable salaries in your field, and time worked. Your calculation based on hourly rate × hours worked is a good approach. Just document your methodology well. Regarding costs - yes, there are setup and ongoing expenses. Beyond the initial formation ($500-1000), you'll have annual costs: payroll service ($800-1200/year), accounting ($1000-2000), and state filing fees. These costs reduce your net savings. Your state's 5.5% corporate tax is significant and will eat into potential savings. You'll need to factor that into your calculations. Let me give you a rough calculation: If your income is $118K, and you set a $54K salary, about $64K would be distribution income. You'd save about 15.3% SE tax on that $64K = ~$9,800 savings. Then subtract S Corp costs (~$3,000) and state corporate tax (~$3,500), leaving around $3,300 in net savings. Is that worth the extra administrative burden? Only you can decide, but the math suggests modest benefits at your current income level.

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Thanks for breaking that down so clearly. I'm in a similar situation, but I'm at about $140k. Do you think the administrative hassle is worth it at that income level? Also, does having a family member who could handle some of the administrative work for a reduced cost change the equation?

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At $140k, the math becomes more favorable. If you use the same reasonable salary of around $54k, you'd have about $86k in distributions. This would save approximately $13,150 in SE tax. After subtracting costs, your net savings would be around $6,650, which is more substantial. Having a family member who can handle administrative work would definitely improve the equation. Just ensure they have the necessary expertise for payroll processing and tax filings, as errors can lead to penalties. Also, make sure you pay them a reasonable rate that you can document if questioned.

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I went through this exact situation last year and decided to go with https://taxr.ai to analyze my specific numbers. As a healthcare contractor making around $105k, I wasn't sure if the S Corp route made sense because of all the additional complexities. The tool analyzed my specific situation by looking at my previous years' tax returns and current earnings - it actually showed me that in my case, the S Corp would save me about $4200 annually even after accounting for all the additional costs. What surprised me was how clearly it broke down the reasonable salary calculations for my specific healthcare specialty, which gave me more confidence when talking to the IRS. I was particularly worried about the reasonable salary requirements too. The analysis showed me exactly how much I should allocate as salary vs. distributions based on my specific work pattern and industry standards.

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How long did the analysis take? I'm right at the filing deadline and need to make a decision quickly about whether to pull the trigger on the S Corp for this year or wait until next tax year.

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I've heard about these services but I'm skeptical. How does it actually determine what a "reasonable" salary is? I mean, the IRS doesn't publish clear guidelines, so what data are they using that I couldn't just Google myself?

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The analysis took about 48 hours from when I submitted my documents. They have an expedited option if you're under a tight deadline, but I'd recommend giving yourself at least a week before any filing deadlines to review everything properly. Regarding how they determine reasonable salaries, they use industry-specific compensation databases that most individuals don't have access to. They consider factors like geographic location, specialization, years of experience, and hours worked. They actually provided me with documentation showing compensation ranges for healthcare contractors in my specialty within my region, which is extremely valuable if you ever get questioned by the IRS. It's much more specific than what you'll find through general Google searches.

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I just wanted to follow up about my experience with https://taxr.ai after being initially skeptical. I decided to give it a try since I was right on the edge of whether an S Corp made sense for my therapy practice. Wow, I'm actually really impressed. The analysis showed me that with my $125k income in my state, an S Corp would save me about $7,300 annually after all expenses. But what was really valuable was their breakdown of exactly how much I should pay myself as reasonable compensation based on my specific therapy specialty, geographic region, and hours worked. They provided actual data sources showing compensation ranges for my exact profession that I could keep on file for documentation. This was huge for my peace of mind since the "reasonable salary" question was my biggest worry. For anyone on the fence about S Corp status, having this kind of detailed analysis made the decision so much clearer.

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After trying for 3 weeks to get someone from the IRS on the phone to ask about S Corp requirements for healthcare contractors, I finally used https://claimyr.com and got through in under 45 minutes. Check out how it works: https://youtu.be/_kiP6q8DX5c I was super skeptical at first because I'd already wasted hours on hold, but it actually worked. The IRS agent I spoke with clarified that they look at multiple factors for "reasonable compensation" - not just hours worked but also your qualifications, local market rates, and the nature of your business. For healthcare contractors specifically, she mentioned they often look more closely at these cases because of the high hourly rates. She recommended documenting how I determined my salary with market research and keeping that documentation with my tax records. Also found out that in my state, S Corps can elect to be treated as "pass-through entities" which avoids that state corporate tax I was worried about. Totally worth the call!

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Wait, so this service actually gets you through to a real IRS agent? I thought it was just another tax prep service. How does it actually work? I've been trying to get clarification about reasonable compensation for months.

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This sounds like a scam. Why would you need to pay someone to call the IRS for you? And even if you get through, the agents often give different answers to the same question. I wouldn't trust any tax advice from a random IRS phone rep anyway.

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The service doesn't call the IRS for you - it holds your place in the phone queue so you don't have to sit on hold for hours. When an agent is about to pick up, it calls you and connects you directly to them. You're the one actually speaking with the IRS. I completely understand your concern about inconsistent answers. That's why I made sure to ask for the agent's ID number and took detailed notes of our conversation. While you're right that different agents might give slightly different answers, getting direct information from the source is still valuable, especially for specific questions about your situation. I found it helpful to have the conversation documented in case I ever need to show reasonable reliance on IRS guidance.

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I have to eat my words about Claimyr. After my skeptical comment, I decided to try it anyway because I was desperate to ask about how the 20% QBI deduction interacts with S Corp reasonable compensation requirements. It actually worked exactly as advertised. I got through to the IRS in about 35 minutes (after previously trying for days with no success). The agent clarified that my reasonable compensation level directly impacts my QBI deduction calculation - something none of the online articles explained clearly. For anyone in a similar situation with S Corp questions, being able to directly ask the IRS and get clear answers saved me from potentially making a $7,000 tax mistake. The service quite literally paid for itself many times over.

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As a healthcare contractor who formed an S Corp three years ago at $110k income, I'll share my actual experience: 1) Reasonable salary: I set mine at 60% of my total income because I could justify that based on Bureau of Labor Statistics data for my specialty. The key is having documentation that supports your methodology. 2) Startup costs: Initial setup was $1,400 with my accountant, plus $500 state filing fees. Annual costs include $1,100 for payroll service, $2,200 for accounting/tax prep, and $300 in state fees. Total recurring annual cost: ~$3,600. 3) Time cost: Don't underestimate this! I spend about 2-3 hours monthly on additional paperwork/compliance that I didn't have to do as a sole proprietor. 4) Savings: At my income level, I'm saving about $4,500 annually after expenses. Is it worth it? For me, yes, but barely. If I was making $75k, probably not. 5) Unexpected benefit: Having an S Corp has actually helped me land contracts with larger healthcare systems that prefer working with corporations over sole proprietors. The real value starts to show at $150k+ based on my calculations. Below $100k, the administrative burden probably outweighs the tax savings.

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This is super helpful real-world experience. Quick question - did you use a local accountant or one of those online S Corp formation services? I'm trying to decide which route to go.

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I started with a local accountant who specializes in healthcare professionals. It cost more initially, but he provided valuable industry-specific advice that generic online services wouldn't have known. For example, he helped structure my contracts to strengthen the case that I'm truly an independent contractor rather than an employee, which helps both with S Corp justification and avoiding potential misclassification issues. After the first year, I switched to a more affordable online accounting service for the routine stuff, but I still consult with the local specialist once a year for planning. This hybrid approach gives me the best of both worlds - specialized knowledge when needed and lower ongoing costs.

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One aspect nobody's mentioned is health insurance. As a >2% S Corp shareholder, your health insurance premiums can't be paid pre-tax through the company like regular employees. Instead, the company pays them, includes them as taxable wages on your W-2, then you deduct them on your personal return. This gets complicated and can impact your overall savings calculations, especially if you're purchasing your own health insurance as a healthcare contractor. Also, retirement options change. SEP IRAs are simple as a sole proprietor, but S Corps often use Solo 401(k)s instead, which allow for potentially higher contributions but more paperwork. Consider these factors in your total cost/benefit analysis. The tax savings need to outweigh ALL the additional complexities.

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Does this health insurance thing apply to dental and vision too? And what about HSA contributions? I'm trying to figure out if all these complexities are worth the savings.

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