This is the first of a two-part article that discusses entity choice and maintenance for the practice and real estate entities. The first part deals with liability protection, entity formation, entity maintenance, and dissolution.
There are five entities, plus some hybrids, for practice and related entity operation. They are sole proprietorships, C corporations, S corporations, limited or professional limited liability companies (LLCs), and general partnerships (partnerships).
Liability protection
While a sole proprietorship is the simplest entity form, it offers no liability protection, absent insurance. A partnership also offers no liability protection absent insurance. If two or more dentists practice together without forming any other entity, they are a partnership by default and partners are jointly and severally liable for the acts of other partners. Thus, because LLCs can elect to be taxed as either a partnership or other entity, it makes sense to maintain the liability protection afforded to an LLC rather than a partnership, except in those few states where dentists are not permitted to practice through LLCs.
How can operating as a sole proprietorship or partnership insulate a dentist against liability? The dentist should consider carrying an umbrella insurance policy that effectively insures the dentist and practice against what the dentist wants to insure. In addition, the dentist should consider carrying an employment practices liability insurance policy.
Most of all, the dentist, with the practice as the plan sponsor, should consider adopting and funding a tax-qualified retirement plan, (e.g., a safe harbor 401(k) profit-sharing plan for younger doctors) or a defined benefit or cash balance plan for older doctors who have not saved to contribute more. Unlike SIMPLE plans and IRAs, tax-qualified plans are absolutely creditor proof, except for child support orders and federal tax liens, provided that the owner is not the only participant in the plan.
S corporations, LLCs, and C corporations do offer liability protection, except for alleged or actual malpractice. The decision to form an S corporation, LLC, or C corporation versus a sole proprietorship or partnership should be based on two criteria. First, the greater the number of employees in the practice or other entity, the greater the need to consider an entity that provides liability protection. Second, if there is more than one dentist in the practice, it is essential to consider operating in an entity that provides liability protection. While a dentist is always liable for his or her own acts, an entity that provides liability protection protects the practice owners from the acts of other partners and dentists and, hopefully, from claims of practice employees against the practice owners.
However, practicing through or forming a C corporation is a bad choice because of the double tax on distributions on the sale of the practice. Even though the C corporation tax rate is reduced from 35% to 20%,
1 it is still better to practice as an S corporation rather than pay 20% plus the ordinary income rate. Sale of practice proceeds are taxed twice, unless the practice can successfully show and prove
2 that the largest portion of the practice sale—goodwill—is personal and taxed at one level.
3 If the practice is organized as a C corporation and the owner plans to practice at least 10 more years, consider converting to an S corporation. The 10-year period treats the newly elected S corporation as a C corporation.
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