How to setup your own S-Corp

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For a small S Corporation (S Corp) in the U.S., there are a few basic legal requirements that must be followed. Here’s a simplified list of key S Corp requirements that are legally mandated, specifically relevant to your business (note: for anything legal, please consult an actual attorney as I am not that):


1. Corporate Formation

  • Incorporate as a Corporation with the state (usually as a Professional Corporation, or PC, for medical practices).
  • File Articles of Incorporation with your state’s business filing office.
  • Some states require medical professionals to form Professional S Corporations specifically for health care services.

2. Elect S Corporation Status (IRS Requirement)

  • File IRS Form 2553 to elect S Corporation status (must be done within 75 days of incorporation or the beginning of the tax year).
  • All shareholders must sign Form 2553.

3. Comply with Licensing Laws

  • All medical practitioners must have valid state medical licenses.
  • The clinic itself may need a facility license or clinic permit, depending on your state.
  • Follow any state-specific rules for medical corporations (e.g., ownership must be limited to licensed physicians in most states).

4. Corporate Governance

  • Create corporate bylaws.
  • Hold annual shareholder and director meetings.
  • Keep minutes of meetings and maintain corporate records.

5. Reasonable Compensation

  • As an owner-employee, you must pay yourself a reasonable salary for your role before taking any distributions.
  • This is required by the IRS to avoid underpaying payroll taxes.

6. Separate Business Finances

  • Open a business bank account.
  • Do not mix personal and business finances.
  • Maintain clear financial records and bookkeeping.

7. Annual Filings & Taxes

  • File Form 1120-S (U.S. Income Tax Return for an S Corporation).
  • Provide Schedule K-1 to each shareholder.
  • File state income/franchise taxes as required.
  • Issue W-2s for employees, and 1099s for independent contractors.

8. Maintain Good Standing

  • File annual or biennial reports with your state.
  • Pay state business renewal fees.
  • Maintain registered agent service for receiving legal documents.

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