This article provides a comprehensive analysis of the different types of US business entities and their legal, financial, and tax pros and cons. It also explores how each type of entity might relate to private practices run by solo-practitioners, multiple owners with varying numbers of employees. The article aims to help healthcare practitioners understand the most suitable business entity for their private practice, taking into account their unique needs and circumstances. By the end of the article, readers will have a solid understanding of the different business entities available and which entity would work best for their healthcare private practice.

NOTE: This is not legal advice, and is for educational purposes.  Consult your legal council for the most applicable option for your and your business.

Why is it important to form a business entity?

Forming a legal business entity is important for several reasons:

1. 1. Liability protection: A legal business entity, such as a corporation or limited liability company (LLC), provides limited liability protection for the owners. This means that the owners’ personal assets are protected from any liabilities or debts incurred by the business.
   2. Credibility: Operating as a legal business entity can lend credibility to your practice. It shows that you have taken the steps necessary to establish your practice as a professional entity.
   3. Separation of business and personal assets: A legal business entity allows for a clear separation between the business’s assets and the owner’s personal assets. This can help prevent confusion or disputes over ownership and protect personal assets from being used to settle business debts.
   4. Tax benefits: Certain legal business entities, such as an LLC or S Corporation, provide tax benefits that can reduce the tax burden on the business and its owners.
   5. Continuity: A legal business entity can provide continuity in the event of the death or departure of an owner. This means that the business can continue to operate and the remaining owners can maintain control and ownership without disruption.

Overall, forming a legal business entity can provide a number of benefits that can help protect and grow your healthcare private practice.

Different US business entities and their definitions, pros, and cons

Sole Proprietorship

A sole proprietorship is a type of business entity where a single individual owns and manages the business. The owner is personally liable for all debts and obligations of the business. The main advantage of this type of entity is that it is simple to set up and operate, and there is no need to file separate tax returns for the business.

Pros:

1. 1. 1. • Simple and easy to set up: A sole proprietorship is the simplest and easiest type of business to set up. There are no formal requirements, and the owner has complete control over the business.
         • No separate business entity: The owner and the business are considered the same legal entity, meaning that there is no need to file separate business tax returns or comply with other formal requirements.
         • Flexibility and autonomy: The owner has complete autonomy over the business and can make decisions quickly and easily. There are no other partners or shareholders to consult.
         • Pass-through taxation: Like an LLC or partnership, a sole proprietorship is taxed as a pass-through entity, meaning that profits and losses are reported on the owner’s personal tax return. This can simplify tax reporting and potentially result in a lower overall tax burden.

Cons:

1. 1. 1. • Unlimited personal liability: As a sole proprietor, the owner is personally liable for all of the business’s debts and obligations. This means that the owner’s personal assets are at risk if the business is sued or cannot pay its debts.
         • Limited access to funding: Sole proprietorships may have limited access to funding, as banks and investors may be less likely to lend money or invest in a business that is solely owned by one person.
         • Limited growth potential: The business may be limited in its growth potential, as there are no partners or shareholders to help finance expansion or contribute additional expertise.
         • Limited lifespan: A sole proprietorship may have a limited lifespan, as the business is dependent on the owner. If the owner becomes ill, incapacitated, or passes away, the business may not survive.

Professional Corporation (PC)

A corporation formed for licensed professionals, such as doctors, lawyers, and accountants, where the owners have limited liability and are taxed similarly to a regular corporation.

Pros:

• • • • Owners (shareholders) have limited liability protection for the business’s debts and obligations.
      • The PC structure can provide more credibility to clients and colleagues due to the professional designation.
      • The PC can provide tax benefits, including lower tax rates for the business and the ability to deduct certain expenses.

Cons:

• • • • The PC structure can be more complex to form and maintain than other business structures.
      • Shareholders must follow certain formalities, including holding meetings and keeping records.
      • Some states may restrict certain professions from forming a PC.
      • Shareholders may face restrictions on transferring shares or bringing in new shareholders.
      • The PC may be subject to higher taxes than other business structures in certain circumstances.

Partnership

A partnership is a type of business entity where two or more individuals own and operate the business. There are two types of partnerships: general and limited. In a general partnership, all partners share equal management responsibilities and are personally liable for all debts and obligations of the business. In a limited partnership, there is at least one general partner who is responsible for managing the business and at least one limited partner who contributes capital but has limited management responsibilities and liability.

Pros:

• • • • Shared responsibility: Partnerships allow for shared responsibility and decision-making, which can be beneficial for a healthcare private practice. Partners can bring complementary skills and expertise to the table, which can help the practice run more smoothly.
      • Flexibility in management: Partnerships offer flexibility in management, allowing partners to determine how the business will be managed and share responsibilities according to their strengths and preferences.
      • Pass-through taxation: Like an LLC, partnerships are taxed as pass-through entities, meaning that profits and losses are passed through to the partners’ personal tax returns. This can simplify tax reporting and potentially result in a lower overall tax burden.
      • Fewer formal requirements: Partnerships have fewer formal requirements than corporations, making them easier and less expensive to set up and maintain.

Cons:

• • • • Unlimited liability: In a general partnership, each partner is personally liable for the debts and obligations of the business. This means that partners’ personal assets are at risk if the business is sued or cannot pay its debts.
      • Shared profits: Partners must share the profits of the business according to the agreed-upon terms. This can be a disadvantage if one partner is contributing significantly more to the business than the others.
      • Management disputes: Disagreements among partners about management, finances, or other issues can be difficult to resolve and may lead to the dissolution of the partnership.
      • Potential for partner departure: If one partner decides to leave the partnership, it can be difficult to restructure the business and divide responsibilities and assets among the remaining partners.

Limited Partnership (LP)

A business entity that has one or more general partners who manage the business and are personally liable for its debts, and one or more limited partners who do not participate in management but have limited liability.

Pros:

• • • • Limited partners have limited liability for the business’s debts and obligations.
      • General partners can attract more investment as they retain management control of the business.
      • The business itself is not taxed; instead, profits and losses flow through to the partners’ individual tax returns.

Cons:

• • • • General partners have unlimited liability for the business’s debts and obligations.
      • Limited partners do not have management control of the business.
      • Limited partners risk losing their limited liability status if they participate in the management of the business.
      • Limited partnerships can be complex to form and maintain, and may require legal and accounting expertise.

Limited Liability Partnership (LLP)

A partnership where all partners have limited liability for the actions of other partners, and each partner is protected from personal liability for certain types of partnership debts.

Pros:

• • • • All partners have limited liability protection for the business’s debts and obligations, regardless of their level of participation in the business.
      • Partners have flexibility in managing the business, without requiring a board of directors or shareholders.
      • The LLP structure can provide tax benefits, including lower tax rates for the business and the ability to deduct certain expenses.

Cons:

• • • • LLPs can be more complex to form and maintain than other business structures, requiring legal and accounting expertise.
      • Some states may restrict certain professions from forming an LLP.
      • Partners must follow certain formalities, including filing annual reports and maintaining records.
      • Partners may be subject to individual liability for their own acts of malpractice or negligence.
      • The LLP may be subject to higher taxes than other business structures in certain circumstances.

Limited Liability Company (LLC)

An LLC is a type of business entity that offers the benefits of both a partnership and a corporation. It provides limited liability protection for its owners, which means that the owners’ personal assets are protected from the company’s debts and obligations.

Pros:

• • • • Limited liability protection: An LLC provides limited liability protection for its owners, which means that the owners’ personal assets are protected from any liabilities or debts incurred by the business.
      • Flexibility in management: LLCs offer flexibility in management, allowing members to choose how the business will be managed.
      • Pass-through taxation: LLCs are taxed as a pass-through entity, which means that the business’s profits and losses pass through to the owners’ personal tax returns. This can simplify tax reporting and can result in a lower overall tax burden.
      • Fewer formal requirements: LLCs have fewer formal requirements than corporations, making them easier and less expensive to set up and maintain.

Cons:

• • • • Self-employment taxes: While LLCs are taxed as a pass-through entity, members are subject to self-employment taxes, which can result in a higher tax burden for some members.
      • Limited life span: In some states, an LLC has a limited life span and may need to be dissolved after a certain number of years or upon the departure of a member.
      • Limited ability to raise capital: An LLC may have limited ability to raise capital compared to a corporation. LLCs cannot issue stock and may have difficulty attracting investors.
      • Management disputes: If management disputes arise among members, it can be difficult to resolve them without a clear operating agreement in place.

Limited Liability Limited Partnership (LLLP)

A limited partnership where the general partner has limited liability, similar to an LLP.

Pros:

• • • • The LLLP structure provides limited liability protection to all partners, regardless of their level of participation in the business or management decisions.
      • The LLLP combines the advantages of a limited partnership and an LLC, allowing for flexibility in management and taxation.
      • The LLLP structure can provide tax benefits, including lower tax rates for the business and the ability to deduct certain expenses.

Cons:

• • • • The LLLP structure can be complex to form and maintain, requiring legal and accounting expertise.
      • Some states may not allow for the formation of an LLLP or may place restrictions on certain professions.
      • Partners must follow certain formalities, including filing annual reports and maintaining records.
      • Partners may be subject to individual liability for their own acts of malpractice or negligence.
      • The LLLP may be subject to higher taxes than other business structures in certain circumstances.

C-Corporation

A corporation is a type of business entity that is separate from its owners. It is owned by shareholders and managed by a board of directors.

Pros:

1. 1. 1. • Limited liability protection: A corporation provides limited liability protection for its owners, which means that the owners’ personal assets are protected from any liabilities or debts incurred by the business.
         • Credibility: Operating as a corporation can lend credibility to your practice. It shows that you have taken the steps necessary to establish your practice as a professional entity.
         • Continuity: A corporation can provide continuity in the event of the death or departure of an owner. This means that the business can continue to operate and the remaining owners can maintain control and ownership without disruption.
         • Ability to raise capital: A corporation can issue stock to raise capital, which can be an attractive option for practices that need to raise funds for expansion or investment.

Cons:

1. 1. 1. • Double taxation: C-Corporations are subject to double taxation, which means that the business’s profits are taxed at the corporate level and again when they are distributed as dividends to the owners. This can result in a higher overall tax burden for the business and its owners.
         • Formal requirements: A corporation requires formal organization and ongoing maintenance, including regular meetings, minutes, and filings. This can be time-consuming and may require the help of legal and financial professionals.
         • Cost: A corporation can be more expensive to set up and maintain than other business structures, such as a sole proprietorship or partnership.
         • Limited flexibility: A corporation may be less flexible than other business structures in terms of ownership and management. There may be restrictions on who can be a shareholder or director, and decisions may require a formal vote.

S-Corporation

An S-Corporation is another type of business legal entity that can be suitable for healthcare private practices. It offers some of the benefits of a corporation, such as limited liability protection, while also providing certain tax benefits. An S-Corporation is a pass-through entity, which means that the business’s income and losses are passed through to the owners’ personal tax returns. This can result in significant tax savings for the business and its owners.

Pros:

• • • • Pass-through taxation: S-Corporations are pass-through entities, which means that the business’s income and losses are passed through to the owners’ personal tax returns. This can result in significant tax savings for the business and its owners.
      • Limited liability protection: Like a C-Corporation, an S-Corporation provides limited liability protection for its owners. This means that the owners’ personal assets are protected from any liabilities or debts incurred by the business.
      • Credibility: Operating as an S-Corporation can lend credibility to your practice. It shows that you have taken the steps necessary to establish your practice as a professional entity.
      • Continuity: An S-Corporation can provide continuity in the event of the death or departure of an owner. This means that the business can continue to operate and the remaining owners can maintain control and ownership without disruption.

Cons:

• • • • Limited ownership: An S-Corporation is limited to a maximum of 100 shareholders, which can limit the ability to raise capital or bring on new investors.
      • Restrictions on ownership: S-Corporation ownership is restricted to individuals who are U.S. citizens or residents, and there can be only one class of stock. This can limit flexibility in terms of ownership structure and may not be suitable for all practices.
      • Formal requirements: An S-Corporation requires formal organization and ongoing maintenance, including regular meetings, minutes, and filings. This can be time-consuming and may require the help of legal and financial professionals.
      • Limited fringe benefits: S-Corporation owners who are also employees may be limited in the amount of fringe benefits they can receive, such as healthcare benefits and retirement contributions.

How each entity might relate to private practice

Solo-practitioner (1 owner)

A sole proprietorship or an LLC may be the most suitable business entity for a solo practitioner as they are easy to set up, operate, and offer limited liability protection.

2 practitioners (2 owners) with no employees

A partnership or LLC may be the most suitable business entity for a practice with two owners and no employees, as they offer shared management responsibilities and limited liability protection.

1 or more owners with up to 10 employees

An LLC or a corporation may be the most suitable business entity for a practice with up to 10 employees, as they offer limited liability protection and allow for more complex management structures.

1 or more owners with 11 to 50 employees

A corporation may be the most suitable business entity for a practice with 11 to 50 employees, as it allows for easy transfer of ownership and can raise capital by issuing stock.

1 or more owners with 51 to 100 employees

For a healthcare private practice with 51 to 100 employees, a corporation is often the recommended business legal entity. A corporation provides limited liability protection for its owners and allows for easy transfer of ownership. Additionally, it can raise capital by issuing stock, which can be useful for larger practices looking to expand or invest in new equipment or facilities.

1 or more owners over 100 employees

For a healthcare private practice with over 100 employees, a corporation is also often recommended for similar reasons. As the number of employees increases, it becomes even more important to have a clear management structure and a reliable source of capital. A corporation can provide both of these, while also protecting the owners’ personal assets through limited liability protection. However, it’s important to consult with legal and financial professionals to determine the best course of action for your specific practice.

Applicability for S-Corporation

An S-Corporation can be applicable for practices of various sizes, from solo-practitioners to larger practices with multiple owners and employees. However, it’s important to consult with legal and financial professionals to determine the best course of action for your specific practice. Factors such as your business structure, goals, and financial situation should all be taken into account when considering whether an S-Corporation is the right choice for your healthcare private practice.

Looking to start your own private practice?

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