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Entity Structure & Holding Companies

One entity is a business. The right structure is a platform.

Entity selection, S-corp optimization, and holding company design for PI firms and practices running multiple locations, lines of business, or big ambitions. Structured for liability protection, tax efficiency, and eventual sale β€” and administered properly every month.

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Sample Multi-Entity Structure

Multi-location PI practice Β· illustrative
πŸ›οΈ Holdings, LLC (parent)Owns all
β”” Clinic A, PLLC (S-corp)Location 1
β”” Clinic B, PLLC (S-corp)Location 2
β”” Management Co, LLCAdmin & billing
β”” Realty, LLCOwns buildings
βœ“ Isolated Β· Consolidated
Entity Selection

The right entity saves five figures a year. The wrong one costs it.

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Selection & Elections

PLLC vs. PC, S-corp elections, partnership design for multi-partner firms β€” chosen for your state's professional entity and ownership rules, not from a template.

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Reasonable Comp Optimization

The S-corp salary/distribution split, defensibly documented β€” the highest-ROI recurring decision most owners get wrong in one direction or the other.

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Restructuring

Outgrown your current setup? We handle conversions, elections, and reorganizations β€” timed to minimize tax friction.

Holding Companies

Running multiple locations or entities? Structure is your best insurance β€” and your best tax tool.

A parent/holding arrangement with each location, the management function, and the real estate in separate entities delivers liability isolation, per-location truth in the numbers, legitimate tax planning room, and a platform a buyer or lender can actually evaluate.

What the structure buys you

  • Claims against one location can't reach the others' assets
  • Real estate held outside operating risk, leased back
  • Management company centralizes admin, billing & marketing
  • Sell one location, one line, or the whole platform
  • Entity-level P&Ls: know which location really earns

What makes it hold up

  • Separate books and bank accounts for every entity
  • Written intercompany & management-fee agreements
  • Defensible, documented fee arrangements between entities
  • Consolidated monthly rollups for you and your lenders
  • Every entity administered like the separate business it is
The honest warning: a holding structure without disciplined monthly accounting isn't asset protection β€” it's commingling with extra steps, and courts and the IRS treat it exactly that way. Structure and administration are one service here, not two.
Who This Fits

When structure starts paying for itself.

Multi-Location Practices

Two or more clinics, an imaging center, a surgery affiliate β€” the classic case for parent + per-location entities + management co + realty.

Growing Law Firms

Multiple offices, of-counsel arrangements, a marketing entity, owned office real estate β€” the same logic applies to firms.

Owners Planning an Exit

Sophisticated buyers pay more for clean, separable entities with consolidated financials. Structure years before the sale β€” that's when it's cheap.

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InjuryTax AssistantAnswers about accounting for PI attorneys, MDs & chiros