Ep 185: 9 Tax Saving Strategies for CRNAs with an S Corporation

With more and more CRNAs shifting to 1099, it’s time to start thinking about how to best position yourself from a tax standpoint as your finances change. Today, Jeremy Stanley, CFP® will share nine tax strategies that most S corporations can utilize each year to maximize their earnings and minimize what they owe.

Check out the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

Right now we’re seeing an enormous rise in CRNAs taking 1099 positions and with that move comes a conversation about taxes and what type of entity you’ll be.   

There are different options when doing this but, overwhelmingly, CRNAs are choosing to have their entities taxed as an S corporation. In order to truly take advantage of this structure, you need to make a certain amount and that’s something we can run the numbers on and help you determine. But since this is becoming the common path for many people, let’s talk about some strategies you can apply.

The first strategy comes with the salary you’ll be paying yourself. Remember, any time you have an S corporation, the IRS requires you to run a salary. Just like you get a paycheck from the hospital if you’re a W2 employee, you have to do the same thing through your S corporation.

This is the first place you can save a little money on taxes because you can pay yourself a smaller salary to reduce the payroll taxes you’ll be responsible for and then take the rest of your money out as distributions, which aren’t subject to self-employment taxes. Now, your salary needs to be reasonable, but you could be able to save the thousands in taxes that we often see CRNAs overpaying.

The second strategy relates to the healthcare premiums you’re paying. When the S corporation establishes a health insurance plan for the owner, those premiums are then included on the owner’s W2 and are taxable wages. As long as the owner qualifies for the self-insured health insurance deduction, which they should, they are able to deduct that premium back. With the cost of insurance today, that can be a significant amount of money.

The third strategy is to include your children in the business. The S corporation can employ the child so you might be better off paying them rather than yourself since they can earn up to $12,950 in 2022 and not have to pay any federal income taxes. Keep in mind that the downside to this is you’ll be responsible for self-employment taxes on that money but you should still come out ahead by employing your children.

Our fourth strategy is reimbursement of home office expenses. This only applies if you use a home office for your S corporation but it provides a deduction for the corporation and tax-free income for the owner. It gets deducted as office expenses on the company return so make sure you’re documenting it.

The fifth strategy on our list is one that you’ve probably never thought about. You can actually rent your home to your S corporation. There has to be a viable reason for doing this but the S corporation can rent your entire home for 14 days or fewer throughout the year and that could provide a huge benefit for you. Doing this would allow the corporation to deduct the rent and the owner can realize this income completely free from income tax.  

The sixth strategy involves reimbursing you for depreciating expenses. The S corporation can reimburse the owner for business use of a vehicle and home office. That’s another tax deduction for the corporation and tax-free income for the owner.  

The seventh strategy is related to this as well. If you’re using the home as your principal place of work (your office), then you no longer have a commute for work. That means any travel you do for administering anesthesia at the hospital becomes deductible mileage.

Strategy number eight is a big one. When the S corporation owner incurs travel expenses in connection with work and their business, you can be reimbursed. The key is that you have to seek that reimbursement from the corporation by submitting an expense report. That’s where people often go wrong so it’s important to remember these details.

The final strategy we’ll share today is taking advantage of cell phone expenses. If an S corporation provides an employee with a smartphone primarily for business reasons, it becomes excludable from income. That means your company can buy you a cell phone and pay for your service and it’s deductible to the corporation.

There are other tax strategies we use with our CRNA clients every year. If you’d like to learn more, set up a meeting with us and we’ll assess your situation and develop a financial plan tailored to your needs. As you can see from this list, many tax opportunities exist if you know about them and understand all the details involved, and that’s where your financial advisor can provide tremendous value for you and your family.

If you want to learn more about tax strategies, connect with Jeremy at CRNA Financial Planning.

Check it out at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

2:36 – Background on our topic

3:40 – Reasons for not being S corporation  

5:40 – Strategy #1: Taking money out as distributions

7:49 – Strategy #2: Deduct health insurance premiums.  

9:22 – Strategy #3: Employee your children

12:40 – Strategy #4: Reimbursement of home office expenses

13:36 – Strategy #5: Rent your home to your S corp

15:41 – Strategy #6: Reimburse you for depreciating expenses

17:13 – Strategy #7: Vehicle deductions

20:57 – Strategy #8: Reimbursement of travel expenses

23:49 – Strategy #9: Cell phone expenses  

26:23 – Final thoughts

“The PLLC or the entity that you set up really doesn’t save taxes. The thing that could save you some in taxes would be the S corporation and that’s why people do it.”

-Jeremy Stanley, CFP®





COVID-19 Pandemic

Ep 213: Moral Injury and Nurse Anesthesia

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict.

Current Events

Ep 212: Thankful for the AANA and Its Ongoing Efforts for CRNAs

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angie Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year.


Ep 211: Anesthesia Management for a Pheochromocytoma

We’ve had CRNAs and SRNAs ask us to give them the essential information needed to manage a particular case and today we’re going to do that with Pheochromocytoma. This is the second episode in our endocrine surgical procedures series and there will be some valuable info that you might find on exams as well. Here’s the power-packed episode for anesthesia management for a Pheochromocytoma that we hope you get a lot out of.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.