For New York-based medical and dental practices structured as partnerships or S corporations, 2026 offers another opportunity to elect in to New York State’s Pass-Through Entity Tax (PTET). But what exactly is the PTET, what are the potential benefits of opting in, and how can you make an election for the 2026 tax year? Let’s get into it.
Firstly, what is a pass-through entity?
A pass-through entity is a business entity in which income “passes through” to the business owner(s) and is therefore taxed at individual federal income tax rates, rather than at the entity level. Examples of pass-through entities include partnerships, limited liability companies (LLCs) taxed as partnerships, and S corporations.
What is the NYS Pass-through Entity Tax (PTET)?
The NYS PTET is an optional entity-level tax that partnerships and S corporations in New York State can elect to pay as a workaround for the federal limit on state and local tax (SALT) deductions.
Potential Benefits for Healthcare Practices
- Federal Tax Deduction at the Entity Level
Because PTET is treated as a deductible business expense for federal income tax purposes, it reduces the entity’s ordinary income before it passes through to owners. This may lower overall federal tax liability for physicians and dentists whose personal SALT deductions are otherwise capped.
- NYS PTET Credit
Owners of an electing entity generally receive a refundable PTET credit on their New York State individual income tax return. This offsets state tax paid at the entity level.
- Cash Flow and Planning Opportunities
For multi-owner practices, PTET can help align tax payments at the entity level and may simplify tax planning.
- Considerations Around Self-Employment Tax (Partnerships)
For partners in medical and dental practices taxed as partnerships, PTET may reduce self-employment taxes.
How do you opt in to the PTET?
You can make your election online via the New York Department of Taxation and Finance through your entity’s Business Online Services account. Only an authorized person can make the election on behalf of your business—your accountant or tax professional cannot make the election for you. For partnerships, an authorized person includes any member, partner, owner, or other individual with authority to bind the entity and sign returns. For S corporations, an authorized person includes any officer, manager, or shareholder authorized to make the election.
What Is the Deadline for 2026?
The deadline for making the election is March 15, 2026. Eligible entities can opt in any time from January 1 to March 15. PTET elections must be made annually, so if you are opting in for 2026, you will need to make your election via your NYS Business Online Services account by March 15—even if you have previously opted in for prior years.
When are payments due?
Entities that opt in to the PTET must make quarterly estimated payments via the state’s online system by March 15, June 15, September 15, and December 15.
Is PTET Right for Your Practice?
Whether PTET makes sense depends on several factors, including:
- Owner income levels
- Residency of owners
- Allocation structure
- Existing state tax exposure
- Practice profitability projections
For high-income physicians and dentists in New York, PTET often produces meaningful federal savings, but you should be discuss with your tax advisor before electing.
Consult with RBT CPAs Healthcare Accounting Team
Electing in to PTET is a strategic tax decision. Our Healthcare Accounting Team at RBT CPAs works with privately owned medical and dental practices located in multiple states to evaluate PTET elections and can help you determine whether opting in to the PTET for 2026 is the right choice for you. Give RBT CPAs a call today and find out how we can be Remarkably Better Together.










