Ken has given you good advice on retirement plan issues. I want to address another important issue that you didn’t ask about. Are their specific substantial reasons for why your wife has an S-Corp other than based on the convention wisdom that an S-Corp is always better at higher incomes, because of FICA/SE tax savings?
Conventional wisdom is often wrong. In this specific case very wrong. If she were to pay herself $127,200 in W-2 wages on $200K of net business profit. In your/her circumstances she will pay > $8,000 MORE in net W-2 payroll taxes than she would in net SE taxes as a sole proprietor.
An S-Corp is almost always counter-productive for physician supplemental small business income, because their primary W-2 wages are almost always greater than the Social Security maximum wage base 2017 = $127,200. The excess employee share of FICA is refundable on your Form 1040, the employer share is not. This is compounded in your case by the fact that at your income level, the 1/2 SE tax deduction will decrease the effective SE tax by 19.8%.
It is very likely that she should dissolve the S-Corp as soon as practical. It is beyond my knowledge when that is.
In addition to the above concerns, I want to raise another one. If you want to set up a CB plan, you are definitely better off doing solo proprietorship/LLC. If you give her a W2 of $200k with a net profit of $200k, you can make a zero contribution into the 401k profit sharing and Cash Balance plan, just to correct myself above. I'm so used to docs having enough money left in their S corps that I often forget about that one.
In order to max out the 401k and Cash Balance you will definitely benefit from NOT doing an S corp, and of course at that point S corp makes zero sense because whatever you save in payroll taxes you will spend on not being able to max out your plans (whether you do a solo 401k only or a Cash Balance), because solo 401k profit sharing also comes from 'employer' contribution, not from W2.
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