Should CRNAs Still Elect PTET Under the New $40K SALT Cap?

Spoiler: It depends—and the QBI deduction might be the tie-breaker.


A Quick Recap for the Non-Accountants in the Back

In the old days (read: last year), you could only deduct up to $10,000 of state and local taxes (SALT) on your federal return. Enter the PTET—the Pass-Through Entity Tax election. It was a clever workaround: instead of paying state income tax personally and getting capped, your S-Corp paid it on your behalf. Since that payment hit as a business expense, it lowered your federal taxable income. Pretty slick.

But now? Congress just jacked the SALT deduction cap to $40,000 under the “One Big Beautiful Bill Act” (OBBBA). That changes the math for a lot of CRNAs who file as S-Corp owners.


Example Time: Let’s Talk Real Numbers

Let’s say you’re a single-member S-Corp CRNA in Michigan:

  • $150,000 W-2 salary from your S-Corp
  • $200,000 S-Corp distribution
  • $20,000 in Michigan state income tax

Before, you were capped at a $10K deduction. Now? You can deduct all $20K personally if you itemize—no PTET necessary.

So what’s the benefit of PTET now?


PTET Still Lowers Your Income, But…

If your S-Corp pays that $20K state tax, it reduces your S-Corp’s net income by $20K.

Cool, right? Until you realize that also reduces your Qualified Business Income (QBI)—the part that qualifies for that juicy 20% deduction under Section 199A.

So instead of getting 20% of $400K = $80K QBI deduction, you now get 20% of $380K = $76K.

You lose $4,000 of QBI. At a 35% federal bracket, that’s about $1,400 in lost tax savings. Ouch.


Here’s Where It Gets Interesting

Let’s stack the two options:

ScenarioState DeductionFederal Income Lowered?QBI ImpactNet Tax Benefit
PTET$20K via S-CorpYesQBI goes down~$5,600 saved
Itemize$20K on Sch. AYes (same deduction)QBI untouched~$7,000 saved

So unless your total SALT bill exceeds $40K—which most CRNAs won’t hit unless they’re stacking big property taxes on top of state income tax—PTET actually results in a smaller total benefit.


Bottom Line: Don’t Auto-Elect PTET Anymore

If your state tax is under $40K and you’re itemizing deductions, PTET might hurt more than help.

You’re better off:

  • Paying your state tax personally
  • Taking the full Schedule A deduction
  • Preserving your QBI in full

Only when your combined SALT exceeds $40K does PTET reclaim its tax-slaying glory.


What Should You Do?

  • Run the math. Or better yet, let us run it for you.
  • Consider the QBI impact—especially if you’re in the phaseout zone.
  • Stop defaulting to PTET just because it’s available.

It’s a great tool—but only when used surgically.


Need help modeling it for your situation? Schedule a tax strategy session, and we’ll walk through it—whiteboard and all.