Choosing the right business structure is a critical decision for registered nurses and nurse practitioners establishing their private practices in California. While California Limited Liability Companies (California LLCs) are popular for their flexibility and tax benefits, nursing practices in California are expressly prohibited from operating as a California Limited Liability Company (California LLC).

While the question, “why is a nursing practice not permitted to use a California LLC?” has been answered in previous articles cited and summarized below, the experienced corporate attorneys at San Diego Corporate Law inquiries on a weekly basis from registered nurses and nurse practitioners receiving mixed information from other attorneys or advisors leading them to believe that in certain circumstances it might be permissible to practice nursing in a California LLC.

This blog references and links to previous articles with regard to the business structures and business entities registered nurses and nurse practitioners may use to practice nursing in California, but the purpose of this article is to highlight and explore the specific provisions of the California Corporations Code that prohibits the use of a California LLC to render professional services as a registered nurse or nurse practitioner in California.

California Corporations Code Section 13401

The Moscone-Knox Professional Corporations Act is found in California Corporations Code Sections 13400-13410. California Corporations Code Section 13401(b) provides the authority for registered nurses and nurse practitioners to practice in California as California Professional Nursing Corporations with the purpose of rendering professional services in their practice of nursing.

California Corporations Code Section 13401 also provides two definitions required to properly analyze the restrictions on the use of California LLCs by registered nurses and nurse practitioners practicing nursing in California.

California Corporations Code Section 13401(a)

California Corporations Code Section 13401(a) provides the definition of “Professional Services” as follows:

“‘Professional services’ means any type of professional services that may be lawfully rendered only pursuant to a license, certification, or registration authorized by the Business and Professions Code, the Chiropractic Act, or the Osteopathic Act.”

Thus, Professional Services under the definition provided by California Corporations Code Section 13401(a) encompasses many professions, including nursing under California Business and Professions Code Sections 2775–2781.

California Corporations Code Section 13401(d)

California Corporations Code Section 13401(d) provides the definition of “Licensed Person” as follows:

“‘Licensed person’ means any natural person who is duly licensed under the provisions of the Business and Professions Code, the Chiropractic Act, or the Osteopathic Act to render the same professional services as are or will be rendered by the professional corporation or foreign professional corporation of which the person is, or intends to become, an officer, director, shareholder, or employee.”

Thus, Licensed Person under the definition provided by California Corporations Code Section 13401(d) means those persons licensed in the professions listed above as providers of Professional Services under California Corporations Code Section 13401(a), which includes registered nurses and nurse practitioners in California.

California Corporations Code Section 17701.04

Two subsections of California Corporations Code Section 17701.04 explicitly outline restrictions on the use of a California LLC for the provision of nursing services.

Professional Services, as defined under California Corporations Code Section 13401(a), refers to professional services, such as the practice of nursing, that require a license, certification, or registration by governmental agencies or other entities and regulatory boards such as the California Board of Registered Nursing. California Corporations Code Section 17701.04 establishes that individuals or entities practicing as a registered nurse or nurse practitioner cannot form a California LLC for these purposes.

California Corporations Code Section 17701.04(b)

One of the primary legal barriers to nursing practices utilizing a California LLC can be found in California Corporations Code Section 17701.04(b), which reads:

“A limited liability company may have any lawful purpose, regardless of whether for profit, except the banking business, the business of issuing policies of insurance and assuming insurance risks, or the trust company business. A domestic or foreign limited liability company may render services that may be lawfully rendered only pursuant to a license, certificate, or registration authorized by the Business and Professions Code, the Chiropractic Act, the Osteopathic Act, or the Yacht and Ship Brokers Act, if the applicable provisions of the Business and Professions Code, the Chiropractic Act, the Osteopathic Act, or the Yacht and Ship Brokers Act authorize a limited liability company or foreign limited liability company to hold that license, certificate, or registration.”

California Corporations Code Section 17701.04(b) is one of the more confusing sections in the analysis of restrictions on using a California LLC for a nursing practice. While the first half of the second sentence of California Corporations Code Section 17701.04(b) does read:

“A domestic or foreign limited liability company may render services that may be lawfully rendered only pursuant to a license, certificate, or registration authorized by the Business and Professions Code, the Chiropractic Act, the Osteopathic Act, or the Yacht and Ship Brokers Act…”

the second half of that sentence requires there to be applicable provisions the California Business and Professions Code or other applicable Act to actually authorize the use of a California LLC, which authorizing provisions do not exist at the time of this writing for the practice of nursing.

California Corporations Code Section 17701.04(e)

Another of the legal barriers to a professional nursing practice utilizing an LLC in California can be found in California Corporations Code Section 17701.04(e), which reads:

“Nothing in this title shall be construed to permit a domestic or foreign limited liability company to render professional services, as defined in subdivision (a) of Section 13401 and in Section 13401.3, in this state.”

This section of the California Corporations Code explicitly prohibits LLCs from providing Professional Services in California under California Corporations Code 13401(a) by those Licensed Persons, including registered nurses and nurse practitioners, under the definition of California Corporations Code Section 13401(d).

Secretary of State Form LLC-1 Regarding a Nursing Practice Using a California LLC

California Articles of Organization Form LLC-1 Screenshot of Professional Services Notice

As shown in the image above, in order to file California Secretary of State Form LLC-1, the filer must agree to the following provision:

“A California limited liability company may not provide professional services in California. (California Corporations Code sections 13401 and 7701.04(e).) If your business is required to be licensed, certified or registered, before submitting this filing to the California Secretary of State’s office, it is recommended that you contact the appropriate licensing authority in order to determine whether your services are considered professional. For licensing requirements in California, please refer to the CalGold website at http://www.calgold.ca.gov or the California Department of Consumer Affairs website at http://www.dca.ca.gov.

A filer may successfully file California LLC Articles of Organization despite the warning depicted and quoted above, however, acceptance of Articles of Organization by the Secretary of State does not constitute the consent of the California Secretary of State to practicing nursing with a California LLC under the California Corporations Code.

Reasons for Prohibition Against a California Limited Liability Company for California Registered Nurses and Nurse Practitioners

The main reason for prohibiting the use of California LLCs by registered nurses and nurse practitioners is to ensure compliance with professional regulations and protect the public from potential harm caused by unqualified or unethical individuals providing nursing services by upholding public accountability standards specific to the practice of nursing. The State of California wants to ensure that only registered nurses and nurse practitioners who have met certain education and training requirements are able to offer their expertise and advice in a professional capacity as a registered nurse or nurse practitioner.

The reasoning behind this restriction stems from the nature of nursing services, which requires specialized knowledge and experience, and is subject to stringent regulation by the State of California and the California Board of Registered Nursing. Professions such as nursing demand accountability not just to patients but also to their professional licensing boards.

The California LLC structure, known for its liability protections and manager/member flexibility, is deemed incompatible with the heightened accountability standards the State of California applies to registered nurses and nurse practitioners. Thus, registered nurses and nurse practitioners practicing in California must choose alternative structures that better align with the regulatory oversight and public protection goals of the State of California.

California Professional Nursing Corporations require adherence to stricter regulations regarding ownership and governance. Registered nurse or nurse practitioner shareholders of a California Professional Nursing Corporation must be licensed to practice nursing or certain other fields permitted under California Corporations Code Section 13401.5 (see: “Who May Be a Shareholder of a California Professional Nursing Corporation?“), ensuring that ethical standards and professional expertise guide the practice of nursing.

Permitted California Business Structures for Registered Nurses and Nurse Practitioners

Registered nurses and nurse practitioners in California are restricted in the types of business entities they may form due to California law in the California Corporations Code discussed above. These California laws are designed to ensure compliance with professional standards of practice and maintain accountability for practicing nursing in California.

Previous articles titled “Can a Registered Nurse Practice Nursing Using a California LLC?” and “Can a Nurse Practitioner Practice Nursing Using a California LLC?” answered the question of whether a registered nurse or nurse practitioner could use a California LLC, discussed some of the possible consequences of practicing nursing in California as a California LLC, and explored the options available to registered nurses and nurse practitioners who might already be practicing nursing as a California LLC.

This section will provide an overview of the permitted business structures that registered nurses and nurse practitioners may utilize, including California Professional Nursing Corporations, partnerships, and sole proprietorships, while providing links to articles containing more information about the specific requirements and considerations for each business entity structure.

Sole Proprietorships for California Registered Nurses and Nurse Practitioners

A sole proprietorship is the simplest and most common business structure for registered nurses and nurse practitioners looking to practice nursing in California. It is an unincorporated business owned and operated by the registered nurse or nurse practitioner personally, making it straightforward to set up and maintain. For registered nurses and nurse practitioners in California, understanding how a sole proprietorship functions and the associated considerations is critical to ensuring compliance and achieving success.

Key Features of Sole Proprietorships for California Registered Nurses and Nurse Practitioners

One of the primary advantages of a sole proprietorship is ease of formation. There are minimal regulatory requirements compared to other business structures, which reduces the time and cost of starting a practice. Sole proprietors simply need to obtain the appropriate professional licenses and any required local permits to begin operations.

Another notable feature of a sole proprietorship is that the registered nurse or nurse practitioner has complete control of the business. This autonomy allows registered nurses and nurse practitioners to make decisions and manage their practice without needing approval from partners or shareholders.

However, sole proprietors are personally liable for all debts and obligations of their business. For California registered nurses and nurse practitioners, this means that personal assets can be at risk if claims arise from nursing services or other business activities. It is crucial for sole proprietors to consider obtaining adequate liability insurance to mitigate this risk.

Tax Considerations of Sole Proprietorship for Practicing Nursing

From a tax perspective, sole proprietorships are treated as “pass-through” entities. This means the business income is reported directly on the owner’s personal tax return, simplifying the tax filing process. However, sole proprietors are subject to self-employment taxes, which includes both the employer and employee portions of Social Security and Medicare taxes.

Is a Sole Proprietorship Right for You?

While a sole proprietorship may offer simplicity and independence, it is essential to weigh the potential risks and benefits relative to other business structures, such as California Professional Nursing Corporations. Licensed professionals should assess their long-term business goals, liability exposure, and the administrative requirements when selecting a business entity. For more detailed guidance on sole proprietorships for licensed professionals in California, consult “Sole Proprietorship vs Professional Nursing Corporation in California” and “What are the Business Structure Options for Solo Registered Nurses and Nurse Practitioners in California?” or schedule a consultation with the experienced corporate attorneys at San Diego Corporate Law to ensure compliance and alignment with your professional objectives.

Partnerships for California Registered Nurses and Nurse Practitioners

A partnership is one of the simplest business entity structures available for two or more registered nurses and nurse practitioners looking to collaborate professionally. For California registered nurses and nurse practitioners, partnerships may offer a straightforward structure for operating a nursing practice. However, it is essential to understand the benefits, limitations, and regulatory implications before forming a partnership for practicing nursing.

Key Features of Partnerships for California Registered Nurses and Nurse Practitioners

A California General Partnership is formed when two or more individuals agree to engage in a business together for profit, without formally organizing another form of business entity. Partners share ownership, responsibilities, profits, and liabilities equally unless otherwise agreed upon through a written partnership agreement. Importantly, in California, general partnerships do not require registration with the state to be established, but they must comply with local licensing and regulatory requirements applicable to the practice of nursing. Partners of a California General Partnership have joint and several liability for all debts, liabilities, obligations, and legal judgments against the California General Partnership.

Tax Considerations of Partnerships for Practicing Nursing

One of the main considerations when choosing between these a partnership for a nursing practice is the tax implications.

Partnerships are subject to pass-through taxation, a process that allows the income, deductions, and tax credits of the partnership to “pass through” to the individual partners rather than being taxed at the business entity level. This means that the partnership itself does not pay federal income taxes. Instead, each partner reports their share of the profits or losses of the partnership on their personal income tax return, based on their ownership interest.

In addition to income taxes, partners of a partnership are generally considered self-employed for tax purposes. This designation requires them to pay self-employment taxes, which cover Social Security and Medicare contributions. Unlike employees, who split these taxes with their employer, self-employed individuals are responsible for the full tax rate, currently 15.3% of net earnings. The self-employment tax liability of each partner is calculated based on their share of the net income of the partnership.

It is crucial for registered nurses and nurse practitioners considering a partnership business structure for their nursing practice to understand the income tax and self-employment tax obligations of partnerships and plan accordingly, as these taxes can significantly impact personal income tax liability.

Is a Partnership Right for You?

While a partnership may offer simplicity and independence, it is essential to weigh the potential risks and benefits relative to other business structures, such as California Professional Nursing Corporations. Registered nurses and nurse practitioners should assess their long-term business goals, liability exposure, and the administrative requirements when selecting a business entity for their nursing practice. For more detailed guidance on California General Partnerships for licensed professionals in California, consult “What are the Business Structure Options for Nursing Group Practices in California?” or schedule a consultation with the experienced corporate attorneys at San Diego Corporate Law to ensure compliance and alignment with your professional objectives.

California Professional Nursing Corporations for California Registered Nurses and Nurse Practitioners

In California, registered nurses and nurse practitioners have the option to form a California Professional Nursing Corporation with the California Secretary of State as the business entity structure to practice nursing. A California Professional Nursing Corporation is a specialized type of California Corporation that is specifically designed for registered nurses and nurse practitioners.

Key Features of California Professional Nursing Corporations for California Registered Nurses and Nurse Practitioners

One of the main advantages of forming a California Professional Nursing Corporation is that it offers personal liability protection for the registered nurse or nurse practitioner shareholders who own the California Professional Nursing Corporation. This means that all debts, liabilities, obligations, and legal judgments against the nursing practice that are not subject to a personal guaranty or based on malpractice or professional errors and omissions will stay with the California Professional Nursing Corporation and no flow to the registered nurse or nurse practitioner shareholder (see: “What Liability Protection Does a California Professional Nursing Corporation Provide?“).

However, there are certain restrictions on who can own and manage a California Professional Nursing Corporation which require only registered nurses and nurse practitioners to be shareholders (see: “Who May Be a Shareholder of a California Professional Nursing Corporation?“).

Tax Considerations of California Professional Nursing Corporations for Practicing Nursing

Forming a California Professional Nursing Corporation can also provide tax benefits to registered nurse or nurse practitioner shareholders (see: “What Tax Benefits Does a California Professional Nursing Corporation Provide?“). For example, a California Professional Nursing Corporation can make an S Corporation election, which allows for pass-through taxation (see: “Can a California Professional Nursing Corporation Be an S-Corp?“). Electing to be taxed as an S-Corp means that the profits and losses of a California Professional Nursing Corporation are passed through to the personal tax returns of the individual shareholders rather than being subject to double taxation at both the corporate and individual level.

Additionally, California Professional Nursing Corporations do not subject registered nurse or nurse practitioner shareholders to self-employment taxes, and registered nurse or nurse practitioner shareholders who also provide nursing services must only pay payroll taxes on that portion of their income from the California Professional Nursing Corporation that are paid as W-2 wages.

It is important for registered nurses and nurse practitioners to consult with a tax advisor when considering forming a California Professional Nursing Corporation, as both the personal financial situation of the registered nurse or nurse practitioner shareholder and pro forma professional practice financials of each registered nurse or nurse practitioner will be factors in determining if a California Professional Nursing Corporation is the most tax efficient structure to use when practicing nursing.

Is a California Professional Nursing Corporation Right for You?

Based upon limited liability protection and tax efficiency, a California Professional Nursing Corporation is the best choice for most registered nurses and nurse practitioners practicing nursing in California.

To assist in the decision about whether a California Professional Nursing Corporation is the best business entity structure for your business, see “When to Use a California Professional Nursing Corporation” and “When Not to Use a California Professional Nursing Corporation” for more detailed information about choosing a business entity structure to practice nursing.

If you are already practicing nursing in a California LLC, see “10 Steps to Convert LLC to Professional Nursing Corporation in California“, and “Four Reasons Not to Convert LLC to Professional Nursing Corporation in California” for more detailed guidance on moving from a California LLC to a California Professional Nursing Corporation.

If you are not already practicing nursing in a California LLC, see “Four Things to Know About Starting Your Nursing California Professional Corporation“, “The 7 Steps for Forming a California Professional Nursing Corporation“, “How Long Does It Take to Form a California Professional Nursing Corporation?” for more detailed guidance on forming a California Nursing Corporation for your nursing practice.

To speak with a corporate attorney knowledgeable in matters of forming California Professional Corporations, schedule a consultation with the experienced corporate attorneys at San Diego Corporate Law.