Tax Strategy for 1099 Physicians

You left the W-2 world. Your tax strategy should too

Helping locum and independent physicians reduce tax uncertainty, implement proactive strategies, and turn high 1099 income into long-term wealth.

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Built for physicians earning 1099 income, wherever they are in their career.

Locum Physicians

Locum Physicians

Multi-state assignments, travel reimbursements, entity timing, and quarterly estimates for physicians working locum tenens full- or part-time.

Independent & 1099 Physicians

Independent & 1099 Physicians

Practice owners and independent contractors who need proactive S-corp strategy and cash balance plan stacking, not just a return filed once a year.

W-2 Transitioning to 1099

W‑2 Transitioning to 1099

Guidance through entity setup, quarterly estimated taxes, and the decisions that matter most in your first year off a W-2.

W-2 + 1099 Hybrid

W‑2 + 1099 Hybrid

Physicians earning both W-2 and 1099 income who need a single strategy that accounts for both, not two disconnected filings.

Service Tiers

The right plan for every 1099 physician

Tax Compliance & Foundational Support

TLC Essential

$750/month*

For physicians with straightforward 1099 activity who primarily need accurate personal and business tax preparation, annual estimated-tax guidance, and dependable year-round support.

  • Federal + one state individual tax return
  • Business tax return for one entity
  • Annual estimated-tax calculation
  • One annual tax-planning meeting
  • Basic business-deduction guidance
  • Ongoing email support

Ideal for: physicians beginning their 1099 journey with straightforward business activity.

Onboarding: starting at $1,000

Choose TLC Essential
Most Popular Proactive, Year-Round Physician Tax Planning

TLC Strategic

Starting at $1,500/month*

Our primary advisory plan for established 1099 physicians who want a written strategy, quarterly projections, proactive S-corporation and retirement-plan guidance, and coordinated implementation throughout the year.

  • Everything in TLC Essential, plus:
  • Written tax-strategy plan + quarterly meetings
  • Quarterly federal & state tax projections
  • Entity & S corporation analysis
  • Accountable-plan & retirement-plan planning
  • Coordination with payroll & financial advisors

Ideal for: established 1099 and locum physicians, especially those operating through an S corporation.

Onboarding: starting at $3,500

Apply for TLC Strategic
Comprehensive, High-Touch Tax Advisory

TLC Private Client

Starting at $2,500/month*

Comprehensive, high-touch advisory for higher-income physicians, practice owners, and entrepreneurial households with multiple entities, states, investments, or advanced planning needs.

  • Everything in TLC Strategic, plus:
  • Monthly or as-needed strategic meetings
  • Multiple-entity & multistate coordination
  • Advanced retirement planning
  • IRS/state notice assistance, priority communication

Ideal for: physicians earning ~$750,000+, practice owners, and families seeking a coordinated, white-glove relationship.

Onboarding: starting at $5,000

Apply for TLC Private Client

TLC plans are annual advisory engagements billed monthly. Final pricing is based on the number of entities and states, return complexity, income sources, planning needs, and desired level of support. Separate onboarding fees apply during the first year. Looking for a one-time engagement instead? See à la carte pricing.

View full plan comparison details & à la carte services →

Client Results

What physicians say after working together

Leaving W-2 employment to begin a 1099 locums career was both exciting and overwhelming. I planned to work in several states outside my home state, and I had many questions about how to structure the business, manage taxes, and stay compliant as my work locations changed.

Stephen was there from the beginning to coordinate the tax side of the transition. No matter how many questions arose, he responded patiently, explained the issues thoroughly, and made sure I understood the next steps. That level of support gave me tremendous peace of mind during a major career change.

When I later transitioned to living and working in Canada, my circumstances changed again. Stephen remained a consistent source of thoughtful guidance as we considered how the move affected our family’s broader financial and tax situation.

Over time, Stephen has become far more than the person who prepares our tax returns. He is a trusted advisor whom my entire family can rely on as our careers and lives continue to evolve.

Dr. Peter Shin Hospitalist

As a 1099 anesthesiologist working in multiple states, my tax situation had become increasingly complex. In addition to managing income and filing requirements across several states, I also needed guidance involving pass-through entity taxes, a new business venture, and the coordination of our household taxes with my spouse’s W-2 income as a medical professional.

Stephen developed a strategic tax plan that brought all of these moving pieces together. He helped me understand my multi-state obligations, evaluated opportunities involving pass-through entity tax elections, and incorporated both my business income and my spouse’s compensation into our overall planning.

What I appreciate most is the peace of mind that comes from knowing someone is proactively monitoring the entire picture. Stephen is thorough, responsive, and able to make complicated tax issues understandable. I would highly recommend him to 1099 physicians with multi-state income or increasingly complex financial situations.

Dr. Amit Singh Anesthesiologist
Stephen Lee, CPA, CPWA® standing portrait

About Stephen

Most CPAs learn locum and 1099 physician tax as an afterthought. I built my practice around it.

Early in my career, I kept seeing the same pattern: talented physicians who'd left the W-2 world for locum and independent work, paired with generalist CPAs who filed their returns but never told them what an S-corp, a cash balance plan, or a multi-state strategy could actually save them.

Twenty years and a Master's in Taxation later, closing that gap is the entire practice. I work exclusively with locum, 1099, and independent physicians, coordinating entity structure, retirement planning, and multi-state filing into one proactive strategy, rather than a once-a-year compliance exercise.

CPA

Certified Public Accountant

20+ years of experience in federal and multi-state tax, including Big Four experience.

MST

Master of Science in Taxation

University of Illinois Urbana-Champaign, graduate-level specialization in tax strategy.

CPWA®

Certified Private Wealth Advisor®

Completed through the Yale School of Management, focused on wealth strategy for 1099 physician income.

More about Stephen →

Achieve your financial goals faster with a tax plan tailored just for you

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