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.
Tax Strategy for 1099 Physicians
Helping locum and independent physicians reduce tax uncertainty, implement proactive strategies, and turn high 1099 income into long-term wealth.
Multi-state assignments, travel reimbursements, entity timing, and quarterly estimates for physicians working locum tenens full- or part-time.
Practice owners and independent contractors who need proactive S-corp strategy and cash balance plan stacking, not just a return filed once a year.
Guidance through entity setup, quarterly estimated taxes, and the decisions that matter most in your first year off a W-2.
Physicians earning both W-2 and 1099 income who need a single strategy that accounts for both, not two disconnected filings.
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, that gap is the entire practice.
Stephen Lee is a CPA, MST, CPWA® with CPWA® executive education completed through the Yale School of Management, with a deep understanding of the federal and multi-state tax codes that govern 1099 physician income.
Our primary specialty is high-earning 1099 physicians. Selected engagements may also be available for other high-income healthcare professionals with similar tax complexity.
20+ years of experience in federal and multi-state tax, including Big Four experience.
University of Illinois Urbana-Champaign, graduate-level specialization in tax strategy.
CPWA® executive education completed through the Yale School of Management, focused on wealth strategy for 1099 physician income.
Video Insights
Service Tiers
For physicians with straightforward 1099 activity who primarily need accurate personal and business tax preparation, annual estimated-tax guidance, and dependable year-round support.
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.
Comprehensive, high-touch advisory for higher-income physicians, practice owners, and entrepreneurial households with multiple entities, states, investments, or advanced planning needs.
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.
FAQ
Please provide your 1099 forms from all staffing agencies, expense receipts (travel, lodging, meals), mileage logs, professional license fees, insurance payments, and bank/credit card statements from your business accounts.
Yes, we understand physicians are often traveling and offer secure virtual consultations, electronic document sharing, and flexible scheduling to accommodate your assignment schedule.
We recommend quarterly reviews to assess your tax situation, adjust estimated payments if needed, and ensure your expense tracking is optimized, with additional consultations before major financial decisions.
Our services include tax preparation, quarterly estimated tax calculations, expense tracking guidance, multi-state tax compliance, retirement planning consultation, and year-round tax planning support.
Our fees are based on the complexity of your tax situation and services needed. We'll provide a clear pricing structure after reviewing your specific needs during our initial consultation.
We regularly work with physicians in locum and 1099 positions and understand the unique tax implications of traveling assignments, multiple state income, and independent contractor status.
Free Tax Blueprint
Discover tax-planning opportunities that have helped qualifying high-income physicians identify significant potential savings. Written by 20-year tax strategist Stephen Lee, CPA, CPWA®, this free guide breaks down essential tax-structuring strategies for 1099 physicians.
In 15 minutes, discover how independent physicians optimize entity timing, stack retirement plans, and minimize avoidable taxes.
