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 Certified Public Accountant and Certified Private Wealth Advisor® from Yale University's School of Management, with a deep understanding of the federal and multi-state tax codes that govern 1099 physician income.
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.
Yale University School of Management, focused on wealth strategy for 1099 physician income.
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Service Tiers
For physicians who primarily need accurate tax preparation, estimated-tax guidance, and dependable year-round support.
Our primary advisory plan for established 1099 physicians who want proactive planning, quarterly projections, and strategic guidance all year.
For high-income physicians, practice owners, and entrepreneurial families with more complex tax-planning and coordination needs.
*Pricing depends on the complexity of your situation and the specific services requested. Rates may vary based on the duration of the engagement and any additional requirements. Schedule a meeting for an accurate quote. Looking for a one-time engagement instead? See à la carte pricing.
| Service | TLC Essential | TLC Strategic | TLC Private Client |
|---|---|---|---|
| Individual tax return | Included | Included | Included |
| One business return | Included | Included | Included |
| Quarterly estimates | Included | Included | Included |
| Annual entity review | Included | Included | Included |
| Formal planning meetings | 2 per year | Quarterly | Monthly or as needed |
| Updated tax projections | Midyear/year-end | Quarterly | Rolling |
| S-corporation optimization | Annual review | Proactive | Comprehensive |
| Retirement-plan analysis | Basic | Detailed | Advanced |
| Multi-state planning | Limited | Included | Comprehensive |
| Bookkeeping review | Add-on | Quarterly review | Monthly or managed |
| Payroll coordination | Limited | Included | Managed |
| Scenario modeling | Limited | 2 annually | Ongoing |
| Advisor coordination | Add-on | Limited | Included |
| Estate/charitable coordination | Not included | Limited | Included |
| Implementation management | Client-led | Shared | CPA-team-led |
| Response target | 3 business days | 2 business days | 1 business day |
View full plan details, onboarding fees & à la carte services →
Client Results
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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
Stop overpaying self-employment taxes or leaving high-value deductions on the table. Written by 20-year tax strategist Stephen Lee, CPA, CPWA®, this free guide breaks down the exact strategies locum & 1099 physicians use to build wealth faster.
In 15 minutes, discover how independent physicians optimize entity timing, stack retirement plans, and reclaim $30,000–$50,000+ each year.
