Proactive Tax Strategy for 1099 Physicians

The Locum CPA provides proactive tax planning, tax preparation, and year-round advisory services specifically for locum tenens physicians, independent contractors, and physician practice owners. We help physicians:

Clients may choose between an ongoing advisory relationship or a clearly defined, one-time engagement — whichever fits where you are right now.

Year-round advisory, built for physicians

Three tiers of ongoing support — from foundational tax compliance to comprehensive, high-touch advisory for complex physician households.

Tax Compliance & Foundational Support

TLC Essential

$750/month*

For physicians who primarily need accurate tax preparation, 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
Comprehensive, High-Touch Tax Advisory

TLC Private Client

Starting at $2,500/month*

For high-income physicians, practice owners, and entrepreneurial families with more complex tax-planning and coordination needs.

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

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

*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 discovery call for an accurate quote.

Service TLC Essential TLC Strategic TLC Private Client
Individual tax returnIncludedIncludedIncluded
Business tax returnIncludedIncludedIncluded
Annual planning meeting1 per yearIncludedIncluded
Quarterly planning meetingsNot includedIncludedMonthly or as needed
Quarterly tax projectionsNot includedIncludedOngoing
Estimated-tax calculationsAnnualQuarterlyQuarterly
Written tax strategyNot includedIncludedIncluded
Entity & S corporation analysisNot includedIncludedComprehensive
Reasonable-compensation reviewNot includedAnnualIncluded
Retirement-plan guidanceBasicIncludedAdvanced
Business-deduction planningBasicIncludedComprehensive
Multistate planningNot includedLimitedIncluded
Professional advisor coordinationNot includedIncludedIncluded
Tax notice assistanceNot includedNot includedIncluded
Priority supportEmailEmail + priorityPriority, direct access

Individual Tax Strategy Services

Physicians who are not ready for an ongoing advisory relationship may engage The Locum CPA for a clearly defined planning or consulting service.

One-Time Physician Strategic Tax Plan

Starting at $8,500

A comprehensive tax-strategy engagement for physicians who want an in-depth analysis and implementation roadmap without immediately entering an ongoing advisory relationship. More complex engagements involving multiple entities, real estate, partnerships, or extensive multistate activity may range from $10,000–$15,000.

  • Review of recent returns, income, entities, payroll & retirement plans
  • Current-year federal and state tax projection
  • Entity, S corporation & reasonable-compensation analysis
  • Written strategic tax plan + implementation roadmap
  • 90-minute presentation + one 60-day follow-up meeting
Request a Strategic Tax Plan

Annual Physician Reasonable Compensation Study

$1,500

An annual compensation analysis for physician-owned S corporations seeking a supportable, well-documented shareholder salary recommendation.

Additional shareholder-employee: $750 · additional entity: $500 · midyear update: $500. Included for qualifying TLC Strategic and TLC Private Client clients.

  • Reasonable-compensation questionnaire & benchmarking
  • Review of specialty, geography, and responsibilities
  • Review of business income, payroll, and distributions
  • Written report + 30-minute implementation meeting
Request a Comp Study

Focused Tax Strategy Consultation

$575 / 60 min

A focused consultation for a specific tax question, business decision, or planning opportunity — W-2 vs. 1099, S-corp eligibility, travel deductions, hiring a spouse, and more. Additional time: $250 per 30 minutes.

Fee may be credited toward a Strategic Tax Plan if you begin that engagement within 30 days.

  • Pre-meeting questionnaire
  • Review of up to three relevant documents
  • 60-minute video consultation
  • Brief written summary of recommendations
Book a Consultation

Entity & S Corporation Advisory

Starting at $2,500

For physicians evaluating whether an LLC or S corporation structure is appropriate for their independent medical income.

  • LLC / S corporation tax analysis & payroll-tax savings estimate
  • Reasonable-compensation considerations & entity timing
  • Payroll and accountable-plan implementation guidance
  • Written recommendation + 60-minute findings meeting
Request Entity Advisory

Quarterly Estimated-Tax Planning

$2,500 / year

Ongoing estimated-tax calculations for physicians who don't need a full year-round advisory relationship. One-time alternative: $750 per quarter.

Additional state: $250/yr · mid-quarter recalculation: $250. Does not include tax-return preparation, entity analysis, or bookkeeping.

  • Four quarterly federal & one-state projections
  • Review of year-to-date income, withholding & deductions
  • Quarterly estimated-payment recommendations
  • Due-date reminders + brief quarterly summary
Request Quarterly Planning

Multistate Physician Tax Review

Starting at $2,500

For locum tenens and independent physicians who work, reside, or earn income in multiple states. Starting fee includes analysis of up to three states.

Each additional state: $500. Tax-return preparation not included unless stated separately.

  • Resident & nonresident filing-obligation analysis
  • Withholding, estimated-tax & reciprocity review
  • Income-allocation analysis, gap identification
  • Written summary + 60-minute findings meeting
Request a Multistate Review

Fees shown represent standard starting prices. Final pricing is determined after evaluating the client's income sources, number of entities, states of operation, tax-return complexity, quality of records, planning needs, and desired level of advisory support. Additional entities, state filings, bookkeeping, payroll administration, amended returns, legal services, retirement-plan administration, tax preparation, and tax controversy matters are not included unless specifically stated in the engagement agreement.

Tax savings cannot be guaranteed. Recommendations depend on each client's individual facts, circumstances, documentation, and implementation.

Frequently Asked Questions

No. We work with locum tenens physicians, independent contractors, practice owners, and physicians with other forms of 1099 income.

Yes. We help physicians coordinate withholding, estimated taxes, business deductions, retirement contributions, and tax planning across both income sources.

Yes. Our TLC plans include specified individual and business tax-return preparation. Additional entities, states, or complex filings may require an additional fee.

Yes. Our One-Time Physician Strategic Tax Plan provides a comprehensive analysis and implementation roadmap without requiring an ongoing monthly engagement.

We evaluate your income, expenses, projected payroll-tax savings, reasonable compensation, administrative costs, and long-term goals before recommending an S corporation election.

Yes. We assist with resident and nonresident filing requirements, income allocation, estimated payments, withholding, and credits for taxes paid to other states.

Yes. We regularly coordinate with other professionals to help ensure your tax, legal, payroll, retirement, and financial strategies work together.

No. Bookkeeping and payroll processing are not included unless specifically stated in your engagement. We can coordinate with your existing providers or recommend appropriate resources.

If we appear to be a good fit, we will recommend the appropriate service, provide a clear scope and fee proposal, and outline the onboarding process.

Yes. We serve physicians throughout the United States, subject to applicable state-specific tax and professional requirements.