The 1099 Tax Code Is a Burden for Most Physicians. It Doesn’t Have to Be.
High-income locum physicians who file accurately but don't plan proactively are leaving tens of thousands of dollars on the table every year. Our tax specialist has spent 20 years turning that around — for physicians who are tired of writing checks to the IRS that are larger than they need to be.
What This Specialist Does
Tax filing is the minimum. Tax strategy is the work.
Most physicians who engage a tax professional do so around filing time — submitting documents, reviewing the return, and writing the check. That model accepts your tax liability as a given.
Tax filing is the minimum. Tax strategy is the work. Most physicians are only getting the minimum.
The Locum Wealth System operates on a different premise: your tax liability is a variable, and the right strategy can move it significantly in your favor throughout the year — not just at the end of it.
Our tax specialist works on a year-round advisory model with 20 years of experience in the specific tax landscape of 1099 physicians. That means entity structuring — determining whether an LLC, S-Corp, or alternative structure minimizes your self-employment tax liability at your income level.
It means a monthly planning cadence that manages estimated payments, identifies deduction opportunities as they arise, and prevents the April surprise that plagues physicians who only engage their accountant once a year.
And it means multi-state compliance expertise that matters enormously for locum physicians working assignments across state lines — each with its own filing requirements, tax rates, and reciprocity rules.
Tax decisions that affect your investment strategy get made with your wealth advisor in the loop. Real estate acquisitions get structured for maximum depreciation before the deal closes. Every financial decision has a tax dimension — and within this network, that dimension is always accounted for.
How This Discipline Usually Works. And How It Works Here.
The Typical Approach
- Filing season engagement — documents in, return out, check written
- Entity structure inherited rather than chosen for your income level
- Multi-state filings handled reactively, often with avoidable errors
- Deduction strategy limited to whatever the software flags
Inside the Locum Wealth System
- Year-round advisory with quarterly planning cadence built in
- Entity structure (LLC, S-Corp) chosen specifically for your situation
- Multi-state compliance handled proactively across every assignment
- Deduction strategy informed by your full financial picture, not just receipts
How This Fits the Locum Wealth System
Tax strategy is the connective tissue of the Locum Wealth System. Almost every other financial decision — investment allocation, real estate acquisition, benefits structure, debt repayment — has a tax dimension that affects its value.
Within the network, the tax specialist maintains active coordination with the wealth advisor, real estate advisor, and legal partner so that no decision is made without accounting for its tax implications.
Core Expertise
Why This Matters for Locum Physicians
Locum medicine creates a tax situation that most accountants — even good ones — aren't fully equipped to optimize. Working across multiple states means multiple filing obligations with different rules.
Operating as an independent contractor opens entity structuring options that employed physicians don't have access to. The combination of high income, variable pay, and 1099 status creates both significant tax exposure and significant tax opportunity.
A locum physician earning $400,000 per year with the right entity structure, deduction strategy, and quarterly planning in place can legally retain significantly more of that income than one filing accurately but without a plan. The gap between those two physicians isn't income. It's structure.
A tax strategy that works year-round — not just in April.
An entity structure optimized for your income level
whether that means an S-Corp election, LLC, or a different approach
Monthly tax advisory that identifies deductions before the year closes
Multi-state filing handled correctly across every assignment state you work in
A year-round advisor who knows your full financial picture
not just your annual return
Find Out How Much of Your Tax Liability Is Actually Negotiable.
A strategy session puts your complete financial situation in front of the Locum Independence network — including this specialist. You'll walk away with a clear picture of what's possible and a realistic assessment of your path to financial independence.
Book a Strategy Session