Tax strategy and structure for high-income physicians and 1099 earners in cardiology
Whether you work under contract, manage your own practice, or earn income across multiple hospitals, your tax situation is anything but typical.
At Accolade Accounting, we support cardiologists with year-round financial planning, entity structuring, and tax filing built for high-income medical professionals. We help you stay compliant, capture deductions, and avoid surprises.
Quarterly and year-end tax filing, multi-entity and multi-state support
Evaluate and implement the structure that minimizes your tax liability
We make it smooth, compliant, and fully deductible
CME, licensing, travel, equipment—we help you capture every qualified deduction
Optimize your salary, SEP IRA, or solo 401(k) contributions for long-term growth
Defense, documentation, and proactive filing to keep you protected
| LLC | S-Corp | |
|---|---|---|
| Self-Employment Tax | All net income is taxed | Only salary is taxed; distributions are not |
| Payroll Requirement | Not required | Must run payroll and file payroll tax |
| Admin Complexity | Simple | More setup + ongoing maintenance |
| Best Fit For | Starting or lower-earning doctors | Doctors with $100K+ net income |
Entity setup should always be tailored to your income level, risk exposure, and long-term plans.
