Accounting for Locum Tenens Professionals

Locum tenens doctors deserve a financial strategy that works as hard as they do. You take care of your patients. We take care of your finances.

Anesthesiologist beside machines that will be used for procedure

Are You Keeping More of What You Earn?

You’ve dedicated years to medical training and now enjoy the flexibility and earning potential of locum tenens work. But with that freedom comes financial complexity—unexpected tax bills, confusing deductions, and the pressure of managing it all alone.

At Accolade Accounting, we act as your financial advocate, helping you leverage tax strategies that maximize earnings and minimize liabilities—so you can focus on what matters most: patient care.

Take control of your finances

The Hidden Financial Burden of 1099 Income

Locum tenens work provides independence, but it also comes with unique tax and financial challenges. Without proper planning, you could be overpaying in taxes, missing deductions, or struggling with cash flow uncertainty. A well-structured financial approach ensures you’re not just earning more—but keeping more.

Learn tax strategies you can leverage

1099 form used by locum tenens.

Why 1099 Healthcare Professionals Trust Accolade Accounting

We specialize in tax and financial strategies built specifically for locum tenens doctors and other independent healthcare professionals, helping them understand the complexities of self-employment. Our team ensures you:

  • Keep More of What You Earn: Avoid unnecessary tax burdens and secure every deduction available to you.
  • Get Ahead of Compliance Issues: IRS regulations are ever-changing—our expertise keeps you protected.
  • Build Financial Stability: We help you create predictable cash flow and avoid the tax-time panic.
  • Structure Your Business Wisely: LLC? S-Corp? We ensure you’re set up for long-term tax efficiency.
  • Stay Focused on Your Work: Let us handle the complexities of tax preparation so you can focus on patient care.

How We Help: Locum Tenens CPA Services

  • 1099 Physician Tax Preparation: Full-service tax filing and strategic planning.
  • Financial Structure Optimization: S-Corp, LLC, or sole proprietor? We help you choose the smartest entity for tax efficiency.
  • Financial Statements: A clear picture of your finances—beyond just tax season.
  • Salary & Payroll Management: Pay yourself in the most tax-advantaged way possible.
  • Switching from W-2 to 1099: Smooth the transition and avoid costly tax mistakes.
  • IRS Audit Protection & Tax Resolution: Sleep easy knowing you’re prepared and protected.
  • 1099 vs. W-2—What’s at Stake?

We’ve helped numerous locum tenens professionals

1099 vs. W-2—What’s at Stake?

As a locum tenens physician, you have more control over your income than W-2 employees—but also more responsibility. You must:

* Manage your own self-employment taxes, deductions, and quarterly payments.
* Track expenses like travel, medical equipment, CME courses, and home office costs.
* Take advantage of tax-saving vehicles like SEP IRAs and HSAs to secure your financial future.
* Without the right CPA, you risk leaving thousands of dollars on the table—or worse, facing IRS penalties.

Start optimizing your earnings

Charts and graphs spread on desk - Accolade Accounting

Smart Tax Strategies for Your Medical Specialty

Your work is demanding, and so is managing your financial health. We understand the specific financial and tax challenges for these specialists:

  • Anesthesiologists – See our dedicated tax services for anesthesiologists
  • OB/GYNs – Tailored planning for physicians managing locum tenens shifts and private practice
  • Cardiologists – Structuring your high-earning contracts for tax efficiency and retirement savings
  • Medical Oncologists – Navigating multi-state work tax implications and optimizing deductions
  • Psychiatrists – Planning for practice growth while managing complex billing structures

We take a proactive, strategic approach to ensure you are maximizing deductions, minimizing liabilities, and staying ahead of tax law changes.

Not sure where you fit? We tailor our services to any locum tenens or 1099 medical professional—you tell us your needs, and we create the solution.

FREQUENTLY ASKED QUESTIONS

Do I need to make estimated tax payments as a 1099 physician?

Yes, as a self-employed healthcare professional, the IRS requires you to make quarterly estimated tax payments to avoid penalties. Accolade Accounting helps ensure your payments are calculated accurately and submitted on time. Source: IRS.gov

Should I structure my locum tenens work under an LLC or an S-Corp?

This depends on your income level and financial goals. An LLC provides liability protection, while an S-Corp can offer tax advantages by reducing self-employment taxes. Our team evaluates your situation to recommend the best structure. Source: IRS.gov

What deductions can I claim as a locum tenens provider?

Common deductions include travel expenses, continuing medical education (CME), licensing fees, health insurance premiums, and home office costs. Our experts identify all applicable deductions to lower your taxable income.

How does Accolade Accounting help with IRS audits?

We provide comprehensive audit support, including reviewing documentation, responding to IRS inquiries, and representing you if needed. With proactive planning, we minimize the likelihood of audits in the first place.

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