Get W-2 stability with your 1099 income. S-Corp formation, automated payroll, health insurance navigation, 401(k) setup, and complete tax compliance—all handled for you. Specialized for locum tenens and independent contractor physicians.
Trusted by Independent Physicians Nationwide
We build your S-Corp to function like an employer—giving you everything your W-2 colleagues have, without sacrificing your independence.
What most independent physicians deal with
Figure out your own pay, quarterly taxes, and hope you don't mess up
Navigate the marketplace solo, often overpaying or getting inadequate coverage
Stuck with basic IRA limits, missing out on $50K+ in retirement contributions
Constant worry about quarterly estimates, penalties, and IRS letters
Life and disability insurance uncoordinated with business structure
What our clients experience every day
You get a W-2 from your own S-Corp. Predictable, professional, compliant.
We help you source the best coverage and structure it tax-efficiently
Contribute up to $70,000/year as both employer and employee—tax deductible
Quarterly filings, payroll taxes, annual returns—all handled. No surprises.
We help you get life and disability coverage aligned with your business
While building your W-2 infrastructure, we also optimize your tax structure. Most clients save $15,000-$25,000 annually—far more than our service costs.
Your typical tax savings? $15,000 to $25,000+ annually
Use our comprehensive tax calculator to see exactly how much you could save based on your specific income, state, and deductions.
Try Our Tax Savings CalculatorS-Corp structure reduces self-employment tax on distributions. On $200K income, save 15.3% on the non-salary portion.
Save $8,000-$15,000/yrQualified Business Income deduction lets you deduct up to 20% of business income from your taxable income.
Save $5,000-$10,000/yrCME courses, medical licenses, malpractice insurance, home office, vehicle mileage, health insurance premiums, and equipment.
Save $3,000-$8,000/yrContribute up to $70,000 annually as both employer and employee—all tax-deductible, building wealth faster.
Tax-free growth on $70KSee why 1099 Physician Solutions delivers better value than traditional CPAs or DIY approaches
| Feature | 1099 Physician Solutions | Traditional CPA | DIY Approach |
|---|---|---|---|
| S-Corp Formation & Setup | ✓ Full service included | ✓ Extra $1,500-3,000 | ✗ 15-20 hours of work |
| Monthly Payroll Processing | ✓ Automated | ✗ Referred to payroll co. | ✗ $50-125/month extra |
| Physician-Specific Expertise | ✓ 100% physician focus | ~ Maybe 5-10% of clients | ✗ No expertise |
| Quarterly Tax Planning | ✓ Proactive strategy calls | ~ Reactive, if requested | ✗ None |
| QBI Threshold Management | ✓ Strategic optimization | ~ Basic compliance | ✗ Often missed |
| Response Time | ✓ Same-day guarantee | ~ 2-5 business days | — N/A |
| Retirement Planning Integration | ✓ Solo 401(k) + Mega Backdoor | ~ Basic SEP IRA advice | ✗ Self-research required |
| Health Insurance Coordination | ✓ Full deduction strategy | ~ "Just deduct premiums" | ✗ Confusion on rules |
| Annual Cost (After Tax Deduction) | $5,600 | $6,000-10,000+ | $2,000+ in software/fees |
| Time Required from You | 2 hours/year | 10-15 hours/year | 40-60 hours/year |
We handle everything—S-Corp formation, payroll, taxes, compliance—so you can focus on what matters most: your patients and your life.
Everything you need for one full year
After tax deduction, your true cost is only $6,913 in the 30% tax bracket
We're confident you'll love working with us. If at any point you're not completely satisfied with our services, we'll refund the unused portion of your annual package—no questions asked.
Zero risk to try our services
Pro-rated refund for unused months
We stand behind our work
Join 100+ physicians who trust us with their S-Corp management and tax optimization
We're dedicated exclusively to independent contractor physicians. We're not juggling hundreds of other clients—we're actively working for YOU and always reachable.
We specialize exclusively in serving physicians. We understand locum tenens, medical directors, and specialty practices—not just generic contractor work.
Your current CPA probably has hundreds of clients and takes days to respond. We're actively working for you with same-day or next-day response times.
We don't just file your taxes—we actively look for ways to optimize your situation throughout the year with quarterly check-ins.
We're not spread thin across different industries. 100% of our attention goes to understanding and solving physician-specific tax and business challenges.
See how we helped Dr. Sarah M. save $28,400 in her first year
Emergency Medicine Physician, Locum Tenens • Working 10-12 shifts monthly
"Before 1099 Physician Solutions, I was drowning in quarterly estimates, payroll confusion, and fear of an IRS audit. Now everything runs automatically—payroll deposits every month, retirement maxed out, health insurance coordinated. I just show up and practice medicine. The $28K in tax savings is incredible, but honestly the peace of mind is priceless."
The Challenge: Sarah was working 10-12 shifts per month across multiple hospital systems as an independent contractor. She was paying her CPA $3,500 annually just for tax prep, handling her own estimated quarterly payments (and getting them wrong), and had no retirement plan or health insurance structure.
The Solution: We formed her S-Corp, set up automated monthly payroll at an optimized 45% salary ratio, established a Solo 401(k) with Mega Backdoor Roth capability, coordinated her marketplace health insurance as a business deduction, and provided quarterly tax planning to keep her below the QBI threshold.
The Results: $28,400 in tax savings, 35 hours saved annually, retirement contributions increased from $0 to $69,000, complete W-2 benefits infrastructure, and same-day support whenever she needs it.
From initial consultation to fully operational S-Corp in as little as 2 weeks.
We analyze your situation and calculate your expected tax savings. No obligation, just clear numbers.
We handle all paperwork—EIN, state registration, operating agreements, and compliance setup.
Payroll, bookkeeping, banking, and accounting systems configured and ready to run.
We handle everything monthly: payroll, taxes, compliance, and quarterly optimization reviews.
Schedule your free 30-minute consultation to see exactly how much you could save.
Don't just take our word for it—hear from independent contractor physicians we've helped
"I was skeptical about the tax savings claims, but after my first year, I saved exactly $18,400—even more than projected. The monthly payroll runs automatically and quarterly tax planning keeps me from any surprises. Worth every penny."
Hospitalist
"Finally, someone who actually understands physician finances! My previous CPA treated me like every other small business. 1099 Physician Solutions gets the locum life—they optimized my salary to preserve QBI benefits and set up my Mega Backdoor Roth. Game changer."
Emergency Medicine
"I tried doing this myself for two years and it was a nightmare—missed quarterly payments, no retirement savings, constant stress. Now everything is handled. I get my paycheck automatically, my 401(k) is maxed, and I actually sleep at night. Best decision I made."
Anesthesia
"The same-day response time is real. I've emailed with random questions at 9pm and gotten answers by morning. Having someone I can actually reach who knows my specific situation is priceless. And yes, I saved $21,000 in taxes my first year."
Family Medicine
"I was paying $8,000/year to a CPA firm that barely understood S-Corps. Switched to 1099 Physician Solutions, pay the same amount, and get monthly bookkeeping, payroll, quarterly planning, AND better tax savings. It's not even close."
Radiology
"As a single mom doing locums, I needed W-2 stability without giving up contract flexibility. 1099 Physician Solutions set up my health insurance deductions, coordinated my 401(k), and handles all my payroll. Game changer."
Pediatrics
Quick answers to questions you may have about our services.
Most physicians earning $200,000+ in 1099 income save $15,000-$25,000 annually through payroll tax savings, QBI deductions, and business deductions. The exact amount depends on your income level, state, and deductible expenses.
Yes. Your 1099 income goes through the S-Corp. W-2 income is separate. You'll have a W-2 from your employer AND a W-2 from your own S-Corp. This is a common setup for physicians who moonlight or do locums work alongside a primary W-2 position.
Absolutely—locums physicians are ideal candidates since you're typically 1099 contractors and earning above the $130K threshold. Many locums physicians save $20,000-$30,000 annually through proper S-Corp structuring.
Payroll processing, payroll tax deposits (941s), bookkeeping, bank reconciliation, quarterly financial statements, annual corporate tax return (1120-S), K-1 preparation, registered agent service, and annual state filings. Essentially, everything needed to keep your S-Corp compliant and optimized.
Typically 2-3 weeks from signing the contract to having everything operational. State processing times vary, but we handle all the paperwork and keep you updated throughout the process.
Schedule a free consultation to see how we can give you the W-2 experience with your 1099 income—while saving $15K-$25K annually.
Schedule Free Consultation