Just Practice Medicine. We Run the Business.
For 1099 physicians, we build and run your entire business: entity formation, S-corp election, ADP payroll, QuickBooks bookkeeping, and proactive tax planning and prep. You hand off every administrative task and get back to patients.
$20,000/year, fully managed. A defensible S-corp, real permanent tax savings, and every administrative task off your plate. Done the right way, no hype. Best fit for physicians earning $300k+ on 1099 income.
Common Questions We Answer
- Why should a 1099 physician elect S-corp status?
- What exactly do you handle versus what I handle?
- How much could I save in taxes versus the fee?
- What if I already have an LLC or an EIN?
One Firm, Everything Connected
Because one team handles your entity, payroll, books, and taxes, nothing gets lost between vendors and your strategy is always built on accurate, up-to-date numbers.
Schedule Your Free Consultation
Pick a time below that works for you. You'll get an instant confirmation and a calendar invite with the meeting details, plus a reminder before we meet.
Everything We Take Off Your Plate
One annual fee covers the entire back office of your practice. Here's exactly what we set up and run for you.
Entity Formation & Upkeep
We form your PLLC or LLC through CorpNet, file your EIN and state registrations, serve as your registered agent, and handle every annual renewal and state report so your entity never lapses.
S-Corp Election
We file your S-corp election and set a defensible reasonable salary, so you stop overpaying Medicare tax on every locum and 1099 check you cash.
Payroll in ADP
We set up and run your payroll in ADP, including processing, direct deposit, and every quarterly and annual payroll tax filing: 941, 940, W-2, W-3, and state.
QuickBooks Online Bookkeeping
Monthly bookkeeping and reconciliations in QuickBooks Online with real financial statements, so your numbers are always clean, current, and tax-ready.
Proactive Tax Planning
Year-round strategy that puts real money back in your pocket: the Augusta Rule, an accountable plan, full deduction optimization, and your quarterly estimated taxes, all handled.
Tax Preparation
Your S-corp (1120-S) and personal (1040) returns, plus any 1099s you need to issue, filed by the same team that runs your books. Nothing falls through the cracks.
Why 1099 Physicians Hand It All to Us
Your time is worth more at the bedside than buried in spreadsheets. Here's what changes when you stop running the business yourself.
Just Practice Medicine
You didn't go to med school to learn payroll and bookkeeping. Hand off every administrative task and get your nights and weekends back.
Keep More of What You Earn
A defensible S-corp, the Augusta Rule, an accountable plan, and full deduction optimization put real, permanent tax savings back in your pocket every single year.
One Team, Everything Connected
Entity, payroll, books, and taxes all handled by one firm under one roof. No coordinating four different vendors.
Done Right, Stay Compliant
Reasonable comp, quarterly filings, clean books, and on-time returns. Set up correctly so you never sweat an audit or a deadline.
Estimate Your Savings
Slide to your annual 1099 income for a rough estimate of the permanent tax savings we'd target. It's a starting point, not a quote.
Estimated permanent tax savings
Strong fit for the Physician Practice Package. At this income, your permanent savings typically exceed the fee.
Rough estimate based on a defensible salary split plus common strategies. Your actual savings depend on your situation and are confirmed on your consultation.
Simple, Flat Annual Pricing
One fee, everything handled. Choose the level that fits your situation, with no hourly billing and no surprise invoices.
Physician Practice Package
For 1099 & locum physicians who want their whole business handled.
about $1,667/month, billed annually
Example: $600,000/yr physician
- S-corp salary split (less Medicare tax)~$13,000
- Augusta Rule (tax-free home rental to your practice)~$6,000
- Accountable plan (home office, vehicle, phone, CME pre-tax)~$5,000
- Maximized deductions (every legitimate write-off)~$3,000
- LLC / PLLC formation through CorpNet
- S-corp election (Form 2553) & EIN
- Registered agent + annual renewals & state reports
- ADP payroll setup, processing & direct deposit
- Reasonable compensation analysis
- All payroll tax filings (941, 940, W-2, state & unemployment)
- Monthly QuickBooks Online bookkeeping & statements
- Quarterly estimated tax calculations
- Augusta Rule setup & documentation
- Accountable plan & pre-tax expense reimbursements
- Year-round proactive tax planning
- S-corp & personal tax returns (1120-S + 1040)
- 1099 filings for any contractors you pay
Complete Wealth & Entity Package
For physicians with real estate, multiple entities, or complex income.
about $2,917/month, billed annually
Example: $1,000,000/yr physician
- S-corp salary split (less Medicare tax)~$23,000
- Augusta Rule (tax-free home rental to your practice)~$7,000
- Accountable plan (expenses reimbursed pre-tax)~$8,000
- Real estate & advanced strategies (where they apply to you)~$10,000
- Maximized deductions (across all entities)~$5,000
Everything in the Practice Package, plus:
- Multi-entity & holding company structuring
- Real estate & rental property bookkeeping
- Retirement plan design (Solo 401(k) / cash balance)
- Advanced tax strategy & quarterly planning calls
- Multi-state & locum complexity, fully handled
- Spouse & family entity coordination
Real Savings, Done the Right Way
Every dollar above is permanent tax savings, not deferrals or your own time dressed up as ROI. We're not the firm promising magic tax tricks. We set each strategy up defensibly and documented, and we'll walk you through your exact numbers on the call. If you're brand new to all of this, that's normal, and it's exactly what we handle.
Audit-Defensible By Design
Defensible salary
A documented reasonable-compensation study, never a lowball number that invites scrutiny.
Documented Augusta Rule
Fair-market rate, a real business purpose, and the paperwork kept on file.
Clean accountable plan
Receipts and reimbursement records maintained and ready, every year.
Savings examples are illustrative for typical 1099 physician situations and assume a defensible reasonable salary plus strategies like the Augusta Rule and an accountable plan that apply to most, though not every, physician. We confirm which apply to you and the real numbers on your consultation.
The À La Carte Math Doesn't Add Up
Piecing this together with separate providers costs more and leaves you managing four vendors who don't talk to each other. Here's what each piece typically runs on its own.
Four-Plus Separate Providers
- Entity formation + registered agent$1,500 – $3,000
- S-corp election + reasonable comp analysis$750 – $1,500
- Full-service payroll (managed)$1,800 – $3,600/yr
- Dedicated monthly bookkeeping$7,200 – $15,000/yr
- Standalone physician tax planning$7,500 – $15,000/yr
- Business + personal tax preparation$3,000 – $6,000
And that's before the cost of your time coordinating four vendors who don't share your books, your strategy, or your deadlines.
One Team, Everything Connected
- Entity formation + registered agent
- S-corp election + reasonable comp analysis
- Full-service payroll (managed)
- Dedicated monthly bookkeeping
- Standalone physician tax planning
- Business + personal tax preparation
One invoice, one accountable team, and a strategy built on books we keep ourselves. Nothing falls through the cracks between providers.
À la carte figures are typical U.S. market ranges for comparable, quality providers and are shown for illustration; actual costs vary by provider, state, and complexity.
Built For Physicians Like You
If your income comes on a 1099, you're almost certainly leaving money and time on the table. This is built for you.
Locum Tenens Physicians
Travel and 1099 contract income that needs an entity, payroll, and a tax strategy built around it.
1099 / Independent Contractors
Physicians paid on 1099s who are overpaying self-employment tax without an S-corp.
Telehealth & Side-Gig Docs
W-2 plus 1099 income that needs to be structured and optimized, not left on the table.
New-to-1099 Attendings
Just left a W-2 role for contract work and want it set up right from day one.
How We Set You Up
Going from a 1099 paycheck to a fully-run business should feel effortless. Here's exactly what happens after you book.
Strategy Call & Plan
We start with your income, contracts, and goals, then map out the right entity structure and tax strategy for your situation.
Entity & S-Corp Filed
We form your entity through CorpNet and file your S-corp election. You sign a few documents; we handle the rest.
Payroll & Books Live
We set up ADP payroll with your reasonable salary and stand up QuickBooks Online. Your back office is now running.
You Just Work
From here, we run payroll, keep your books, plan your taxes, and file your returns. You focus on patients and we handle the rest, all year.
Frequently Asked Questions
Why should a 1099 physician elect S-corp status?
As a 1099 or locum physician, all of your income is normally hit with self-employment tax. An S-corp lets you split income into a reasonable salary and distributions, so a large portion is no longer subject to that 15.3% tax. For high-earning physicians, the savings often run well into five figures per year.
What exactly do you handle versus what I handle?
We handle essentially all of it: entity formation, the S-corp election, payroll, bookkeeping, tax planning, and tax filing. You sign a handful of documents at setup and forward us your contracts and statements. After that, you just practice.
How much could I save in taxes versus the fee?
It depends on your income, and we won't inflate it. The permanent S-corp tax savings alone typically offsets a meaningful part of the fee, around half at $600k of income and most of it at $1M. On top of that, we make sure you capture retirement deferrals most physicians miss, and you hand off every administrative task. We show you the real numbers for your situation, not a hyped-up figure.
What if I already have an LLC or an EIN?
No problem. We review what you already have, fix or complete anything that's missing, and fold it into the full setup. You don't start over.
Do you work with physicians in all states?
Yes. We work with physicians nationwide. Our fully digital process means your location is never a barrier, and we handle multi-state filings routinely for locum docs.
Hand Off the Business. Get Back to Medicine.
Entity, payroll, books, and taxes, all set up and run by one team for a flat annual fee. Book a free consultation and we'll show you exactly how it works for your situation.
Book Your Free Consultation