Locum Tenens Taxes in California
California taxes nonresident locum income the moment you set foot in the state, has no reciprocity with any other state, and adds a separate layer of entity-level tax if you're structured as an S-corp. Here's what that actually costs.
TL;DR: California, in 60 Seconds
California has the highest top marginal state income tax rate in the country, 13.3% at the top bracket (including the Mental Health Services Act surcharge on income over $1 million), and it has no reciprocity agreements with any other state. That combination, plus California's famously aggressive sourcing and residency enforcement, is why most CPAs who work with traveling physicians consider California the single hardest state to work a locum assignment in. If you're a 1099 locum and you perform services physically in California, California generally taxes the income attributable to those days, no matter how short the assignment was, no matter where you live, and no matter where your business entity is based.
Why California Is the Hardest State for a Locum to Work
Locum physicians get used to a certain rhythm: take the assignment, do the work, deal with taxes at filing time using whatever state rules apply. That rhythm breaks down in California. Three things make it different from almost every other state you might work in.
First, the rate. California's top marginal individual income tax rate is 13.3%, the highest of any state, layered on top of federal tax. Second, no reciprocity. Some states have reciprocal agreements that let a nonresident's home state handle the tax instead; California has none. Third, and most consequential for locums specifically, California's Franchise Tax Board (FTB) is known for aggressively sourcing income to the state and auditing nonresidents who claim otherwise. Short assignments, part-year work, and out-of-state entities do not create the exemptions most physicians assume they do.
None of this means you should avoid California assignments. Locum rates in California are often high enough to justify the tax cost. It does mean you need to go in with accurate numbers instead of finding out what you owe when your accountant runs the return in April.
13.3%
CA top marginal individual income tax rate
$800
Minimum annual CA franchise tax for an S-corp doing business in the state
0 Days
Minimum days worked before CA sourcing rules can apply
This guide is educational and not individualized tax advice. Every rate, threshold, and form reference above requires verification against the current tax year. Confirm your specific numbers with a tax professional before filing or structuring an assignment.
CA Nonresident Filing Triggers for 1099 Locum Work
When you need to file California Form 540NR
If you're not a California resident but you earned income from services performed inside California, you generally must file California Form 540NR, the Nonresident or Part-Year Resident Income Tax Return. This applies to locum physicians whether you're paid 1099 directly, through a staffing agency, or through your own S-corp or LLC that assigns you to work at a California facility.
The filing obligation is triggered by California-source gross income exceeding the state's minimum filing thresholds for nonresidents, which are adjusted annually and are low relative to typical locum compensation. In practice, almost any paid locum assignment physically performed in California, even a single week, generates enough California-source income to require a return.
Form 540NR Basics for Locum Physicians
California Taxes Your CA Income at Your Full-Income Rate
CA's Aggressive Sourcing Rules
Why 'I only worked 2 weeks there' doesn't save you
This is the single most misunderstood part of California taxes for traveling physicians. Locums are used to thinking in terms of residency: if I don't live somewhere and don't spend much time there, I probably don't owe tax there. California doesn't work that way for 1099 or W-2 income earned from services performed in the state.
California sources compensation for personal services to the location where the services are physically performed. There is no minimum-day exemption, no de minimis carve-out for short assignments, and no exception because you're "just passing through" on a locum contract. A two-week assignment at a California hospital generates California-source income for those two weeks, full stop, and it's taxable in California regardless of your state of residence, your entity structure, or how the payment was routed.
The practical implication
Every day you're physically present and working in California counts toward California-source income, and there's no threshold below which the state simply ignores it. Compare this to some other states, which use day-count safe harbors (for example, taxing nonresidents only after they exceed a certain number of days worked in-state). California has nothing comparable for personal services income. The moment you're paid for work performed in California, that income is on the table.
This also applies regardless of how your income is structured. Pay yourself through an S-corp based in a no-tax state, and the wages or distributions attributable to the days you actually worked in California are still California-source income to you personally, and the entity itself may separately owe California franchise tax if it's doing business in the state (more on that below).
Think of California sourcing in terms of a simple allocation: take your total 1099 income for the year, and allocate it based on where you physically performed the work. The portion tied to days worked in California is California-source income. It doesn't matter if that's 5% of your year or 50%.
Not sure how much of your income California will claim?
We'll calculate your California-source income allocation based on your actual assignment calendar and estimate what you'll owe before you're surprised at filing time.
The S-Corp Question in California
Why the standard locum S-corp break-even math changes here
Most locum physicians who cross roughly $150,000-$200,000 in 1099 net income start hearing about S-corp elections to save on self-employment tax. That math generally still works in most states. California adds two costs to the equation that don't exist elsewhere.
1. The $800 Minimum Franchise Tax
Any corporation, including an S-corp, that is "doing business" in California, or is registered/qualified to do business in California, owes a minimum annual franchise tax of $800, regardless of profitability. If your locum S-corp works even one assignment physically performed in California, the entity may be considered to be doing business in the state and could owe this minimum tax, in addition to whatever tax you owe personally on your California-source wages or distributions.
2. The 1.5% S-Corp Franchise Tax on Net Income
On top of the flat minimum, California imposes a 1.5% franchise tax on the S-corp's net income allocated to California (subject to the $800 minimum, whichever is higher). This is an entity-level tax that doesn't exist for S-corps operating purely in no-tax states. It's a real cost that has to be weighed against the self-employment tax savings the S-corp is supposed to be generating.
| S-Corp in a No-Tax State Only | S-Corp With CA-Sourced Income | |
|---|---|---|
| Self-employment tax savings | Full savings from reasonable-compensation split | Same savings, still worth pursuing |
| State entity-level tax | None | $800 minimum, or 1.5% of CA-allocated net income if higher |
| Personal CA nonresident filing | N/A | Still required on CA-source wages/distributions (Form 540NR) |
| Added compliance cost | Federal S-corp return + payroll | Federal + CA franchise tax return (Form 100S) + payroll |
The S-Corp Doesn't Make CA Income Disappear
The break-even point for an S-corp election typically assumes 100% of the self-employment tax savings drop straight to your bottom line. In California, subtract the $800 minimum franchise tax (or 1.5% of CA-allocated net income, whichever is higher) plus the added Form 100S preparation cost before deciding whether the election still clears your break-even threshold for the year you're taking California assignments.
Worked Example: A Locum Splitting Time Between CA and a No-Tax State
Illustrative numbers, not a specific client outcome
Illustrative example, not a specific client outcome. Consider a locum emergency medicine physician who earns $300,000 in total 1099 income for the year. She spends 4 months (roughly 33%) of her working days on assignments in California and 8 months (roughly 67%) on assignments in Texas, a no-income-tax state. She maintains her tax home in Texas.
| Amount / Estimate | |
|---|---|
| Total 1099 income | $300,000 |
| Days worked in California (approx. 33%) | ~$99,000 allocated as CA-source income |
| Days worked in Texas (approx. 67%) | ~$201,000 allocated as TX-source income (no state tax) |
| CA tax rate applied | Determined by total income bracket, applied only to the $99,000 CA-source portion |
| Estimated CA tax liability (illustrative, ~9-10% effective rate on the CA portion at this income level) | Roughly $9,000-$10,000 — REVIEW: illustrative estimate only, confirm actual CA 540NR calculation |
| TX tax liability | $0 |
| If structured as CA-doing-business S-corp | Add $800 minimum franchise tax (or 1.5% of CA-allocated net income, if higher) |
The exact dollar figure depends on California's actual bracket mechanics applied to her total income, not just the California-source slice, so this estimate should be treated as directional. The key planning takeaway isn't the precise number, it's that roughly a third of her working days generated a real, calculable California tax bill, and none of that would have shown up automatically since 1099 income has no default withholding. Without quarterly estimated payments set aside specifically for the California portion, she'd be facing a five-figure surprise at filing time, plus potential underpayment penalties.
Working (or Considering) a California Assignment?
We'll estimate your California-source tax exposure before you sign the contract, and tell you whether an S-corp still makes sense given the mix of states you're working in.
Book a Free ConsultationNo obligation • Takes 30 minutes • Done over the phone
Common Mistakes
What trips up locum physicians working California assignments
Mistake 1: Assuming W-2 Withholding Logic Applies
Mistake 2: Not Tracking CA Work Days Precisely
Two more mistakes worth flagging: assuming that because your S-corp is registered in Texas or Nevada, California can't reach your income (it can, through sourcing to the individual and potentially to the entity itself), and waiting until tax season to figure out the California allocation instead of tracking it assignment by assignment as the year goes. The physicians who come out of a California-heavy year in the best shape are the ones who treated day-tracking as part of the job from the first day of the first assignment.
| Assumption | Reality in California |
|---|---|
| "I only worked there 2 weeks, it doesn't count" | Any CA-source income is taxable, no minimum-day exemption for personal services income |
| "My S-corp is based in a no-tax state, so I'm covered" | CA sources through to the individual; the entity may also owe CA franchise tax |
| "California will withhold what I owe, like a W-2 job" | 1099 income has no default withholding; estimated payments are your responsibility |
| "I'll figure out the day count at tax time" | Imprecise day tracking creates real audit risk and a weaker position if challenged |
Frequently Asked Questions
Related Resources
Don't Let California Surprise You at Filing Time.
We work with locum physicians every day who split time across California and no-tax states. We'll map your assignment calendar, estimate your California exposure, and make sure your entity structure and estimated payments actually fit the way you work.
Book a Free ConsultationNo obligation • Takes 30 minutes • Done over the phone
