Welcome to 1099 Anesthesia Advantage!
This Classroom is built to prevent the mistakes most 1099 providers don't know they're making. Each step builds on the one before it. Skipping ahead creates the same problems that cost providers tens of thousands of dollars every year — wrong entity, missed deductions, insurance that doesn't fit, retirement vehicles that don't qualify.
Start with Step 1. Move in order. By the end, you'll have the foundation most providers spend 5 to 10 years figuring out the hard way.
If you're here, you're already asking the right questions.
Welcome to 1099 Anesthesia Advantage.
This Classroom is built to prevent the mistakes most 1099 providers don't know they're making. Each step builds on the one before it. Skipping ahead creates the same problems that cost providers tens of thousands of dollars every year. Wrong entity. Missed deductions. Insurance that doesn't fit. Retirement vehicles that don't qualify.
Start with Step 1. Move in order. By the end you'll have the foundation most providers spend 5 to 10 years figuring out the hard way.
If you're here, you're already asking the right questions.
I've spoken to clinicians grossing $400K, $600K, $800K a year. Many with advanced business degrees. Still paying close to 40% in taxes once you add federal, state, and self-employment. Not because they aren't smart enough. Because nobody showed them the map.
You didn't spend a decade in school, survive clinical training, and build a career at the highest level of medicine just to hand 40% of what you earn to the IRS. You didn't do it to be told your contract is standard when it isn't. Or to find out three years too late that the structure everyone around you uses is costing you six figures in taxes you didn't owe.
You did the hard part. Nobody gave you the business part. That's not a personal failure. It's a system failure.
Medical training produces exceptional clinicians. It produces almost nothing in the way of financial literacy, contract knowledge, or business structure. And the people selling you those services, the accountants, the advisors, the recruiters, don't always have your interests at the center of what they do.
I know because I've lived it.
I'm a CRNA. I gross over $800K a year as a 1099 independent contractor through my S-Corp. I've negotiated my own rates. Built the entity. Learned the tax strategy. Read every contract before I signed it.
A few years ago, when I was earlier in my 1099 transition with mixed W-2 and 1099 income, my accountant filed my return showing an $8,000 refund. Something felt off. I pushed back. He told me $8K was right. The next day he called back. He'd missed a prior-year item that should have carried forward to that return. Corrected refund: $28,000. I almost left $20,000 on the table because of one thing I didn't know to look for.
That experience taught me something I've since seen confirmed over and over: most of us use "CPA" as a catch-all for whoever does our taxes. But the right professional may not even be a CPA. EAs (Enrolled Agents) are federally licensed tax specialists. The credential matters less than whether the person can answer pointed questions about your specific situation. Most can't.
I also found out the hard way, standing in a hospital room with a stent in my LAD, that every dollar I made depended entirely on me being physically able to show up to an OR. That changed how I think about everything.
This community exists because colleagues were asking me these questions in OR hallways and text messages at midnight, and there was nowhere credible to send them.
So I built it.
If you're here, you already know something is off. Maybe it's your tax bill. Maybe it's your contract. Maybe it's the rate you accepted because you didn't know what else to ask for.
You're in the right place.
You're smart enough to understand all of this. You just needed someone to show you the map.
Start by introducing yourself below. Tell us where you are. W2, 1099, or somewhere in between.
We'll go from there.