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Head Spinning? Read This Instead.
If you came here because someone told you 1099 is "better" and now your head is spinning over entities, taxes, and insurance — same. That was me a few years ago. Most providers I talk to don't want to become tax experts. They want someone to tell them what to do. Two ways to use this place: • Want to learn it yourself? Open the Classroom. Start at Step 1. • Want to be pointed in the right direction? Comment below with where you are. Tell me one of these in the comments: • W-2 thinking about 1099 • Just went 1099, setting things up • Been 1099 a while, feel like I'm missing things • Just want a good CPA Drop the line. I'll point you to the next step. Richard
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How to Use This Place — 60-Second Map
Skool can feel busy at first. Here's the short version. Three tabs at the top: • Classroom The 11-step roadmap. Step 1 is free. The rest is for paid members. • Community Questions, wins, real situations. Where you'll spend most of your time. • Calendar Thursday live Q&A. Bring something specific, get a real answer. Your first 24 hours, in order: Read the Welcome post (pinned below) Comment on "Head Spinning?" and tell me where you are Open Classroom → run the free Tax Audit Tool in Step 1 Come back and post your number Don't try to read everything. Most of it isn't relevant to where you are right now. Richard
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Why We Require Citations — The Principle Behind the Rule
Why This Community Has a Citation Standard I want to explain why we have the rule about citations, because it's the reason this community exists. Every free resource for 1099 anesthesia providers — every Facebook group, every Reddit thread, every locked Google sheet passed around at conferences — suffers from the same core problem: confidently wrong advice repeated until it sounds like truth. I've lived this. My own accountant told me I couldn't use the Augusta Rule because I'm not a golfer. That's an actual thing that was said to me by a licensed professional I was paying to handle my taxes. It's also completely wrong — Augusta, Georgia is a zip code, not a qualifier. IRC Section 280A lets any homeowner rent their primary residence to their business for up to 14 days a year, tax-free. If I had accepted that claim without pushing back, I would have lost thousands of dollars every year for the rest of my career. Because he said it with confidence, and because he had credentials, and because I didn't have a framework to verify. That experience is why this community has a citation standard. Here's what the standard actually requires: When you make a claim about tax law, you cite IRC code, Treasury regulations, or IRS publications. When you make a claim about contract law, you cite statute, case law, or published attorney opinion. When you make a claim about regulatory compliance, you cite CMS, DOL, OSHA, or state-level primary sources. When you make a claim about professional standards, you cite AANA, NBCRNA, MGMA, or peer-reviewed nursing journals. When you share your own experience, you label it clearly as experience: "In my situation, in 2024, my CPA and I used X strategy and the result was Y. Here's the relevant IRC section." That last one matters. Personal experience IS citation — as long as you're honest about what it is and include the underlying law or regulation that applies. What the standard does NOT require: You don't have to footnote every sentence. You don't have to cite a source for obvious facts. You don't have to be a lawyer or a CPA to post. You don't have to get every detail perfect.
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Community Rules-Read Before You Post
1099 Anesthesia Advantage exists because misinformation costs 1099 providers real money. Our single standard of admission, and the reason people pay to be here, is that every piece of advice in this community is verifiable. These rules apply to every post, comment, and reply. 1. Cite your source. Every claim about tax law, contract law, regulatory requirements, or financial strategy must be backed by one of the following: A specific IRC code, Treasury regulation, or IRS publication A primary regulatory source (CMS, DOL, state board of nursing, state attorney general opinion) A peer-reviewed publication or professional association guidance (AANA, MGMA) A named, credentialed professional (e.g., "my CPA Jane Doe at [firm] said...") Your own documented first-hand experience, clearly labeled as such "I heard..." "Someone told me..." "I read on Reddit..." — not acceptable. Rewrite or don't post. 2. Educational only. Never personalized advice. You can share frameworks. You can share your experience. You cannot give another member specific legal, tax, medical, or financial advice for their situation. Good: "When I was in Pennsylvania I used the PTET election and saved roughly $4,500 in federal tax. Here's the IRS reference." Not good: "You should elect PTET. You'll save $4,500." The difference matters. One is educational; the other is advisory. 3. No promotion of your own services or products without permission. Members who want to offer professional services (CPAs, attorneys, advisors, insurance brokers) must be vetted and approved before promoting. Contact Richard directly. Unapproved promotional posts will be removed without warning. 4. Disagreement is welcome. Disrespect is not. Push back on ideas. Challenge citations. Ask for sources. That's the whole point. But attacks on members, credentials, or motives are grounds for removal. 5. If you see something unverified, flag it. This community self-moderates by standard. If you see a claim without a source, ask the poster for one. That's not being combative — that's being a good member.
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Start Here: Read This First
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.
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1099AnesthesiaAdvantage
skool.com/1099anesthesiaadvantage-1915
Stop leaving six figures on the table. Tax strategy, contracts, and 1099 income for anesthesia providers — built by one of your own.
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