Physician Tax Solutions

Physician Tax Solutions We offer an innovative full-service model that features proactive tax strategies and compliance supp

Are you a 1099 physician leaving money on the table at tax time?You can secure a major write-off by using your home work...
06/23/2026

Are you a 1099 physician leaving money on the table at tax time?

You can secure a major write-off by using your home workspace.

Many independent doctors avoid the home office tax deduction because they fear audits.

You can claim this tax relief safely when you follow the true IRS rules.

Our latest article breaks down the exact steps for medical professionals.

What you will learn:

Why W-2 charting tasks do not qualify for housing write-offs

How to spot and avoid risky online financial tricks

Why the actual expense method beats the simplified option for premium homes

Simple ways to structure your digital records to stay safe

Read the full guide to protect your hard-earned clinical income.

Link in the comments

You work long shifts, make critical clinical decisions, and manage demanding hospital schedules. Yet, when you look at y...
06/09/2026

You work long shifts, make critical clinical decisions, and manage demanding hospital schedules. Yet, when you look at your W-2 paycheck, nearly half of your extra income vanishes into federal and state taxes.

Many doctors believe the only way to lower their tax bill is to make less money. That is incorrect. The reality is that your tax burden depends entirely on how you earn your money, not just the total amount you pull in.

The tax code is written as a system of incentives. It rewards business operations and property investments, leaving standard W-2 wages with the heaviest rates and zero employee write-offs. You can change your path without walking away from your primary hospital contract.

Our latest guide breaks down the exact strategies you can use to protect your hard-earned wealth.

You will discover:

Why traditional hospital paychecks face the highest brackets with no room for deductions

How adding a small stream of 1099 side income turns personal expenses into business write-offs

Ways to shield your side earnings using custom retirement tools like a Solo 401k

How passive real estate depreciation can generate cash flow completely tax-free

Stop running on a financial treadmill where working harder just means paying more to the IRS. Read the complete guide on our website today to start restructuring your income mix.

Sold Nvidia, Apple, or Tesla stock this year? πŸ“ˆBefore you celebrate that win, the IRS has already done the math.For high...
06/08/2026

Sold Nvidia, Apple, or Tesla stock this year? πŸ“ˆ
Before you celebrate that win, the IRS has already done the math.
For high-income physicians, a single stock sale can mean:

Up to 37 percent in federal capital gains tax
An extra 3.8 percent Net Investment Income Tax
State taxes on top of that
Possible quarterly estimated tax penalties

The good news? Smart planning before you click "sell" can save you thousands.
Our latest guide breaks down short-term vs long-term gains, the wash sale rule, and tax moves that protect your portfolio.

Most high-earning physicians overpay on taxes. Not by a little. By tens of thousands of dollars a year.The fix isn't com...
06/05/2026

Most high-earning physicians overpay on taxes. Not by a little. By tens of thousands of dollars a year.The fix isn't complicated. It comes down to three steps:

Claim the deductions you already qualify for (home office, per diem, hiring your kids, depreciation)

Get the right entity underneath your 1099 income (S Corp, C Corp, or Schedule C, the answer isn't always what you think)

Layer in advanced moves once the basics are solid (cost segregation, defined benefit plans, captive insurance)

In our latest blog post, we walked through a real physician household earning $1.5M and showed how this framework cut their tax bill by 58%.

If you have any 1099 income alongside your W-2, the rules change in your favor.

Most doctors just don't know how to use them.

Read the full guide in the comments

Doctors with 1099 income, private practices, or locum tenens shifts: you owe quarterly estimated taxes.If that sentence ...
06/02/2026

Doctors with 1099 income, private practices, or locum tenens shifts: you owe quarterly estimated taxes.

If that sentence made you pause, read this guide.

We covered the 2026 deadlines, the safe harbor rule for high earners, and the seven most common mistakes we see physicians make.

Tax season hits different when you're a physician. 🩺W-2 from the hospital. 1099 from locum shifts. Maybe a telehealth si...
05/27/2026

Tax season hits different when you're a physician. 🩺

W-2 from the hospital. 1099 from locum shifts. Maybe a telehealth side gig. A rental property or two. And then April rolls around and the bill makes you want to lie down on the floor for a minute. πŸ˜…
Here's what most doctors learn the hard way: regular tax software and generalist CPAs aren't built for physicians with multiple income streams. You end up overpaying. Every. Single. Year.

Our newest guide breaks down:

βœ”οΈ What to look for in a physician CPA (and what to run from)
βœ”οΈ The difference between tax prep, planning, and advisory
βœ”οΈ Deductions you're probably missing, including CME, malpractice, and home office
βœ”οΈ Why locum tenens income is its own tax animal
βœ”οΈ Red flags when hiring help

If tax season feels like a stressful surprise every year, that's a sign.

Got a W-2 hospital job AND a 1099 side gig? 🩺Locum shifts, telehealth, medical director roles... that extra income feels...
05/20/2026

Got a W-2 hospital job AND a 1099 side gig? 🩺

Locum shifts, telehealth, medical director roles... that extra income feels great until April rolls around and you're staring down a surprise tax bill plus penalties you didn't know were coming.

Here's the thing most physicians don't realize: the IRS expects you to pay taxes as you earn, not just once a year. Miss the safe harbor rules and you'll owe penalties on top of what you already owe.

Our latest guide breaks down:

βœ… What the IRS safe harbor rule actually means (in plain English)
βœ… The 110% rule for high-income physicians
βœ… Quarterly payment deadlines you can't miss
βœ… The most common mistakes doctors make with mixed W-2/1099 income
βœ… When it makes sense to set up an S-Corp

If you're winging it on taxes this year, this is the post to read before your next 1099 check hits.

What's the biggest tax question you have about your side gig income? Drop it in the comments.

🩺 S Corp vs PC vs PLLC  Which One Actually Saves Physicians the Most Money?If you're a doctor running a practice, doing ...
05/18/2026

🩺 S Corp vs PC vs PLLC Which One Actually Saves Physicians the Most Money?

If you're a doctor running a practice, doing locums, or building side income, your business structure is quietly deciding how much you hand over to the IRS every year.

Here's the truth most physicians don't hear in med school:
βœ… A PC keeps you compliant but comes with heavy paperwork
βœ… A PLLC offers similar protection with way more flexibility
βœ… An S Corp election on top of either can save you thousands in self-employment tax

The wrong setup? You could be overpaying by 5 figures a year. Every year.

πŸ‘‰ Read the blog in the comments

If you haven't reviewed your entity setup in the last 2-3 years, now's the time. Your future self will thank you.

Most physicians running an S-corp are quietly leaving $3,000–$9,000 on the table every year.Not because they're careless...
05/12/2026

Most physicians running an S-corp are quietly leaving $3,000–$9,000 on the table every year.

Not because they're careless. Not because their CPA is bad.

It's the accountable plan. Either they don't have one, or they have one that's been sitting half-asleep for years, reimbursing a flat $100/month for phone and nothing else.

Home office. Cell phone. Vehicle use between hospitals. CME travel. Scrubs. Internet upgrades for telehealth. All of it can be reimbursed tax-free through your practice when the plan is set up correctly.

We just published a step-by-step guide that breaks down exactly how to set one up, what to put in it, and the traps that quietly turn the whole thing into taxable wages.

Earning $500K+ as a physician with both W-2 and 1099 income?Your retirement plan choice could be quietly costing you ten...
05/08/2026

Earning $500K+ as a physician with both W-2 and 1099 income?
Your retirement plan choice could be quietly costing you tens of thousands of dollars every year.

Most docs we talk to are running one of three setups:
β†’ SEP-IRA (easy, but usually leaves money on the table)
β†’ Solo 401(k) (the default winner for most physician S corps)
β†’ Defined Benefit Plan (where high earners really pull ahead with $100K+ deductions)

In our latest blog, we walk through a real ER doc scenario, $400K W-2 plus $100K in 1099 income, and show three different outcomes:
The bad setup: $3,200 in tax savings
The better setup: $16,500 in tax savings
The best setup: $55,000+ in tax savings

Same income. Same physician. Different retirement plan strategy.
If you're an S corp owner, there's one mistake that quietly destroys your contribution room before you even start. We cover it in the post, along with the combo strategy that gets high earners to six-figure deductions.

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