Locum physicians file as 1099 independent contractors — no taxes are withheld. Set aside 30–35% of gross income for federal, state, and self-employment tax. Key deductions: mileage ($0.67/mile in 2024), licensing fees, CME, home office, health insurance premiums. Max a SEP-IRA (up to $69,000 in 2024) to cut taxable income. Pay quarterly estimated taxes by Apr 15, Jun 15, Sep 15, and Jan 15 to avoid IRS underpayment penalties.
As a 1099 independent contractor, you are running a small business. Understanding how locum physician taxes work — self-employment tax, quarterly payments, deductions, retirement accounts, and S-Corp elections — can save you tens of thousands of dollars each year.
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