At ProLocums, we believe there is no one-size-fits-all way to organize partnerships with hospitals, and the same applies to our relationship with the physicians we hire to care for patients.
Whether you are employed and receiving a W-2 or are an independent contractor physician receiving a 1099 depends on various factors including specialty and role. Most physicians have been W-2 employees at some point, so they inherently understand this model. The independent contractor (IC) model is a little more foreign to many, so it is important to understand the pros and cons of this tax status.
Transitioning from an employed model to being an independent contractor physician (ICP), or starting your career as an independent contractor, presents a variety of often bewildering questions. One of the first is likely about the difference between forming an LLC and an S Corp.
Choosing the right business structure is a complicated question that depends on your state, personal financial goals, and family needs. To help physicians navigate these choices, we've teamed up with DocWealth.io, which specializes in providing CPA services for 1099 physicians to maximize their earnings. Consulting with a professional like DocWealth.io can help you come up with a plan that fits your particular situation and needs.
In this article, we will discuss why being a 1099 physician is the best option and explore whether you should form an S Corp or an LLC to maximize your financial benefits.
When deciding between forming an LLC or an S Corp as a 1099 physician, it's crucial to understand the distinctions and benefits of each structure.
S Corporation (S Corp): An S Corp, or S corporation, is a type of business entity that offers the advantage of pass-through taxation. This means that the company's profits and losses are passed directly to the individual owners, who report them on their personal income tax returns. This structure helps avoid the double taxation commonly associated with traditional C corporations. Owners of an S Corp can also save on self-employment taxes, as they can take a reasonable salary and distribute remaining profits as dividends, which are typically taxed at a lower rate. [not subject to additional self employment taxes.]
Limited Liability Company (LLC): An LLC, or limited liability company, blends the benefits of a corporation with the flexibility of a partnership or sole proprietorship. LLCs are relatively easy to establish and operate, offering significant flexibility in how they are taxed and how profits and losses are allocated among the owners. The members of an LLC are not personally liable for the company's debts and obligations, providing a layer of personal asset protection. Profits can be distributed among one or more members, making it a versatile choice for many business owners.
Contrary to popular belief, the primary purpose of forming an LLC for physicians is not necessarily to shield from liability, but to create an opportunity to save money through electing S Corp taxation.
How Does an LLC Help Lower Your Tax Bill? An LLC can choose to be taxed as an S Corp, allowing the business owner to take advantage of pass-through taxation while also potentially reducing self-employment taxes. By electing S Corp status, the physician can receive a portion of their income as a salary (subject to payroll taxes) and the remaining as a distribution (not subject to self-employment tax), leading to overall tax savings.
Many independent contractor physicians opt to form an LLC for its ease of setup and then elect S Corp taxation for federal tax benefits. This setup allows physicians to benefit from the simplicity of an LLC while enjoying the tax advantages of an S Corp.
Here’s how it works:
1. Formation and Election:
2. Revenue Flow:
3. Salary and Distributions:
As both the employer and employee, the independent contractor physician can significantly reduce self-employment taxes. For 2024, the self-employment tax rate is 15.3% on earnings up to $160,200, with an additional 2.9% on income above this threshold. By balancing W-2 wages and distributions, physicians can save thousands of dollars annually, primarily on payroll taxes, while still meeting their income tax obligations. This strategy offers substantial savings for independent contractor physicians.
Dr. Smith owns Smith Medical, LLC. ProLocums pays Smith Medical, LLC $325k through 1099 payments. Smith Medical, LLC then pays Dr. Smith a $125k salary via W-2. As a result, Dr. Smith’s payroll tax is calculated only on the $125k salary instead of the entire $325k.
Payroll Tax Implications Without an LLC:
Payroll Tax Implications With an LLC:
By structuring his income this way, Dr. Smith saves over $10,000 in payroll taxes.
The next common question is, “What about the $200k that I’m not taking as wages?” That $200k remains your money and can be accessed through owner distributions or dividends. You can transfer these funds from your business bank account to your personal account with ease. The advantage here is that this $200k is not subject to payroll tax, though it is still subject to income tax.
Forming an LLC and electing S Corp taxation has numerous benefits, but there are also potential downsides. These include compliance with additional tax rules and regulations specific to S Corps. Physicians considering this option should weigh the benefits and drawbacks and consult a tax professional before making a decision. For more information, visit DocWealth.io.
In recent years, the tax landscape for independent contractors has become increasingly complex, making much of the existing online information outdated. Consulting with a tax professional is crucial for understanding your specific situation.
Qualified Business Income (QBI), outlined in Section 199A of the tax code, refers to net income from a qualified trade or business eligible for deductions under the Tax Cuts and Jobs Act of 2017. For independent contractor physicians, this income is eligible, but only if it falls under certain thresholds:
QBI Example:
Understanding QBI and its implications can significantly impact tax planning and savings for independent contractor physicians. For more detailed advice tailored to your circumstances, visit DocWealth.io.
The 2017 tax law that introduced QBI also capped state and local tax (SALT) deductions at $10,000, targeting high-income earners like physicians. To counteract this, many states have introduced or proposed a Pass-Through Entity (PTE) Level Tax. If your state offers PTE, you can pay a portion of your state income tax through your LLC and receive a federal deduction.
For Example:
This strategy allows high earners to navigate the SALT deduction cap effectively.
Organizing an LLC and paying yourself as an employee adds complexity but can lead to substantial savings. In the examples above, Dr. Smith could save:
These figures don’t include potential savings from retirement contributions or business deductions. While these examples are simplified and may not apply to your specific situation, the potential benefits are significant.
For personalized advice, consult your CPA or schedule a free 30-minute session with DocWealth.io.
Finding skilled physicians to address your staffing needs can often be a challenging process. Whether you’re dealing with a temporary vacancy, a seasonal influx of patients, or a persistent staff shortage, hiring locum tenens physicians can provide an efficient and beneficial solution.
Locum tenens physicians work on a temporary or contract basis across multiple healthcare settings. Their role is crucial in maintaining continuous patient care, alleviating the workload of your permanent staff, and bringing new expertise and fresh perspectives to your team.
According to the 2023 State of Locum Tenens Report, experts forecast steady growth in the locum tenens market, driven by clinician shortages and the need to catch up on treatments deferred during the COVID-19 pandemic. In fact, the locum tenens staffing segment, valued at $22.5 billion in 2022, is projected to grow at an annual rate of 5.7% from 2023 through 2030.
Bringing locum tenens physicians into your healthcare organization offers numerous advantages including flexibility, high standards, and cost efficiency.
However, hiring locum tenens physicians comes with its own set of challenges, especially when it comes to credentialing. Understanding and efficiently managing the credentialing process is key to ensuring a smooth and successful hire.
Credentialing is the process of verifying a physician’s identity, qualifications, and competence before they are allowed to practice at a healthcare facility. This step is vital for maintaining high standards of care, protecting patient safety, and ensuring compliance with regulatory requirements.
When hiring locum tenens physicians, the process of medical credentialing service typically involves two stages. First, the locum tenens agency like ProLocums conducts internal credentialing to ensure the physician meets general standards. Then, the healthcare facility where the physician will be working completes external credentialing specific to the job.
The credentialing timeline can vary, often taking anywhere from a few weeks to several months, depending on the complexity and urgency of the case. Delays in credentialing can be particularly challenging for healthcare facilities facing an immediate staffing shortage. Streamlining this process, even slightly, can result in significant improvements to your facility’s operational efficiency and return on investment (ROI).
Before you begin your search for locum tenens physicians, it’s important to ensure that your facility is ready to integrate them smoothly.
Clearly define your immediate and future staffing requirements, including the specialization, skills, and experience. Determine a realistic budget for hiring locum tenens physicians, considering factors such as travel, accommodation, malpractice insurance, and agency fees.
Partnering with a reputable locum tenens agency like ProLocums that specializes in your area and has experience with your location is crucial. Conduct thorough interviews to evaluate each candidate’s qualifications and compatibility with your facility’s culture. Always check references and verify credentials before making a final decision. Choose the candidate who aligns most closely with your needs and expectations.
Once you’ve selected the right physician, it’s time to initiate the credentialing process. Key steps include:
While credentialing is an essential part of the hiring process, it can be time-consuming and complex. Technology solutions like ProLocums can simplify and expedite credentialing. By automating manual tasks, ProLocums can dramatically shorten the credentialing timeline with real-time status updates and easy access to credentials, which can enhance the overall experience for both physicians and healthcare facilities.
In summary, onboarding locum tenens physicians can be a strategic solution for addressing staffing challenges in healthcare. By preparing your facility, carefully selecting candidates, and streamlining the credentialing process, you can ensure that locum tenens physicians are seamlessly integrated into your team and contribute to the delivery of high-quality patient care. For more information visit Prolocums.com
10/17/2024
Community health centers play a critical role in providing healthcare to underserved populations across the United States. Despite their importance, these centers often struggle with staffing challenges due to high patient demand and limited resources. While some administrators may view locum providers as a costly option, strategically employing them can lead to substantial long-term benefits that far outweigh the initial expense. This article aims to discuss how locum jobs for providers can boost efficiency in community health centers.
Community health centers serve as a lifeline for many, offering essential primary and preventive care to a diverse patient population, including those who might otherwise have limited access to healthcare. According to the National Association of Community Health Centers, these facilities now serve 1 in 11 Americans. This significant patient load has grown rapidly over recent years, expanding the scope of services these centers must provide. Unfortunately, funding and resources have not kept pace with this demand, leading to considerable recruitment and retention challenges.
The demanding schedules and limited support often deter permanent clinicians, and the current labor shortage only exacerbates these difficulties. As a result, many centers are understaffed, which can negatively impact the continuity of patient care and increase the likelihood of staff burnout, creating a vicious cycle that further strains the facility's operations.
Although the upfront cost of locum physicians may seem prohibitive, the long-term advantages they offer can be transformative for community health centers. Locum providers can fill critical staffing gaps via locum job search, ensuring that patient care remains consistent and uninterrupted. This continuity is vital for maintaining high standards of care and patient satisfaction, which are essential for better health outcomes and a stable patient base.
Moreover, locum providers help alleviate the workload of permanent staff, reducing burnout and improving overall morale. This support leads to higher job satisfaction, which in turn reduces turnover rates—a significant benefit given the challenges in recruiting permanent clinicians. With locum handling day-to-day patient care, permanent staff can focus on essential administrative and follow-up tasks, thereby enhancing the overall operational efficiency of the facility.
Locum practitioners offer several key benefits that directly address the pain points commonly faced by community health centers:
At ProLocums, we understand that community health centers need more than just temporary staffing solutions via locum job search. We provide comprehensive support services tailored to the specific needs of these facilities, including provider enrollment, staff scheduling, and data-driven decision-making. Our team closely assesses the unique circumstances of each client, developing customized strategies that enhance care delivery while taking into account the available resources.
In conclusion, while the initial investment in locum providers may seem high, the long-term benefits—such as improved patient care continuity, reduced staff burnout, and enhanced operational efficiency—make it a worthwhile consideration for community health centers aiming to boost their efficiency and effectiveness.
So, avoid further delays. Get in touch with ProLocums today!
09/10/2024
Nearly a decade ago, doctors embraced locum career opportunities, exploring various aspects of their lifestyles. Since then, the healthcare industry's reliance on locum workers has grown significantly. Today, 94% of healthcare employers report utilizing locum professionals, a sharp increase from 74% just five years ago.
This shift in demand has brought about a change in perceptions. Once viewed as a fallback for physicians unable to secure permanent positions, locum roles are now highly coveted. As the Nevada Daily Mail reports, “Today, such positions are becoming coveted, attracting high-quality physicians.”
As the need for locum doctors, dentists, and clinicians continues to grow, so do the career opportunities within this field. Whether you prefer traveling, moonlighting, or seeking alternative work environments, the type of locum physician job you choose can reveal a lot about your professional identity.
1. The Traveler
For those with a love for adventure, locum work offers the perfect blend of career and travel. Whether you want to spend winters on the West Coast and summers on the East or explore new states, locum professionals are needed across the country. From Maine to California, Texas to Minnesota, and Florida to Washington, opportunities abound. Partnering with ProLocums means that the state licensing process is handled for you, and travel and housing costs are covered, making it easier to focus on your work while exploring new places.
2. The Moonlighter
Locum work has become a popular option for physicians looking to supplement their income. Whether it’s to pay down medical school debt or achieve other financial goals, moonlighting through a locum can be a lucrative and flexible option. As highlighted in our original article, these professionals often use their off-hours or extended vacation time to earn extra income, experiment with new practice styles, or explore different locations.
3. The Alternative Seeker
For some, locum work is a way to escape the challenges of traditional medical practice. From bureaucratic headaches and reimbursement hassles to malpractice concerns and stress, the demands of independent practice can be overwhelming. Locum offers an alternative that allows professionals to achieve a better work-life balance. This option is increasingly attractive to those who want to continue practicing medicine without the burdens associated with a permanent position.
4. The Test Driver
New physicians, residents, and fellows often find locum physician jobs to be an ideal way to explore different career paths before making a permanent decision. By taking on short-term assignments in various settings, they can gain valuable experience and insight into different practice environments. This approach allows them to test the waters and determine what type of employment suits them best, without the long-term commitment.
5. The Sunset Seeker
As experienced healthcare professionals approach the end of their careers, many choose to transition into locum work. This allows them to continue seeing patients and earning income on a more flexible, often part-time schedule. Some of these professionals may have previously retired but have returned to work through locum, attracted by the flexibility and the opportunity to remain active in their field. For many, locum is a fulfilling way to cap off a long and successful career.
6. The Transitional Professional
Locum jobs online can be a convenient option for healthcare professionals who are between long-term commitments. This category includes residents looking to gain experience before settling into a permanent role, as well as mid-career professionals considering a career change. By taking on shorter-term locum positions, they can maintain their skills and income while exploring new opportunities and figuring out their next steps.
7. The Country Doctor
A new breed of country doctors is emerging through locum work. Rural healthcare facilities have a growing need for locum professionals and this type of work appeals to those who want to make a meaningful impact in local communities. For healthcare professionals who are passionate about serving underserved areas, locum work in rural settings is an opportunity to provide essential care where it’s needed most.
No matter what drives you to pursue locum work—whether it's travel, financial goals, or a desire for flexibility—you’ll find that the opportunities are as varied as the professionals who seek them. With ProLocums, you can be confident that you’ll always find the best locum jobs online and the most supportive recruiters in the business.
Discover more about the locum lifestyle with us. Connect with ProLocums today!
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