2024 Tax Guide for Locum Providers

Wondering how to find locum jobs that pay you high? At times, high pay latest locum jobs are not enough. Just learn how to handle tax deductions to maximize your earnings.


It's tax season again, and for locum providers, navigating through the process can be trickier than for traditional employees. Unlike W-2 workers who have taxes automatically deducted, independent contractors, like many medical professionals, must handle all deductions themselves. This can be overwhelming, especially for those more focused on healthcare than finances.


To simplify the tax filing for locum physicians and advanced practice providers, here are six essential tips.


  1. First, keep meticulous records of expenses and income.
  2. Second, understand allowable deductions, such as travel and licensure costs.
  3. Third, consider setting up a dedicated business entity for potential tax benefits.
  4. Fourth, stay on top of quarterly estimated tax payments.
  5. Fifth, leverage tax software or professional help for accurate filing.
  6. Lastly, be aware of any state-specific tax obligations.


These tips aim to ease the tax process, ensuring locum providers file correctly without unnecessary stress. Let’s go through every key tip in detail.


Employee vs. Independent Contractor


Locum physicians work as freelancers. They're not on the regular employee gig, meaning no benefits or automatic deductions from the facility or agency. Instead of a neat W-2, they get a 1099-MISC from each client, just stating their earned income without any automatic deductions. It's a bit different and might need a tax pro to sort it out. So, in a nutshell, locum physicians are independent contractors dealing with 1099-MISC forms, and for tax matters, a professional is the go-to person.


Tip 1: Work with a professional


Navigating tax rules is tricky, so having a tax expert by your side is crucial. To find a reliable Certified Public Accountant (CPA), start by seeking recommendations from colleagues. Look for someone well-versed in the unique tax situations of locum providers, especially if you work across different states.


Your CPA should not only handle your tax filings but also be available for advice and to address any financial queries throughout the year. This partnership ensures you cover all bases and avoid legal hassles. Remember, a seasoned CPA can be your financial guide, making the complex world of taxes more manageable and keeping you on the right side of the law.


Tip 2: Track your income precisely


Employers are obligated to send out 1099-MISC forms to independent contractors by January 31st. If you're a locum provider, you should have received your tax forms by now. In case you haven't, reach out to your employer promptly. It's crucial to maintain accurate records of your earnings throughout the year to ensure proper tax calculations.


Additionally, be aware that if you owe $1,000 or more in taxes at the end of the year, the IRS may require you to make quarterly payments. This is especially relevant if your locum work is your primary source of income. Collaborate with your accountant to determine the appropriate percentage of your paycheck to set aside for taxes. Your accountant can also provide you with the necessary quarterly tax payment forms and schedules.


Staying on top of these tax obligations will help you avoid any penalties or surprises come tax time. Regular communication with your employer and accountant ensures that you are well-prepared to fulfill your tax responsibilities in a timely manner.


Tip 3: Main a detailed record of your expenses


When managing your finances as a locum, it's crucial to not just track your income but also keep a keen eye on work-related expenses. Consider common tax deductions like per-diem for meals, expenses related to your business cell phone usage, purchases of electronics for work, health insurance premiums, and even bank or credit card fees tied to your contract work. Don't forget the professional needs like license renewals, continuing education, and work attire such as scrubs and lab coats.


To simplify tax time, keep a meticulous record of all receipts and collaborate with your accountant to ensure you claim every eligible deduction. This proactive approach not only makes the process smoother but also ensures you benefit from all the legal entitlements available.


Tip 4: Set up your savings plan


When you're an independent contractor instead of working for a single entity like a hospital, you have to handle your retirement accounts. Luckily, there are tax-deductible options available for saving for retirement, such as IRAs, Roth IRAs, or SEP-IRAs (Simplified Employee Pension Plan).


Another useful tip is for those who purchase their health insurance independently. Combining a "high deductible" plan with a health savings account (HSA) can be beneficial. In 2021, an individual can contribute up to $3,600 to an HSA (or $7,200 for a family), and these contributions are tax-deductible. The HSA funds can then be utilized to cover medical expenses that aren't covered by insurance. This approach provides flexibility and tax advantages for individuals managing their retirement and healthcare independently.


Tip 5: Pay your quarterly estimated taxes


When you work for someone and get a W-2, your employer takes care of tax stuff. But if you're freelancing or doing your own thing, you're in charge. You have to pay taxes on your own, and it's not a once-a-year thing. You'll be on the hook for quarterly payments throughout the year. These payments cover income tax, self-employment tax (that's Social Security and Medicare), and another thing called alternative minimum tax.


You'll need to figure out how much to pay for the upcoming year based on what you made last year. Your accountant can help with that when you're doing your taxes. They'll give you an estimate, but you can adjust it if your earnings change a lot.


To make sure you're ready for these quarterly tax dates, set up a separate account. Every time you get paid, put some money in there. This way, you won't be caught off guard when tax time comes around. It's all about staying on top of things and avoiding any surprises. If you need info on when these tax payments are due, check out the IRS FAQs. They've got all the dates you need.


Tip 6: Ensure to submit both federal and state tax returns to comply with all relevant tax regulations.


If you've worked in different states, you'll need to file taxes in your home state and any states you've worked in. Hiring an accountant, especially one experienced with independent contractors or locum providers, is crucial. Look for someone well-versed in tax laws across your work locations. Their expertise will be invaluable in navigating the complexities of multi-state tax filing.


Locum Tax Deductions


Exploring tax deductions for the latest locum jobs? Here's a checklist to delve into, but remember to verify with your accountant for confirmation of eligibility.


  1. Health and Dental Insurance Premiums: Covering yourself, your spouse, and dependents.
  2. Medical-related Expenses: Fees for licenses, ongoing education, journal subscriptions, and professional memberships.
  3. Professional Services Fees: Including CPA and legal services.
  4. Practice-Exclusive Purchases: Equipment, clothing (like scrubs and lab coats), and tools solely used for your practice.
  5. Business Devices: Deduct a portion of your laptop, cell phone, and iPad costs dedicated to your practice.
  6. Home Office Supplies: Printer, paper, toner, etc., exclusively for your home office.
  7. Contribution for Retirement: You can contribute to your retirement account.
  8. Home Office Expenses: If you regularly use a part of your home for work, consider a portion of rent, mortgage, and utilities.
  9. Travel and Accommodation: Out-of-pocket expenses for work-related travel, lodging, meals, and mileage are not covered by your agency.


Navigating taxes as a locum provider may seem complex initially, but with a well-established system, it becomes a smoother process. The independence and perks of the locum life make the effort worthwhile. Don't forget to consult your accountant for personalized advice tailored to your situation.


Final Thoughts


Doctors are interested in finding locum jobs to maintain the proper work-life balance they want. Despite a bit more paperwork, the freedom, flexible schedule, and career growth opportunities make it worthwhile. Locum doctors also enjoy more tax benefits, but it's crucial to consult a licensed tax professional for advice on self-employed deductions. With guidance from a qualified tax professional, managing locum physician taxes becomes a manageable aspect of a rewarding career.


In conclusion, with proper preparation, filing taxes doesn't have to be stressful. Hiring a professional and staying organized with paperwork ensures you're well-prepared when tax time comes. For further details on taxation, consider reaching out to ProLocums.

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