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The Locums
Financial Roadmap

Everything you need to know about LLC setup, taxes, malpractice, and retirement before going 1099. Written by a provider in the trenches.

11
Chapters
$70k
Retirement potential/year
100%
Free, always
2025
IRS data

Free — no email required

Download the PDF or read it inside the LocumsLab calculator app while you run your numbers.

📥 Download PDF 📖 Read in LocumsLab →

Opens the guide alongside the free calculators — see the concepts in action.

What's inside

The roadmap nobody gave you

11 chapters covering the financial and operational reality of going 1099 — with real numbers, verified sources, and zero fluff.

Chapter 01
Why This Guide Exists
The honest story behind it — written by a provider making the transition, not a CPA selling services.
Chapter 02
Honest Considerations
Lifestyle trade-offs, benefits gap reality, and what to have in place before you take your first 1099 check.
Chapter 03
LLC & S-Corp Explained
When to form each, how S-Corp distributions save you thousands in SE tax, and the admin fee concept.
Chapter 04
Taxes — Day One Changes
SE tax rates, quarterly payments, and every deduction available to 1099 providers. Based on 2025 IRS guidance.
Chapter 05
Malpractice Insurance
Claims-made vs occurrence, tail coverage, what it actually costs, and the questions to ask before every assignment.
Chapter 06
Health, Disability & Benefits
How to calculate your true benefits gap and budget for what your employer used to cover.
Chapter 07
Retirement Maximization
Solo 401(k) vs SEP-IRA, 2025 contribution limits, and what $70k/year compounded looks like over 20 years.
Chapter 08
Finding Contracts
Working with agencies, evaluating offers, and the soft skills that actually get you the best assignments.
Chapter 09
Payroll & Bookkeeping
Gusto, QuickBooks, Keeper — the tools that keep your quarterly tax routine under two hours.
Chapter 10
Finding the Right CPA
What to look for, questions to ask, and why a specialty CPA pays for itself many times over.
Chapter 11
Run Your Numbers
How to use LocumsLab's free calculators to model your specific scenario before making any decisions.

The numbers that change how you think about this

15.3%
SE tax rate you'll pay as 1099 — and how to reduce it
$70k
Max Solo 401(k) contribution per year in 2025
$5,968
Average CRNA malpractice premium — what to budget
$30–45k
Typical annual benefits gap when leaving W-2

Who this guide is for

Any healthcare provider considering or beginning the transition to 1099 or locums work.

💉

CRNAs & SRNAs

Primary audience. All numbers reference anesthesia-specific data where available.

🩺

Nurse Practitioners

The LLC, tax, and retirement frameworks apply directly. Malpractice figures vary by specialty.

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Physician Assistants

Same business structure considerations. Use as a starting point and verify specialty-specific costs.

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Physicians

Core financial concepts apply. Malpractice and contract structure differ by specialty.

Ready to run your actual numbers?

The guide explains the framework. LocumsLab's free calculators show you what it means for your specific situation.

Read Guide in LocumsLab → Download PDF