How are 1099 paid?
I will be taking a position as a 1099 through a national company- they will keep a percentage of my billings. Rudimentary question- who am I receiving my paycheck from, the national company or the insurance? Also, I'm looking into having a payroll service do self employment tax withholdings- they will file quarterly taxes as well. They can also set up automatic 401k deposits from each paycheck. Curious if anyone has had any experience with this as full time 1099? (Source: Student Doctor Network)
Source: Student Doctor Network - January 30, 2022 Category: Universities & Medical Training Authors: Ogliodendrocyte Tags: PM&R Source Type: forums

1099 vs w2 pay/insurance
Assuming I would work for a large company that provides the option for W2 or 1099 employment, and that my SO works full time and can provide us with benefits, is there any reason to be a w2 instead of 1099? The differences I see are: - Lower wages with w2 but more benefits (that may be redundant with my SOs benefits), higher wages as 1099 - 401k limits as w2, SEP IRA limits as 1099 - payroll taxes covered by w2, paid from 1099 - no deductions as w2, deductions as 1099. Is there anything... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2022 Category: Universities & Medical Training Authors: Backpack234 Tags: Emergency Medicine Source Type: forums

Salary of doctors after taxes
So this question just came to my mind: how much is the actual salary of those who are in the medical profession after the taxes are taken out? I see figures being posted of $200,000 - $400,000 average salary, but I assume that's not the amount you bring back home after all is said and done. (Source: Student Doctor Network)
Source: Student Doctor Network - January 17, 2022 Category: Universities & Medical Training Authors: SilentAnon_404 Tags: Pre-Medical (MD) Source Type: forums

solo 401k
Hey all sorry I am not sure where to post this. Hoping someone out there might have an answer for me! Trying to set up a solo 401k. I have called Fidelity, they dont seem very with it and don't know anything or how to set one up (despite supposedly doing them). I have looked but not sure who else does this? Trying to do this before 1/1/22 so I don't get destroyed with taxes! Could someone who knows/has a solo 401k provide some info? thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2022 Category: Universities & Medical Training Authors: Iamnew2 Tags: General Residency Issues Source Type: forums

buying a practice?
anyone have any experience buying another practice? i have an opportunity to talk to a retiring doc who has been well established for decades locally. tried to forum search but maybe i wasn't typing in the right key words. any link to prior threads is appreciated. still fresh out of fellowship and curious. get third party evaluation? I suppose these would be things to consider: cost of clinic building (cap ex, maintenance, side rental opportunities, taxes, basic real estate valuation)... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 16, 2021 Category: Universities & Medical Training Authors: GoBeers Tags: Pain Medicine Source Type: forums

Top strategies for avoiding taxes
Just sitting here weeping about the amount of federal income tax withheld and I've been pining for a way to reduce this tax burden. I have hit the traditional stuff - max out Roth and options through employer, I'm a partner in a corporation so I claim my phone / internet / CME / licensing etc as business expenses, deducting mortgage interest. Just curious if anyone out there has any other strategies that they've employed to help reduce their tax burden or other business expenses they've... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 22, 2021 Category: Universities & Medical Training Authors: ethilo Tags: Anesthesiology Source Type: forums

Back door roth
This may be a stupid question, but trying to set up a back door Roth, and unclear about the tax bill. Planning on opening a traditional IRA at Vangaurd. If I fund the account with 6000$ from personal funds (post tax income), and then roll over to a Roth IRA immediately, do I still have a tax bill from the roll over? Seems as though I would be getting taxed twice in this scenario? Alternatively I could just roll over a portion of my old employer 401 with traditional pretax dollars to a... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 22, 2021 Category: Universities & Medical Training Authors: dipriMAN Tags: Anesthesiology Source Type: forums

Let's Quit
Work for large hospital system. Pay is at lower end of non-denver/nyc/cali EM market at ~$200/hr. They just announced what amounts to a paycut after inflation/taxes. Meanwhile, midlevels and nurses get raises. I can't really geographic arbitrage cause my kid is here, and the thought of doing another residency/fellowship makes me cringe. I guess I'll ride it out till I really wanna quit. At least I don't have an insane lifestyle, only 1 kid, no wife to spend my money frivolously. What... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 8, 2021 Category: Universities & Medical Training Authors: GonnaBeADoc2222 Tags: Emergency Medicine Source Type: forums

Backdoor Roth Conversions- No More?
In order to close these so-called “back-door” Roth IRA strategies, the bill eliminates Roth conversions for both IRAs and employer-sponsored plans for single taxpayers (or taxpayers married filing separately) with taxable income over $400,000, married taxpayers filing jointly with taxable income over $450,000, and heads of households with taxable income over $425,000 (all indexed for inflation). This provision applies to distributions, transfers, and contributions made in taxable years... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 15, 2021 Category: Universities & Medical Training Authors: BLADEMDA Tags: Anesthesiology Source Type: forums

Should Both Pain-Ballers & 1/2-Ballers Oppose Biden-Harris Tax Plan?
President Biden’s Campaign Tax Plan Biden’s tax plan is estimated to raise about $3.33 trillion over the next decade on a conventional basis, and $2.78 trillion after accounting for the reduction in the size of the U.S. economy. While taxpayers in the bottom four quintiles would see an increase in after-tax incomes in 2021... taxfoundation.org Details of Biden Tax Plan Biden’s plan includes the following payroll tax, individual income tax, and estate and gift tax changes: Imposes a 12.4 percent Old-Age, Survivors, and Disability Insurance (...
Source: Student Doctor Network - September 12, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

PathA prospects
Greetings, I'm curious on what the community believes the future career prospects are for Pathologists' Assistants? I'm too old to become a pathologist at this point (turning 41 soon). I'm currently a private practice general dentist 6+ years experience, family partnership. I'm tired of it all: patient care, staff, insurance, taxes, regulations, supply shortages. Running a small biz at this point is impossible. I know grass is always greener, but I still have a passion for... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - August 3, 2021 Category: Universities & Medical Training Authors: Simple Jack Tags: Pathology Source Type: forums

Evidence based use of taxpayer money
(Source: BMJ Comments)
Source: BMJ Comments - June 21, 2021 Category: General Medicine Source Type: forums

3.85/525 low clinical hours, WAMC + narrow school list?
PLEASE DO NOT QUOTE THIS MESSAGE! Hi all, would love some help with school list and general application advice! I know my clinical hours are low.. I was told to apply nonetheless, but if you feel otherwise do let me know! 3.86 cGPA, 3.85 sGPA, upward trend in GPA if that matters, 525 MCAT, ORM (Asian), graduated from a regular state school Grew up in + went to college in CA, but working FT in OH since 11/2020. Not on my parents' taxes. I believe this makes me an OH resident? Research... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 11, 2021 Category: Universities & Medical Training Authors: huaxiang Tags: What Are My Chances? WAMC Medical Source Type: forums

High stat low clinical hours, WAMC + narrow school list?
PLEASE DO NOT QUOTE THIS MESSAGE! Hi all, would love some help with school list and general application advice! I know my clinical hours are low.. I was told to apply nonetheless, but if you feel otherwise do let me know! 3.86 cGPA, 3.85 sGPA, upward trend in GPA if that matters, 525 MCAT, ORM (Asian), graduated from a regular state school Grew up in + went to college in CA, but working FT in OH since 11/2020. Not on my parents' taxes. I believe this makes me an OH resident? Research... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2021 Category: Universities & Medical Training Authors: huaxiang Tags: What Are My Chances? WAMC Medical Source Type: forums

What's your total monthly spending like as an attending?
I'm genuinely curious as to how monthly spending tracks amongst attendings in this forum. Helpful info to give a sense might include: Years out from residency/fellowship? Any kids? $$ spent on food/discretionary $$ spent on housing: $$ spent on car payments: $$ spent on student loans $$ saved/invested per month: etc etc etc For me I'm 3.5 years out from residency, we have two kids, average total monthly spend at $7K and the rest goes towards investments. And income taxes of course... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 8, 2021 Category: Universities & Medical Training Authors: wamcp Tags: Finance and Investment Source Type: forums