The 1099 Tax Doctor

Most physicians who dabble in locums have no idea how the money actually moves. They see the hourly rate, sign the contract, and never learn what the agency is billing the hospital on the other side of that transaction.

In this episode of the 1099 Tax Doctor Podcast, Dr. Eric and Jenna Wright sit down with Cory Kleinschmidt, Founder of Locumpedia, an independent platform that has become the central hub for physicians navigating the locum tenens industry. Cory came up in the industry, cutting his teeth at what would become Locumtenens.com under Rick Jackson, and launched Locumpedia in late 2019, roughly four months before COVID shut everything down.

He pulls back the curtain on how the industry actually works: the $50 per hour spread that funds agency margins, why hospital perception of locums has flipped from necessary evil to proactive revenue tool, and why the locum tenens market has doubled to over $10 billion in five years while travel nursing has collapsed.

Things You Will Learn:

1. Why the locum tenens market is the only healthcare staffing segment that has grown every year since 2021, and what's driving physicians into it
2. How locum staffing agencies actually make money, and what the billing-versus-pay spread covers
3. What questions every physician should ask an agency before signing, including whether they belong to NALTO

Tools / Frameworks Covered:

1. Locumpedia: An independent, agency-neutral job board and career resource aggregating 7,000+ locum listings from roughly 30 staffing firms in one searchable platform.
2. The Agency Spread Model: The margin between what an agency bills a facility and what it pays the physician, which funds travel, malpractice coverage, and administrative support.
3. NALTO Code of Ethics: The National Association of Locum Tenens Organizations sets ethical standards agencies agree to uphold, including transparency about pay and never presenting a candidate without consent.
4. Interstate Medical License Compact (IMLC): A reciprocal licensing framework across 40+ states that removes one of the biggest historical barriers to multi-state locum work.
5. The LLC Setup: The tax structuring move that separates locum physicians who keep their income from those who leave hundreds of thousands on the table.

Timetamps:

(0:00) The Cold Open: $200 Bill, $150 Pay, and the Spread That Runs the Industry

(0:33) Meet Cory Kleinschmidt and Locumpedia

(1:15) What Locumpedia Actually Is

(3:04) Launching a Company Four Months Before COVID (and Pivoting to News)

(5:18) Can Hospitals Post Jobs Directly? And Why the Agency Model Dominates

(10:07) The Rise of Docs Going Straight Into Locums Out of Residency

(11:03) The "No BS Guide to Locum Tenens" and What Docs Are Actually Searching For

(13:54) The Market Doubled to $10 Billion in Five Years, and What's Driving It

(16:52) Shopping Agencies, the $50 Spread, and Why NALTO Membership Matters

(21:59) Locumpedia's Vendor Directory, Why Not to DIY, and the Interstate Medical License Compact

(25:00) Episode Wrap-Up

#LocumTenens #1099Physician #PhysicianEntrepreneur #LocumLife #PhysicianFinance #Locumpedia

$500,000 in student debt left Dr. Jordan Frey feeling burned out and trapped in medicine. Taking control of his finances changed everything.

Dr. Frey, plastic surgeon and founder of The Prudent Plastic Surgeon, joins the 1099 Tax Doctor Podcast to share how he went from financial stress to greater freedom, flexibility, and control over his career.

In this episode:

• How a financial plan helped him overcome burnout
• Why side income can give physicians the power to say no
• How to balance debt payoff, investing, and lifestyle
• Why side gigs should create freedom, not more burnout
• His top financial advice for new physicians

Financial freedom isn’t just about building wealth. It’s about creating more choices in your career and your life.

Watch the full episode to learn how to make your money work toward greater freedom.

Timestamps:

(00:00) Intro

(02:09) Debt and Physician Burnout

(07:15) The Path to Financial Freedom

(10:20) Avoiding Lifestyle Creep

(13:05) When to Spend More

(17:00) W-2 vs. 1099

(22:36) Why Physicians Need Side Income

(28:20) Side Gig Burnout

(29:42) Beyond the Doctor Identity

(31:23) Building Side Income

(33:32) Pay Off Debt or Invest?

(35:24) Rent or Buy?

(37:24) Financial Advisor or DIY?

(40:26) Index Funds vs. Real Estate

(40:56) 3 Financial Rules for Physicians

#PhysicianFinance #FinancialFreedom #PhysicianBurnout #WealthBuilding #CareerAutonomy #Entrepreneurship #PersonalFinance #PhysicianLife

What if AI's biggest impact on healthcare isn't replacing doctors—but helping them deliver better care?

In this episode, Dr. Eric Wright and Jenna Wright are joined by Dr. Ravi Raheja, pediatrician, entrepreneur, and founder of Triage Logic, to discuss how AI, remote care, and robotics are reshaping the future of healthcare.

You'll learn:

• How AI can improve patient care without replacing doctors or nurses
• Why remote triage could become the new front door to healthcare
• How Dr. Raheja built a healthcare company serving over 42 million patients
• What the next generation of AI-powered healthcare will look like
• Practical lessons on turning a real-world problem into a successful business

Whether you're a healthcare professional, entrepreneur, or simply curious about the future of medicine, this episode offers a fascinating look at where healthcare is headed.

Watch now, and don't forget to like, subscribe, and share if you enjoyed the episode!

Timestamps:

(00:00) Introduction

(00:55) Meet Dr. Ravi Raheja

(01:40) What Triage Logic Does

(02:44) How the Business Started

(04:08) Building Remote Healthcare Technology

(06:29) Bootstrapping the Company

(08:06) Using AI in Patient Triage

(11:21) AI Helps Nurses, Not Replaces Them

(13:33) How COVID Changed Remote Care

(14:53) The Future of Healthcare and Robotics

(17:49) Building AI Powered Robots

(20:43) Why Business Owners Must Learn AI

(23:42) From Idea to Successful Business

(28:02) How AI Accelerates Software Development

(30:05) Final Thoughts and Where to Learn More

#AI #Healthcare #ArtificialIntelligence #MedicalTechnology #FutureOfMedicine #HealthcareInnovation #Telemedicine #Doctors

What if you could build a thriving medical practice without relying on insurance companies?

In this episode, Dr. Josh Umbehr, family physician, entrepreneur, and founder of Atlas MD, shares how he helped pioneer the Direct Primary Care (DPC) movement and built a practice focused on patients instead of paperwork.

You'll discover:

• Why Direct Primary Care is changing the future of medicine.
• How he launched and grew a profitable practice from residency.
• The low-cost marketing strategies that fueled rapid growth.
• How transparent pricing, in-office medication dispensing, and the right technology benefit both doctors and patients.
• Why simplifying healthcare can improve patient care and physician satisfaction.

If you're a physician, healthcare entrepreneur, or curious about innovative healthcare models, this episode is full of practical insights you can apply.

👍 Like, subscribe, and let us know in the comments: Could Direct Primary Care become the future of healthcare?

Timestamps:

(00:00) Why Direct Primary Care Works

(00:24) Meet Dr. Josh Umbehr

(02:12) The Origins of Direct Primary Care

(05:00) Launching a Practice From Residency

(08:03) Funding the Startup

(11:02) Marketing a DPC Practice

(17:06) What Patients Actually Pay For

(22:15) Growing to a Profitable Practice

(26:38) Regulations and In-Office Medication

(30:52) Building Atlas MD

(36:27) Advice for Doctors Starting DPC

#DirectPrimaryCare #DPC #HealthcareInnovation #PhysicianEntrepreneur #PracticeManagement #IndependentPractice #MedicineFuture #PatientCare

What if the biggest regret at the end of your life isn't what you did, but what you never dared to do?

In this eye-opening conversation, hospice physician, bestselling author, and Earn & Invest host Dr. Jordan Grumet shares the powerful lessons he's learned from caring for people in their final days. Time and again, he found that people rarely regret failure—they regret the dreams they never pursued.

Dr. Grumet explores:

• The most common regrets people carry to the end of life
• Why financial independence doesn't automatically create happiness
• The difference between having enough money and feeling like you're enough
• Why purpose isn't found, but built through action
• How thinking about mortality can help you make better decisions today

If you're chasing success, planning for retirement, or wondering what comes next after achieving your goals, this conversation may change how you think about purpose, happiness, and what truly matters.

Watch now and discover how to build a life with fewer regrets and more meaning.

Timestamps:

(00:00) Intro

(00:27) Dr. Grummet’s Background

(03:25) What Dying Patients Teach Us

(04:40) The Regret of Playing It Safe

(07:26) Surprising Lessons About Death

(09:45) Death as a Guide for Living

(10:24) Common End-of-Life Regrets

(12:07) Why Relationships Matter Most

(13:47) Purpose Beyond Family

(14:02) Big P vs Little P Purpose

(17:15) How to Build Purpose

(18:38) The Healthcare Heist Explained

(21:13) Why Healthcare Won’t Change Easily

(24:48) Finding Financial Independence

(25:11) Financial Independence vs Enough

(27:33) What Happens After Retirement

(27:57) Meaning and Purpose Defined

(31:04) Why Feeling Enough Matters

(32:58) Final Thoughts

#Purpose #FinancialFreedom #PersonalGrowth #LifeLessons #Success #Regret #Mindset #Identity #Meaning

Most physicians spend years mastering medicine but almost no time learning how to negotiate their worth.

In this episode, Dr. Eric Wright sits down with physician contract expert Ethan Enkana, who shares insider knowledge from both sides of the negotiating table. After years working for hospitals, Ethan now helps physicians secure better contracts, higher compensation, and stronger work-life balance.

You'll learn:

• How hospitals really determine physician pay
• The biggest contract mistakes doctors make
• What creates real negotiating leverage
• Hidden RVU and compensation traps to avoid
• How to handle non-competes and private equity contracts

Whether you're signing your first contract or renegotiating your current one, this conversation could save you years of frustration and potentially add hundreds of thousands of dollars to your career earnings.

🎧 Watch now and learn how to advocate for your value with confidence.

Timestamps:

(00:41) Why Ethan Switched Sides

(01:35) Rebranding to The Physician Agency

(04:45) How Hospitals Determine Physician Pay

(08:32) Why Doctors Struggle with Negotiation

(12:56) What Creates Negotiation Leverage

(15:58) Biggest Contract Mistakes Physicians Make

(22:31) Hidden Compensation and RVU Traps

(26:27) Looking Beyond Salary

(32:06) Non-Competes and Restrictive Covenants

(38:36) How to Make a Strong Counteroffer

(41:30) How Hospitals View Negotiations

(43:41) Private Equity in Medicine

(47:00) W2 vs 1099 Physician Contracts

(49:11) Major Contract Red Flags

(53:49) Getting Paid for Non-Clinical Work

(57:24) How to Contact Ethan

#PhysicianLife #DoctorCareer #ContractNegotiation #PhysicianFinance #MedicineBusiness #HealthcareLeadership #MedicalPractice

Most physicians don’t burn out because of long hours. They burn out because they lose control of their time.

In this episode of the 1099 Tax Doctor Podcast, Dr. Sasha Shillcutt, cardiac anesthesiologist, entrepreneur, TEDx speaker, founder of Brave Enough and Legacy Collective, and host of The Brave Enough Show podcast, shares why more doctors are leaving traditional medicine and what it really takes to build freedom through entrepreneurship.

Featured in Forbes and known for coaching thousands of women worldwide, Dr. Sasha brings powerful insight into burnout, autonomy, leadership, and redefining success beyond money.

Key insights from this episode:

• Why autonomy matters more than workload
• How perfectionism keeps physicians stuck
• The mindset shift needed to succeed in business
• Why protecting your time is essential for wealth and well-being
• How Dr. Sasha redefined success beyond money

If you’re curious about entrepreneurship, burnout recovery, or creating more control over your life and career, this episode is packed with honest and practical advice.

Watch now and rethink what success really means.

Timestamps:

(00:00) Meet Dr. Sasha Shillcut

(02:01) Why Physicians Are Leaving Traditional Medicine

(04:21) Perfectionism and the Entrepreneur Mindset

(07:24) Why Physicians Should Value Their Time

(09:46) The Importance of Daily Time Alone

(11:27) Protecting Time to Build Wealth

(15:12) How to Say No Without Guilt

(17:29) What Entrepreneurship Teaches Physicians

(19:54) Practical Advice for Starting a Business

(21:17) Redefining Success Beyond Money

(24:34) Why Entrepreneurship Is a Marathon

What if the future of medicine means fewer hospital shifts, more freedom, and higher income?

In this episode, we sit down with Dr. Suneer Chander, Board-Certified Emergency Physician, telemedicine leader, and President of AIR Physician Academy, to explore why more physicians are leaving traditional hospital jobs and building flexible, high-income careers through telemedicine.

With more than 20 years in emergency medicine, Dr. Chander has worked across urban trauma centers, rural ERs, and national telemedicine platforms. During the COVID-19 pandemic, he transitioned into telehealth and quickly became a leader in physician team building, telemedicine operations, licensing, compliance, and digital healthcare innovation. Today, he also serves as co-founder and President of NVP Medical Group and Medical Director at Wisp, helping shape the future of modern healthcare delivery.

In this conversation, we discuss:

• Why telemedicine can be more lucrative than traditional medicine
• How 1099 physicians create more freedom and flexibility
• Why multi-state licensing opens massive opportunities
• How telehealth is helping reduce physician burnout
• Why AI could reshape the future of healthcare

If you’re curious about the future of medicine, physician entrepreneurship, or building a more flexible career, this episode is packed with valuable insights.

Watch now and discover why so many doctors are making the move to telemedicine.

Timestamps:

(00:00) Telemedicine and 1099 Careers

(02:11) Telemedicine Misconceptions

(03:29) Why Doctors Leave the ER

(04:47) How Telehealth Pays More

(06:16) Building a High-Income Telehealth Career

(07:27) Why Multi-State Licenses Matter

(10:45) Telehealth Leadership Opportunities

(11:32) W2 vs 1099 Telemedicine Jobs

(12:50) Biggest Licensing Mistakes

(14:11) Thinking Like a Business Owner

(16:18) Lifestyle Freedom Through Telemedicine

(19:36) The Future of Telehealth and AI

(22:55) Advice for Doctors Considering Telehealth

(24:22) Burnout Reduction and Success Stories

Learn more about AIR Physician Academy: https://airphysicianacademy.com/

Most doctors don’t realize their 1099 contract can cost them thousands… until it’s too late.

In this episode, contract attorney Jackie Bain breaks down the hidden risks inside 1099 agreements that physicians often overlook.

Here’s what you’ll learn:

• When a 1099 role is actually misclassified
• The clauses that can quietly cost you money
• How compensation models can mislead you
• Non-competes vs non-solicits: what really matters
• What to check in malpractice insurance

If you’re working, or planning to work under a 1099, this could save you serious money and stress.

Watch before you sign your next contract.

Timestamps:

(00:00) Intro

(00:16) Meet Jackie Bain

(01:10) Misconceptions about 1099 contracts

(02:28) 1099 vs employee misclassification

(05:46) Key red flags in contracts

(09:07) Compensation pitfalls and offsets

(11:23) Malpractice insurance mistakes

(15:26) Non-competes and non-solicits

(19:40) What is negotiable in 1099 contracts

(23:26) The importance of contract review

(25:27) Why expert review matters

(26:49) How to reach out to Jackie

#1099contracts #physicianlife #contractreview #healthcarebusiness #financialrisk #noncompete #contractlaw #careersafety #contractmistakes #legalrisk #careeradvice #DoctorContracts #IndependentContractor #PhysicianContracts #ContractNegotiation #MedicalContracts

Many business owners think putting their spouse or kids on the payroll will cut their tax bill, but it’s not that simple.

This episode breaks down when family payroll actually saves money, when it backfires, and how to tell the difference. You’ll learn the real math behind 401(k) contributions, cash balance plans, and payroll taxes, plus smarter ways to reduce your taxable income legally and efficiently.

👉 Watch now to uncover which tax moves truly work and which don’t.

Timestamps:

00:00 Intro

00:28 Should You Put Your Spouse on Payroll?

01:25 Does It Really Save You Money on Taxes?

03:41 When It Makes Sense to Pay Your Spouse

04:37 Should You Put Your Kids on Payroll?

#TaxStrategy #SmallBusinessFinance #TaxDeductions #EntrepreneurMindset #MoneyMatters #EntrepreneurLife #TaxSavings #RetirementPlanning #HighEarners #CashBalancePlan #FinanceTips #SmallBusinessTips #BusinessTaxTips