FREE MASTERCLASSPhysician Tax Strategy Masterclass
How physicians with W-2, 1099 or practice income can plan around their earnings.
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TAX PLANNING FOR PHYSICIANS
Your income is complicated.Your tax strategy shouldn’t be reactive.
W-2 salary, 1099 and moonlighting income, practice ownership, bonuses, retirement plans, investments, real estate and partnership interests. We coordinate all of it into one plan.
Tell us what you’re working on and we’ll determine whether BigApple is the right fit.
Tax planning for physiciansBusayo Ogunsanya, CPA, MST · Founder & Managing Partner
20+ yearsTax & accounting experience
Master’s in TaxationFordham University
CPA-ledTax planning & fractional CFO advisory
WHAT WE SEE
The same gaps show up in physician returns year after year.
01High W-2 income with little proactive planning
021099 or moonlighting income creating estimated-tax problems
03Practice income not coordinated with personal tax strategy
04Retirement accounts not fully optimized
05Entity and compensation structure not reviewed
06Real estate and investment decisions made separately from tax planning
07CPA only contacted after the year is over
HOW BIGAPPLE HELPS
Advisory work built around how physicians earn.
Annual and quarterly tax projections
W-2 and 1099 coordination
Entity and compensation planning
Retirement-plan strategy
Estimated-tax planning
Practice acquisition or ownership analysis
Real-estate tax considerations
Investment and liquidity-event planning
Year-end planning before December 31
Every engagement is based on your facts. We do not promise a specific tax outcome.
THE C.A.T. FRAMEWORK
Applied to a physician’s finances.
Cash Flow → Assets → Tax Planning
CASH FLOW
Salary, bonuses, 1099 income, distributions and practice cash flow.
ASSETS
Retirement accounts, brokerage accounts, practice equity, real estate and other investments.
TAX PLANNING
Coordinate the income and assets before tax decisions become irreversible.
QUALIFICATION
You may be a fit for BigApple if…
If you only need a return filed once a year, we are probably not the right firm. Our work is year-round planning.
- Your income has become materially more complicated
- You own a practice or are considering a buy-in
- You have W-2 and 1099 income at the same time
- You are making major investment or ownership decisions
- You feel like your CPA is documenting the past instead of helping plan the future
- You want tax planning integrated with cash flow and financial decisions
ILLUSTRATIVE PLANNING EXAMPLE
How the decisions connect.
CLIENT PROFILE
A physician earns a large W-2 salary from a hospital system, has 1099 consulting income, owns a rental property and has been offered a buy-in to a medical practice.
THE PROBLEM
Each income stream and decision was being handled separately, and the CPA only saw it after year-end.
WHAT WE REVIEWED
- Cash flow
How will buy-in payments, salary changes and distributions affect monthly cash? - Estimated taxes
Does W-2 withholding cover the 1099 income, or are quarterly payments needed? - Entity structure
Should the consulting income run through its own entity, and does an S-Corp election make sense at this level? - Retirement accounts
Is there room for a solo 401(k) on the 1099 income alongside the hospital plan? - Practice ownership
How is the buy-in structured, and how will future distributions be taxed? - Real estate
Are the rental losses usable this year, or suspended under passive-activity rules? - Year-end planning
Which decisions have to happen before December 31 to count this year?
THE STRATEGY
- Quarterly projection covering W-2, 1099 and rental income
- Entity and retirement plan options modeled for the consulting income
- Practice buy-in reviewed for structure and tax treatment
- Year-end checklist with decision dates
THE RESULT
One coordinated plan instead of separate decisions. Any tax effect depends on the client’s actual facts, so we don’t show a savings figure for a hypothetical example.
Hypothetical scenario for illustration only. It does not describe a specific client and does not promise any result.
LEARN FIRST
Physician tax planning, explained.
Questions physicians ask us
Should my 1099 or moonlighting income go through an S-Corp?
Sometimes. It depends on net income, payroll costs, state rules and your retirement goals. We model the numbers before recommending a structure.
Can I have a retirement plan for 1099 income if I already have a hospital 401(k) or 403(b)?
Often yes. A solo 401(k) or SEP may be available for self-employment income, but employee deferral limits are shared across plans, so the two have to be coordinated.
How do estimated taxes work when I have W-2 and 1099 income?
Withholding only covers your W-2 pay. 1099 income usually needs quarterly estimates or increased withholding to avoid underpayment penalties.
What should I review before buying into a practice?
Valuation, how the buy-in is structured, financing, how distributions will be taxed and the effect on your personal tax plan.
Is a backdoor Roth right for me?
It can be for physicians above the Roth income limits, but existing pre-tax IRA balances trigger the pro-rata rule. We check before you convert.
Do you replace my financial advisor?
No. We coordinate with your advisor and attorney so tax decisions and investment decisions line up.
Your tax return tells us what happened. Your tax plan determines what happens next.
SCHEDULE A CONSULTATIONBest for physicians with W-2 and 1099 income, practice ownership, or significant investments.