One conversation. We assess, build, and manage your entire financial back-office — payroll, taxes, bookkeeping, and retirement — so you can stop thinking about it entirely.
For physicians transitioning to 1099 or already practicing independently
Automatically withheld every paycheck. Now you owe quarterly estimates — or face IRS penalties.
Nobody sets this up for you. Most 1099 physicians overpay $18K–$30K/year without it.
Your 403(b) or pension disappeared. The independent equivalent is more powerful — but you have to build it.
No HR department. No finance team. Payroll filings, entity maintenance, and clean books are now your problem.
W-2 physicians have a CFO watching the institution's finances. 1099 physicians have a shoebox and anxiety.
When you were W-2, you never thought about any of this. That's what we give back.
Whitecoat Concierge rebuilds all of it — custom-built for your 1099 practice.
Formation, election timing, reasonable compensation benchmarking, and QBI interaction — built around your income level.
Payroll setup, estimated tax calculations, and proactive reminders. No more year-end surprises or underpayment penalties.
Solo 401(k), SEP-IRA, or defined benefit plans — structured to maximize tax-advantaged contributions on your 1099 income.
Clean books, monthly financial reports, and a clear picture of your practice finances — every month, without lifting a finger.
Quarterly strategy sessions, annual tax planning, and ongoing advice — the financial leadership your practice never had.
CFO-level vetting of syndications, real estate, and physician-marketed alternative investments before you commit capital.
You took a 1099 position, went full locums, or finally made the switch. You're earning more — but the business side is entirely on you now, and it shows.
Moonlighting, locums on the side, telemedicine — you're generating 1099 income on top of your salary and have no infrastructure around it.
We review your income structure, your current situation, and map out exactly what your back-office should look like — including what you're missing and what it'll cost to build. No obligation, no pitch deck.
Entity structure, payroll, bookkeeping system, tax strategy, retirement plan — we handle the full build while you keep practicing medicine. Onboarding typically takes 2–3 weeks.
Monthly bookkeeping, quarterly tax planning, annual returns, compliance filings, and strategy check-ins. You'll never think about this again.
"I watched colleagues earning $400K a year paying $30K more in taxes than they had to — not because they were careless, but because no one built the right infrastructure for them. So we did."
Dr. Troy Akers, MD is a practicing Emergency Medicine physician who co-founded 1099 Physician Solutions after experiencing firsthand how the 1099 model strips physicians of the financial support structure their W-2 colleagues receive automatically.
Daniel Huang, MHA brings a background in investment banking, private equity, and healthcare administration and serves as a fractional CFO to physician practices across the country. His wife is a pediatric emergency physician.
Together, they built Whitecoat Concierge — the flagship service of 1099 Physician Solutions — for one reason: to give independent physicians the infrastructure they deserve, and the peace of mind they gave up when they left their hospital employer.
Dr. Troy Akers, MD | Daniel Huang, MHA
Co-Founders, 1099 Physician Solutions
One free conversation. We'll show you exactly what your back-office should look like, what it's costing you not to have it, and what it takes to build it — no obligation.
Build My Back-Office →30 minutes. No pitch deck. No obligation.