SMART FINANCIAL GUIDANCE FOR MEDICAL PRACTITIONERS WITH MORE THAN ONE PAYCHECK

You didn't go to medical or nursing school to become a tax expert but between your hospital salary, locum tenens shifts, telehealth work, and other income, your finances have gotten a lot more complicated. We help you make sense of it all.

A group of medical professionals.


Between your primary role and everything else — moonlighting shifts, locum tenens assignments, telehealth consultations, expert witness testimony, medical directorships, or a side practice — you're likely juggling a mix of W-2 and 1099 income. Add in student loan strategy, retirement planning, and maybe a real estate investment or two, and it's easy to feel like your finances are working against you instead of for you.

Wright CPAs, LLC works with physicians, nurse anesthetists, nurse practitioners, and other medical professionals across Rochester, NY who have income coming from more than one place. We help you stay organized, stay compliant, and keep more of what you earn — no matter how many sources it comes from.

A doctor and a patient in an office.

We regularly help medical practitioners who are dealing with:

  • Owing an unexpected tax bill because 1099 income wasn't withheld like a paycheck
  • Juggling quarterly estimated tax payments on top of a full clinical schedule
  • Wondering whether an S-corp or LLC makes sense for locum tenens or consulting income
  • Missing deductions tied to CME, licensing, malpractice insurance, or a home office
  • Trying to figure out how a rental property or side practice affects their overall tax picture
  • Wanting to save more for retirement but unsure how self-employment income fits into the plan
  • Simply not having the time to manage it all between shifts

If any of this sounds familiar, you're not alone — and you don't have to untangle it by yourself.

Built for the Way Medical Professionals Actually Get Paid

Whether you're a hospital-employed physician picking up locum tenens shifts, a CRNA contracting independently, or a nurse practitioner running a side telehealth practice, we tailor our approach to how your income actually works.

Our services for medical practitioners include:

  • Multi-Income Tax Planning — Coordinated tax strategy across W-2 wages, 1099 contracts, and any other income sources, so nothing falls through the cracks.
  • Quarterly Estimated Tax Management — We calculate and track your estimated payments so you're never blindsided by an April tax bill.
  • Entity Structuring — Guidance on whether an S-corp, LLC, or sole proprietorship makes sense for your locum tenens, consulting, or side-practice income, and help setting it up correctly.
  • Deduction & Expense Optimization — Identifying often-missed deductions specific to medical professionals, including CME, licensing and board fees, malpractice insurance, professional memberships, and home office expenses.
  • Retirement & Wealth Planning — Strategies for maximizing retirement contributions across multiple income sources, including solo 401(k) and SEP-IRA options for self-employed income.
  • Real Estate & Investment Guidance — Support for practitioners investing in rental property or other ventures alongside their clinical work.
  • Bookkeeping for Side Practices — Clean, simple bookkeeping if you're running a consulting practice, telehealth business, or medical directorship as its own entity.

A Team That Understands Your Schedule and Your Situation

We know your time is limited and your income structure ins't always straightforward. That's why we build proactive, year-round plans instead of scrambling every April — so you can focus on patient care while we focus on your finances.

Based in Pittsford, we work with medical practitioners throughout Rochester, NY and the surrounding area, whether you're at a hospital, a private practice, or splitting time across several roles.

Two people sitting across from one another at a table. One of them is holding a tablet.

Let's Simplify Your Finances

If you have income coming in from more than one place, let's make sure it's all working together — not against you. Schedule a consultation with Wright CPAs, LLC and get a clear plan for your unique financial picture.

SCHEDULE A DISCOVERY CALL

SUBSCRIBE

Get the latest financial updates and promos to help your business grow!