I think we are speaking different languages.
My job is W2 and can also pay out 1099 income.
If your main job is 1099 you can get W@ income from some other place.
You can't be a 1099 employee and get W2 income from the same gig unless I am mistaken.
Sir, I am not an employed physician anywhere.
IRS scrutinizes "1099 employment" as you are aware.
I am a true independent contractor, i.e. I do not have a fixed schedule and no employer dictates when, how and where I work. That criteria is true 100% of the time. I also have my own pain practice which is steadily and slowly growing.
During a month's time - 20 to 22 work days, I may end up working at 7-10 different places. Sometimes I may go to three different places, like tomorrow I have a 7-12 hourly, then pain procedures from 1-4, then an add on case which they could not find coverage for.
With that said, I have a 70/30 anesthesia/pain practice at this time.
I subcontract to groups and most of the times I get paid 1099, but one large practice in DFW insists that they cannot pay me as 1099 and they insist that I must be paid at W2 PRN which is a terrible arrangement for me because I do not get any deductions or benefits as a W2 PRN (except that they pay the employer portion of my tax but its not going to make a big difference).
But I take that W2 because I like the docs and personnel in the group, besides the politics of that particular AMC. There is more to life than just money.
Through my S Corp, I get paid a reasonable income as W2 as well.
Sometimes I bill for myself and use a billing company if it makes sense to bill, but 95% of my work is an hourly 8hr guaranteed solo MD doing cases at community hospitals. Tomorrow is an exception as it is so incredibly busy that initially I had a scheduled day off, but due to demand I am working.
I take call only when needed, like this weekend and thanksgiving weekend. I do daytime anesthesia only but those days are busy and long. But unlike most W2 employment which does not reward hard work, and extra hours put into your schedule, if I stay and work, I get rewarded. That is why I went this route and personally, it works for me.
I understand my work setup may be atypical since these days very few people do a mix anesthesia and pain practice, but I wanted to use my fellowship and I could not practice pain management with a full w2 job given schedule is dictated by the group. It had to be a day time gig for me, which naturally landed me in this type of independent contracting/ day doc on steroids type of work schedule.