Financial Pros and Cons of Locum Tenens

A locum tenens doctor works as an unbiased contractor, not as an worker. The 2 observe sorts have distinct variations in monetary obligations, benefits, and downsides. The variations embody tax classes and eligibilities for providers.


Unemployment compensation. A person, working as an unbiased contractor, can’t file for unemployment primarily based on earnings as an unbiased contractor. It isn’t permissible to record the locum tenens staffing company as a earlier employer on the declare, nor can any compensation from a staffing company be reported as wages on that declare. Unemployment compensation is a possible profit for people who labored as an worker however misplaced their job by means of no fault of their very own and who can be found for work as an worker.


Staff’ compensation insurance coverage is government-mandated worker insurance coverage offered to cowl well being prices that are the results of accidents on the job harming staff. Unbiased physicians should purchase their very own protection. It might, nonetheless, duplicate medical insurance protection.


Advantages (well being, dental, incapacity, life insurance coverage) can’t be offered tax-free to non-employees. They might be obtained straight by the doctor or be obtainable by means of the partner’s employment.


A staffing company’s 401(okay) plan can’t be used for unbiased physicians. Nevertheless, extra profitable retirement plans can be found to unbiased contractors. Lots of the plans have each earnings tax benefits and downsides, affecting the quantity allowable to be deposited in a retirement account.



  1. A locum tenens doctor can declare extra work-related bills than an worker. All unbiased contractor earnings and bills have to be reported on IRS Kind 1040 Schedule C. In contrast to staff, these bills will not be topic to the restrictions of Schedule A, itemized deductions.
  2. Bills (these not paid by the staffing company or shopper) are listed on Schedule C varieties. These embody all prices related to the non permanent work project. Journey, meals, housing, work instruments and provides, and persevering with schooling are included. No deductions, nonetheless, are allowed for bills that are attributed to non-public, dwelling, or household bills.
  3. On assignments, which require in a single day lodging (aside from dwelling) and meal deductions, could also be claimed as affordable, precise out-of-pocket meal prices.
  4. All transportation prices (these embody from dwelling to the project space and day by day journeys from non permanent housing to the work web site) are deductible if they aren’t paid or reimbursed by the shopper or staffing company.
  5. As an unbiased contractor, the doctor can declare a deduction from adjusted gross earnings (with out regard to itemized deductions) for one hundred pc of medical insurance premiums paid.
  6. The locum tenens doctor can put aside a separate room or space in his/her everlasting residence to conduct administrative capabilities of the locum tenens’ enterprise actions and deductions (e.g., depreciation, utilities, insurance coverage, and so forth.). These bills related to this dwelling workplace could also be claimed.


  1. An earnings tax deduction could also be claimed for half of the federal self-employment tax reported on IRS Kind 1040 Schedule SE (each the worker and employer portion of Social Safety and Medicare tax). An earnings tax deduction could also be claimed for half of this tax.
  2. Federal tax legislation limits the deduction for precise meal prices to 50 % of that claimed.
  3. A doctor, in an unbiased contractor function, will often be chargeable for fee of state earnings taxes within the state of every work project, according to the extent that the state has a private earnings tax. Nevertheless, a state tax credit score for the nonresident state tax legal responsibility is usually obtainable to cut back the house state tax (state of residence usually taxes all earnings). This credit score ought to absolutely or partially remove any double-state taxation.

For additional studying, try our article on extra locum tenens advantages and downsides. When you’re in search of employment, browse locum tenens jobs right here.

About Religion A. Coleman, MD

Dr. Coleman is a graduate of the College of New Mexico Faculty of Medication, and holds a BA in journalism from UNM. She accomplished her household observe residency at Wm. Beaumont Hospital, Troy and Royal Oak, MI, constantly ranked among the many United States Prime 100 Hospitals by US Information and World Report. Her expertise contains college appointments to a household observe residency and three medical colleges, in addition to Director of Girls’s and Youngsters’s Well being Promotion Packages with the NE Texas Public Well being District.

Dr. Coleman is the Professional on Gifted Youngsters for the New York Instances, parenting author for Demand Media Studios, in addition to well being and medical author for a number of on-line data providers. She writes skilled administration materials for well being care suppliers and concerning the private expertise of being a doctor. Religion treasures most the function of mom. Her passions embody the well-being and schooling of youngsters and households.

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