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Community Rules-Read Before You Post
1099 Anesthesia Advantage exists because misinformation costs 1099 providers real money. Our single standard of admission, and the reason people pay to be here, is that every piece of advice in this community is verifiable. These rules apply to every post, comment, and reply. 1. Cite your source. Every claim about tax law, contract law, regulatory requirements, or financial strategy must be backed by one of the following: A specific IRC code, Treasury regulation, or IRS publication A primary regulatory source (CMS, DOL, state board of nursing, state attorney general opinion) A peer-reviewed publication or professional association guidance (AANA, MGMA) A named, credentialed professional (e.g., "my CPA Jane Doe at [firm] said...") Your own documented first-hand experience, clearly labeled as such "I heard..." "Someone told me..." "I read on Reddit..." — not acceptable. Rewrite or don't post. 2. Educational only. Never personalized advice. You can share frameworks. You can share your experience. You cannot give another member specific legal, tax, medical, or financial advice for their situation. Good: "When I was in Pennsylvania I used the PTET election and saved roughly $4,500 in federal tax. Here's the IRS reference." Not good: "You should elect PTET. You'll save $4,500." The difference matters. One is educational; the other is advisory. 3. No promotion of your own services or products without permission. Members who want to offer professional services (CPAs, attorneys, advisors, insurance brokers) must be vetted and approved before promoting. Contact Richard directly. Unapproved promotional posts will be removed without warning. 4. Disagreement is welcome. Disrespect is not. Push back on ideas. Challenge citations. Ask for sources. That's the whole point. But attacks on members, credentials, or motives are grounds for removal. 5. If you see something unverified, flag it. This community self-moderates by standard. If you see a claim without a source, ask the poster for one. That's not being combative — that's being a good member.
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Start Here: Read This First
Welcome to 1099 Anesthesia Advantage! This Classroom is built to prevent the mistakes most 1099 providers don't know they're making. Each step builds on the one before it. Skipping ahead creates the same problems that cost providers tens of thousands of dollars every year — wrong entity, missed deductions, insurance that doesn't fit, retirement vehicles that don't qualify. Start with Step 1. Move in order. By the end, you'll have the foundation most providers spend 5 to 10 years figuring out the hard way. If you're here, you're already asking the right questions. I have spoken to anesthesia providers grossing $400K, $600K, $800K a year — many with advanced business degrees — still paying 40% in taxes. Not because they're not smart enough. Because nobody showed them the map. You're probably in one of two spots. You're still on a W2 wondering if going 1099 is actually worth it, or you're already 1099 and wondering if you're doing it right. Either way, you're in the right place. I'm Richard Graf. I'm an anesthesia provider licensed in Pennsylvania, Ohio, and West Virginia. I run my own anesthesia S Corp, work as a 1099 independent contractor, and grossed over $800,000 last year. I'm not a coach or a course creator. I'm a practicing clinician who figured this out while working 24-hour shifts. I built this because I get asked the same questions every week and there was no credible place to send people. The truth is, most providers going 1099 are still leaving money on the table. Not because they're not good at what they do — because no one showed them how to structure it correctly. That is what this community is for. Inside here we cover contracts, rates, S Corp structure, tax strategy, and how to actually keep more of what you earn. No fluff. No theory. No recycled advice from people who haven't done it themselves. You're a founding member. That means you got in at the locked rate before this community was fully built. It also means you have direct access to me and real input into what gets built here first.
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How to get the most out of this community:
Three spaces. Here's how they work: START HERE —Read the founder letter first if you haven't. That's it for this space. GENERAL — This is the main room. Ask anything. Share wins. Post contract questions. If you're not sure where something goes, put it here. RESOURCES — Templates, guides, contract red flags, rate benchmarks, S-Corp setup walkthroughs. Searchable and growing. Check here before asking a question — it may already be answered. One request: When you post a question, give us context. 'Is this rate good?' doesn't help us help you. 'I'm a CRNA in the Midwest, 8 years experience, being offered $175/hr for a locum role — is this good?' does. The more specific you are, the better the answer. Welcome in. Introduce yourself!
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The Cost of Blind Trust
Blind trust is expensive. Trust… but verify.
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The Cost of Blind Trust
What's the single most expensive lesson you learned about 1099 practice?
Every 1099 provider has at least one. For me it was the $20,000 unchecked box I posted about earlier. Before that, it was signing a contract with tail coverage buried in paragraph 14 — found out six months later it was going to cost me $18K to leave. Drop yours below. One sentence or three paragraphs — whatever's useful. We all learn faster when someone else has paid the tuition already. No judgment. These conversations don't happen in hospital break rooms because nobody wants to admit the expensive lesson. They happen here.
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1099AnesthesiaAdvantage
skool.com/1099anesthesiaadvantage-1915
Stop leaving six figures on the table. Tax strategy, contracts, and 1099 income for anesthesia providers — built by one of your own.
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