Quarterly estimated taxes
Calculated for you, with the dates and the amounts sent before they’re due. No April surprises.
Tax strategy for nurse anesthetists
You trained in anesthesia, not tax law. Keep more of what you earn.
Advanced tax strategy built for CRNA income, with every filing, deadline and state handled end to end — so you’re never left wondering whether it was done right. Licensed CPAs in all 50 states.
LICENSED CPAs · ALL 50 STATES · CRNA-EXCLUSIVE FOCUS · REFERRED BY CRNAs NATIONWIDE
TRACK A
Thinking about going 1099
You’ve seen the rates. You want to know what actually nets out — and what you’d be signing up for.
SHOW ME THIS PATH →
TRACK B
Already 1099
You made the leap. Now you want the structure, the deductions, and the retirement plan sized to what you actually earn.
SHOW ME THIS PATH →
Track A · going 1099
The transition, without the guesswork.
Going independent is a good move for a lot of CRNAs. It’s also the first time anyone hands you the tax side of a business and assumes you’ll figure it out.
We’ve walked CRNAs through this many times. You won’t do any part of it alone, and you’ll know why each decision was made.
Entity structuring & the S-Corp election
The S-Corp is usually the single biggest lever a 1099 CRNA has: pay yourself a reasonable salary, take the rest as distributions, and stop paying self-employment tax on the whole thing. We model it against your actual expected income and show you the dollar figure it saves — and that saving starts the year you elect, not somewhere down the road.
Then we set the entire thing up for you — formation, EIN, the S-Corp election and its deadlines, payroll registration, and reasonable-salary documentation that holds up. You sign where we point.
DONE FOR YOU · NOTHING FILED BY YOU
What you can actually write off
A clear list for your situation — malpractice, CE, licensure, travel, home office — and the documentation that holds up.
Strategies that change your take-home pay
Going 1099 opens frameworks a W-2 CRNA simply can’t access — retirement vehicles sized to real self-employed income, the qualified business income deduction, employing a spouse, accountable-plan reimbursements, the Augusta Rule, and real estate strategies that work alongside the practice.
We show you which ones you qualify for, what each is worth in dollars, and the order to put them in place — then run the honest comparison against your W-2 offer so the decision rests on numbers, not vibes.
LOWER LIABILITY · MORE IN YOUR POCKET
Track B · already 1099
You made the leap. Now optimize it.
Independent CRNAs usually have the hard part behind them. What’s left is the part nobody handed them a playbook for — and it’s where most of the money is.
This isn’t cleanup. It’s taking a good setup and making it efficient.
Strategies you didn’t know you had access to
A full review of your return against what your practice structure actually supports — then the strategies most CRNAs never hear about, introduced and set up so they’re working for you all year.
SET UP ONCE · SAVING ALL YEAR
Retirement sized to your income
Solo 401(k), defined benefit, cash balance — vehicles that match what a high-earning independent CRNA can actually shelter.
Multi-state from travel contracts
Every state you took a contract in has its own filing threshold, its own deadline, and its own rules about crediting tax you already paid somewhere else. We work out which ones actually need a return, file them, and make sure the same dollar doesn’t get taxed twice.
Entity and compensation tuning
Reasonable salary, distributions, and timing revisited as your income changes — not set once and forgotten.
How it actually works
Educate. Act. Handle.
Plenty of people will tell a CRNA what’s possible. Almost nobody makes sure it gets done. The middle step is the whole difference.
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STEP 01
Educate
You learn which strategies you actually have access to and why they work. We don’t hand you a mystery return — we make you fluent in your own finances.
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WHERE MOST CPAs STOP
STEP 02
Act
Strategy only saves money if it gets executed. You get the tools, the checklists, and timed reminders — so the moves actually happen before the deadlines close.
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STEP 03
Handle
Preparation, filings, and compliance come off your plate entirely. White-glove. Meetings whenever you need them, questions answered year-round — not just in April.
Book your free tax strategy call.
Thirty minutes with a CPA who works with CRNAs all day. Bring last year’s return if you have it handy.
You’ll be meeting
Christine Sanducci, CPA
Partner · Head of Taxation Services
PICK A TIME (opens in a new tab) →30 MINUTES · NO OBLIGATION
Cross as many state lines as your contracts require.
Locum and travel work means income in states you barely remember working. Multi-state filing is one of the most common anxieties we hear — and one of the least interesting problems to us.
We handle it. Every state, every credit, every filing.
Resource library
Education doesn’t stop at onboarding.
CRNA Transition Guide
W-2 to 1099, start to finish — entity, estimates, and the first-year calendar.
CRNA Tax Optimization Guide
The strategies available to independent CRNAs, what each one saves, and when it applies.
Deduction Checklists
What qualifies, what documentation to keep, and what to stop guessing about.
Retirement Strategy
Solo 401(k), defined benefit, and cash balance plans, explained at your income level.
Send me the Tax Optimization Guide
A few details and the guide is on its way, followed by a short email series on CRNA tax strategy. Unsubscribe any time.
Word of mouth, mostly.
“Financial Synergy took the guesswork out of going independent. They explained the strategy, then made sure I actually did it. My tax bill and my stress both went down.”
“I finally understand my own numbers. They don’t just file the return — they teach you what’s happening and why, and they’re there year-round.”
“As a new CRNA going straight into 1099 work, the tax side felt complicated and honestly pretty nerve-wracking. Christine took the time to answer all of my questions and made sure I truly understood everything — then tailored a tax strategy that fit my specific situation instead of a one-size-fits-all approach.”
“I was recommended to reach out to Financial Synergy from a colleague of mine, and I’m glad I did. From start up, to state and federal compliance, to payroll, to finding every tax break my business qualified for — they got everything running seamlessly and have saved me so much time and money.”
We intend to be the go-to CPA firm for CRNAs in the country — and we’re building it one referral at a time.
You were never taught this. That’s the only reason it’s still costing you.
01
A look at your current situation — income, structure, and last year’s return.
02
What you’re likely leaving on the table, in plain numbers.
03
Whether we’re a fit. If we’re not, we’ll tell you that too.
Christine Sanducci, CPA
Partner · Head of Taxation Services
30 MINUTES · NO OBLIGATION · SPEAK WITH A CPA
PICK A DAY, THEN A TIME — CONFIRMATION IS INSTANT