1099 vs. PRN vs. Travel CRNA: Which Model Fits Your Lifestyle Best?

Choosing the right work model as a CRNA is more than just a job decision—it’s a lifestyle decision. Your choice impacts your schedule, income, taxes, benefits, travel opportunities, and even how much control you have over your career.

Three of the most common work arrangements for CRNAs are:

• 1099 Independent Contractor

• PRN (As-Needed) Employee

• Travel CRNA

Each comes with unique advantages, challenges, and financial implications. At CBFC, we work with CRNAs across all three models, and here’s how they stack up—so you can decide which one fits your lifestyle best.

1. 1099 CRNA: The Independent Contractor

As a 1099 CRNA, you’re self-employed. You’re not on payroll; instead, you invoice for your services and manage your own business finances.

Lifestyle Fit:
Perfect for CRNAs who value maximum control over their schedule, income, and contracts—and are willing to take on the extra responsibility of running their own business.

Pros:

• Higher Earning Potential: Without employer payroll costs, facilities often pay higher rates to 1099 CRNAs.

• Schedule Freedom: Choose contracts, set your hours, and take as much (or as little) time off as you want.

• Business Deductions: Write off work-related expenses like licensing, malpractice, travel, CME, and even part of your home office.

• Retirement Flexibility: Access to high-limit accounts like a Solo 401(k) or SEP IRA.

Cons:

• No Benefits Provided: You cover your own health insurance, retirement contributions, and paid time off.

• Tax Responsibility: You handle quarterly taxes, self-employment tax, and business recordkeeping.

• Income Variability: No guaranteed paycheck; your income depends on contracts and availability.

Best For: Experienced CRNAs ready to run their own business, maximize income, and take control of their schedule.

2. PRN CRNA: The Flexible Employee

PRN stands for pro re nata—“as needed.” As a PRN CRNA, you’re technically an employee, but you work on a flexible, per-shift basis. Some PRN roles offer regular hours; others call you in when demand spikes.

Lifestyle Fit:
Ideal for CRNAs who want flexibility without the paperwork of being self-employed, or those who want supplemental income alongside another role.

Pros:

• Flexible Scheduling: Work when you want without committing to full-time hours.

• Some Benefits Possible: Depending on the employer, you may qualify for partial benefits (though many PRN roles offer none).

• Simpler Taxes: Taxes are withheld from your paycheck—no quarterly tax payments required.

• Less Administrative Burden: You’re not managing a business entity, payroll, or invoicing.

Cons:

• Lower Hourly Rate: PRN pay is often lower than 1099 rates due to employer payroll costs.

• Limited Stability: Hours may fluctuate based on facility needs.

• Fewer Deductions: As an employee, you can’t deduct many work expenses the way 1099 contractors can.

Best For: CRNAs who want flexible hours but prefer the simplicity of employee status, or those easing into more independent work.

3. Travel CRNA: The Road Warrior

Travel CRNAs take short-term assignments across the country, often through agencies. Contracts typically last 8–26 weeks and may include travel stipends, housing allowances, and per diems.

Lifestyle Fit:
Perfect for CRNAs with a sense of adventure, willingness to relocate temporarily, and desire for high pay plus added perks.

Pros:

• High Pay + Stipends: Base rates can rival or exceed 1099 rates, plus you may receive tax-free stipends for housing and meals.

• Adventure: See new places, work in diverse settings, and build a wide range of clinical experience.

• Networking: Meet facility leaders and recruiters nationwide, which can lead to future opportunities.

• Housing Provided or Reimbursed: Many agencies handle this for you.

Cons:

• Away From Home: Frequent travel and temporary housing can be challenging for those with families or local commitments.

• Licensing Requirements: You may need multiple state licenses, which takes time and money.

• Less Control Over Contracts: Assignments are often brokered through agencies, limiting direct negotiation power.

Best For: CRNAs who love travel, are adaptable to different work environments, and want to combine career growth with exploration.

Which One Fits Your Lifestyle Best?

Here’s a quick breakdown:

ModelBest ForProsCons1099CRNAs seeking max income & independenceHigh pay, deductions, full schedule controlNo benefits, more admin, tax complexityPRNCRNAs wanting flexibility with simplicitySome flexibility, employee status, simpler taxesLower pay, fewer deductions, possible limited hoursTravelCRNAs seeking adventure & varietyHigh pay, stipends, new experiencesAway from home, licensing hassle, less control

How CBFC Helps CRNAs Thrive in Any Model

Whether you’re 1099, PRN, or travel, your work model should align with both your lifestyle and your financial goals. At CBFC, we help CRNAs:

• Compare financial outcomes for each work type

• Build tax strategies for 1099 and travel income

• Plan for benefits you won’t get from an employer

• Create savings and retirement plans that match your career path

The right choice isn’t just about the next contract—it’s about the life you want to build.

Thinking about switching models or comparing income scenarios?
Schedule a consultation with CBFC and we’ll help you run the numbers, evaluate the trade-offs, and choose the model that fits your life best.