CRNA Quarterly Taxes: How to Stay Ahead (and Avoid Surprises)
If you’re a 1099 CRNA, your paycheck doesn’t come with taxes automatically withheld. That means you’re responsible for making sure Uncle Sam gets his cut — not just once a year, but four times.
Welcome to the world of quarterly estimated taxes.
It’s one of the biggest transitions CRNAs face when they go from W-2 to 1099 work. Without a solid plan in place, many are hit with unexpected tax bills, missed deadlines, and unnecessary penalties.
The good news? With a little guidance and the right systems, quarterly taxes can be stress-free. At CBFC, we help independent CRNAs take control of their finances — and that starts with understanding how to manage estimated taxes the right way.
What Are Quarterly Taxes (and Why Do They Matter)?
The IRS expects anyone who earns income without tax withholding — like most 1099 CRNAs — to pay estimated taxes throughout the year. These are due four times annually:
Q1: April 15 (for Jan–Mar income)
Q2: June 15 (for Apr–May income)
Q3: September 15 (for Jun–Aug income)
Q4: January 15 (for Sep–Dec income)
Miss a payment or pay too little? You could face interest charges or penalties, even if you pay everything off at year-end.
How to Estimate Your Quarterly Taxes as a CRNA
There’s no one-size-fits-all formula — but here’s a general starting point:
Estimate your total annual income
If you expect to earn $240,000 in 1099 CRNA work this year, use that figure to start.Estimate your business expenses
Let’s say $40,000 in deductible expenses (malpractice insurance, licensing, travel, etc.). That brings your net income to $200,000.Calculate your tax liability
As a ballpark estimate, set aside 25–30% of your net income for taxes.This covers federal income tax
Self-employment tax (15.3%)
State taxes, if applicable
In this case, 30% of $200,000 = $60,000 annually, or $15,000 per quarter.
Tips to Stay Ahead (and Avoid Surprises)
✅ Set Up a Business Bank Account
Use a separate account for incoming payments, and automatically transfer a percentage to a savings account designated for taxes. It makes tax time far less painful.
✅ Automate Your Payments
Use the IRS Direct Pay system or set up your EFTPS (Electronic Federal Tax Payment System) account to submit payments online. It’s fast, easy, and ensures you never miss a deadline.
✅ Review Your Income Monthly
CRNA work can fluctuate. Update your estimates quarterly to make sure you’re not underpaying (or overpaying).
✅ Work With a CRNA-Focused Tax Pro
At CBFC, we know the seasonal patterns, common deductions, and financial habits of 1099 CRNAs. We don’t just help you file — we help you plan ahead, so your taxes don’t derail your cash flow.
Don’t Let Taxes Derail Your Year
Quarterly taxes aren’t just a paperwork task — they’re a major piece of your financial health. Staying ahead means fewer surprises, better budgeting, and more peace of mind when tax season hits.
The earlier you plan, the more you can save.
Need Help With Quarterly Taxes?
If you’re a 1099 CRNA and not sure where to start (or tired of guessing), CBFC can help. We’ll create a custom tax plan, help you set up your systems, and make sure you’re never caught off guard.
Book a consultation with CBFC today — and get back to focusing on what you do best.
