How to Maximize Your Write-Offs as a 1099 CRNA
One of the biggest advantages of working as a 1099 CRNA? The ability to write off business expenses and dramatically reduce your tax bill.
But here’s the catch: most CRNAs either don’t know what they can deduct or they’re not tracking it properly—leaving thousands of dollars on the table every year.
At CBFC, we work exclusively with independent CRNAs and help them take full advantage of the tax code. Here’s how you can maximize your write-offs while staying organized, compliant, and confident come tax time.
Why Write-Offs Matter for CRNAs
When you’re a W-2 employee, your employer handles taxes and deductions behind the scenes. As a 1099 CRNA, you’re responsible for everything—from paying quarterly taxes to tracking your own business expenses.
Write-offs help you lower your taxable income—meaning you keep more of what you earn.
Let’s say you earn $220,000 in 1099 income. With no deductions, you’d pay self-employment tax and federal income tax on the full amount. But with $50,000 in legitimate business expenses? You’re only taxed on $170,000.
That could save you $10,000–$15,000 or more, depending on your tax bracket.
Common CRNA Write-Offs You Should Be Tracking
Here are some of the most frequently missed (but fully legitimate) write-offs CRNAs should be using:
🩺 Licensing, Credentialing & CME
State license fees
DEA registration
Hospital credentialing costs
Continuing education and CRNA conferences
Professional journals or subscriptions
💻 Work-Related Equipment & Supplies
Stethoscope, scrubs, shoes, protective gear
Medical bag or briefcase
iPad or laptop used for work
EMR or charting software subscriptions
🚗 Travel & Mileage
Hotel stays and airfare for contract work or conferences
Rental cars, gas, tolls, and parking
Per diem for meals (IRS standard rates apply)
Mileage driven for work (use a tracking app like MileIQ)
🏠 Home Office Deduction
If you regularly do administrative work (scheduling, charting, tracking finances) from a dedicated space at home, you may qualify for:
A home office deduction based on square footage
A portion of your rent/mortgage, utilities, and internet
📱 Communication & Tech
Cell phone and internet (business-use percentage)
Software tools, cloud storage, and document tools
📊 Professional Services
Tax prep and accounting fees
Legal or consulting services related to your CRNA practice
Business formation costs (LLC/S Corp setup)
Stay Organized Year-Round
The IRS doesn’t just care that you had expenses—they care that you can prove them. Here’s how to stay audit-proof:
Use a separate business bank account for all income and expenses
Track receipts digitally using apps like QuickBooks, Expensify, or Google Drive
Document your mileage with a mileage log or app
Keep notes for each expense (who, what, why) for clarity during tax filing or audits
Work With a CRNA-Focused Partner
General accountants may not catch the unique deductions available to CRNAs. At CBFC, we specialize in helping 1099 CRNAs not only identify and track write-offs but also build tax strategies that support long-term financial success.
Whether you’re deciding between a Solo 401(k) or SEP IRA, wondering if your S Corp is set up correctly, or just trying to avoid overpaying the IRS, we’ve got your back.
Final Thoughts
Every dollar you write off is a dollar that stays in your pocket. As a 1099 CRNA, your ability to control your tax liability is one of the biggest financial levers you have—but only if you use it intentionally.
Ready to make the most of your CRNA deductions?
Schedule a free consultation with CBFC and we’ll help you create a plan to maximize your write-offs, reduce your tax burden, and grow your income with confidence.
