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Quarterly Estimated Taxes: A Complete Guide for 1099 Healthcare Workers

One of the biggest adjustments when transitioning from W-2 employment to 1099 independent contractor work is managing quarterly estimated tax payments. Here's everything you need to know.

Why Quarterly Payments?

Unlike W-2 employees who have taxes withheld from each paycheck, 1099 contractors must pay taxes throughout the year. The IRS requires these payments to avoid underpayment penalties.

2025 Due Dates

  • Q1: April 15, 2025 (for income earned Jan-Mar)
  • Q2: June 16, 2025 (for income earned Apr-May)
  • Q3: September 15, 2025 (for income earned Jun-Aug)
  • Q4: January 15, 2026 (for income earned Sep-Dec)

What Taxes Are Included?

Your quarterly payment covers three types of taxes:

  1. Self-Employment Tax (15.3%): This covers Social Security (12.4%) and Medicare (2.9%) taxes. You pay both the employer and employee portions.
  2. Federal Income Tax: Based on your tax bracket after deductions.
  3. State Income Tax: Varies by state; some states have no income tax.

How to Calculate Your Payment

A simplified approach:

  1. Estimate your quarterly net income (income minus deductible expenses)
  2. Calculate Self-Employment tax: Net income × 0.9235 × 0.153
  3. Estimate Federal tax based on your bracket
  4. Add state tax if applicable
  5. Divide annual estimate by 4 for quarterly payment

Safe Harbor Rules

To avoid penalties, you must pay either:

  • 90% of your current year's tax liability, OR
  • 100% of last year's tax liability (110% if AGI > $150,000)

How to Pay

You can pay quarterly taxes through:

  • IRS Direct Pay: Free online payment from your bank account
  • EFTPS: Electronic Federal Tax Payment System
  • Credit/Debit Card: Fees apply
  • Check: Mail with Form 1040-ES voucher

Pro Tip: Set aside 25-30% of each payment you receive into a separate savings account for taxes. This ensures you always have funds available for quarterly payments.

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