This community was built in the OR hallway, not in a marketing brainstorm.
It came from repeated conversations with smart anesthesia providers asking the same question: why am I making this much and still unsure whether any of this is set up correctly?
A practicing CRNA built the thing he wished already existed.
I’m Richard Graf — CRNA, licensed in PA, OH, and WV. I run my practice as an S-Corp through ER Anesthesia LLC. I grossed over $800,000 in 2025 working 3,000+ hours as a 1099 contractor. I work in the real 1099 world, not in theory. That matters because most advice sounds good until it collides with an actual return, an actual contract, or an actual multi-state work pattern.
Colleagues kept asking the same questions: what entity did you choose, how do you think about compensation, what do you deduct, how do you review your CPA’s work, which contracts are worth negotiating, and which ones are not worth saving.
After hearing the same pain points enough times, the obvious answer was to build one place for the framework, the checklists, the lessons, and the questions that should have been answered years ago.
The moment the blind trust broke.
My accountant called and told me I was getting an $8,000 refund. Something felt off — I pushed back and asked if he was sure. He told me yes, $8K was correct. I almost signed it.
He had forgotten to check a box. The real refund was $28,000. I almost left $20,000 on the table — without ever knowing.
That is the point. High-income clinicians are often not losing because they are careless. They are losing because they assume the paid professional is doing work they never verified.
This community is built for the moment after that illusion dies. When you decide that earning more is no longer enough, and the real job is tightening the system around what you already earn.