# Career and workforce January 12, 2026 10 minute read Summary Many CRNAs/nurse anesthesiologists are exploring 1099 work as a way to improve work-life balance, gain schedule flexibility, and take greater control of their careers. This article explains how independent contractor work supports autonomy, what factors are driving demand, and what CRNAs/nurse anesthesiologists should consider before making the transition. The Demands of CRNA Practice The work of a CRNA/nurse anesthesiologist is deeply rewarding and highly skilled, but it also comes with significant responsibility. Each day requires physical stamina, mental focus, and emotional presence. CRNAs/nurse anesthesiologists care for patients in high-pressure situations where safety is always the top priority. This work also depends on strong collaboration across care teams. Schedules often reflect these demands. Long shifts, weekend work, and on-call coverage are common. With all that said, it’s understandable that many CRNA/nurse anesthesiologists begin to reassess how their professional commitments fit into the rest of their lives. Recent surveys suggest burnout rates among CRNAs/nurse anesthesiologists can reach up to 72%. As a result, many are looking for ways to reduce stress while continuing to practice at a high level. How 1099 Work Gives CRNAs Control Over Their Schedule One option gaining increasing attention is 1099 work—an employment model that allows CRNA/nurse anesthesiologists to practice as independent contractors. Rather than stepping away from clinical work, many find that this model offers an opportunity to align their professional responsibilities with personal priorities. Practicing independently allows CRNAs/ nurse anesthesiologists to choose where, when, and with whom they work. This flexibility supports autonomy and a more intentional approach to work-life balance. “Whether it’s picking up your kids from school or being present for family functions or traveling — you have the control to dictate what your work schedule looks like, which is the biggest perk of being a 1099 CRNA/nurse anesthesiologist,” said Jeremy Stanley, who is a tax and financial advisor and “Beyond the Mask” podcast co-host. For many CRNAs/nurse anesthesiologists in traditional W-2 roles, schedules are largely determined by organizational needs. While this structure provides stability, it may not offer the level of flexibility some clinicians want as their priorities change. For those seeking more control over their time, 1099 work can offer a path toward a more balanced and sustainable career. What Flexibility Looks Like for a 1099 CRNA Choosing shift length, such as 10, 12, or 14 hours Deciding which days and how often to work Selecting preferred locations and practice settings Having the option to say no to on-call or weekend shifts Having more control over workload often leads to better stress management. With that freedom also comes responsibility. Making thoughtful decisions about workload, rest, and long-term sustainability becomes a key part of long-term success. “The amount of flexibility 1099 work offers a CRNA is unbelievable,” said Stanley, who has been providing advice and guidance to CRNAs/nurse anesthesiologists for over two decades. “It gives you the ability to structure your life how you want to and work around that.” Why Work-Life Balance Looks Different in Today’s Healthcare This shift toward flexibility is happening at a time when healthcare itself is changing. Many CRNAs/nurse anesthesiologists are rethinking what work-life balance means today. The goal is no longer just steady work, but work that feels rewarding and manageable. For some, 1099 work offers a way to reduce stress while maintaining a strong career. In 2023, 20% of AANA members surveyed reported pursuing 1099 CRNA work. This number continues to grow as healthcare needs and staffing models evolve. Key Trends Driving Demand for 1099 CRNAs An aging population: People in the U.S. and around the world are living longer. As a result, more patients require surgeries and procedures that involve sedation, anesthesia, and pain management. More places for care: Advances in medical technology have made many procedures less invasive. This has led to growth in outpatient care and ambulatory surgery centers, increasing the need for CRNAs/nurse anesthesiologists in flexible roles. Increasing chronic health conditions: Chronic illnesses have increased over the past 20 years, especially among younger adults. Over time, these conditions often lead to procedures that require anesthesia services. Changing hiring needs: Hospitals and healthcare systems continue to manage ongoing financial pressures. Many now rely on 1099 clinicians to meet patient needs without committing to full-time staff. This allows facilities to adjust staffing based on demand. Together, these trends place 1099 CRNAs/nurse anesthesiologists in a strong position in today’s healthcare environment. Independent work allows many to care for patients while also protecting their own well-being. With the right structure and planning, CRNAs/nurse anesthesiologists can grow professionally without giving up flexibility or long-term opportunity. Taking Ownership of Your Career Working as a 1099 CRNA/nurse anesthesiologist gives you greater control over both your career and your personal life. Instead of having your schedule or time off decided for you, independent work allows you to make choices that fit your goals and priorities. As a 1099 CRNA, you have more say in areas such as: Pay rates: You can negotiate your compensation each time you sign a new contract. Assignment types: You can choose the cases and roles that match your interests or help you build new skills. Work setting: You can select the types of facilities you’d like to work with and the geographic setting too whether that means staying close to home or exploring high-need areas. Time off: You decide when to take time away from work, without needing formal approval from a supervisor. “Being a 1099 means you’re in charge of your own business and how you operate,” said Bryan Doyle, Acting Vice President of AANA Insurance Services. “That gives you the freedom to scale back when you need to, whether for a major life moment or just taking a few days off to travel.” What CRNAs Need to Know About Taxes, Benefits, and Support While 1099 work can be rewarding, it also comes with added responsibility. Being your own boss means handling tasks that are usually managed by an employer. These decisions take planning and attention. Key areas include: Insurance choices: Independent contractors arrange their own health, disability, and malpractice coverage. In some cases, malpractice insurance and contract terms can be discussed as part of an agreement. Personal benefits: W-2 employees receive benefits through their employer. As a 1099 CRNA, you set up retirement plans, paid time off, and vision or dental insurance. Taxes: Taxes are not withheld under a 1099 model. You are responsible for estimating and paying local, state, and federal taxes, including self-employment taxes. Many CRNAs/nurse anesthesiologists choose to work with a tax professional to stay organized and compliant. Managing your business responsibilities: Independent work also involves managing contracts, tracking expenses, maintaining credentials, and covering professional costs. These responsibilities can feel overwhelming at first. Without the right guidance, they may affect the work-life balance you are trying to protect. The good news is that support is available. Educational resources like AANA’s 1099 CRNA Institute help CRNAs/nurse anesthesiologists understand independent work and learn from experts who have already made the transition. Embrace the Freedom to Design Your Life Many CRNAs/nurse anesthesiologists reach a point where they want more say in how they live and work. For those ready to take that step, 1099 work offers a way to build a career that fits their life—not the other way around. This path provides flexibility, choice, and the ability to shape your schedule around what matters most to you. “It’s a great profession, and going the 1099 route gives you so much more control over it,” said Tracy Young, AANA president-elect. “When you’re 1099, especially when you are direct contracting, you write the schedule that works for your life. That is the fundamental difference and a massive advantage.” Education is an important first step. Resources like the 1099 CRNA Institute provide guidance on business structure, legal considerations, and tax responsibilities. Learning from experts can make the transition clearer and more confident. Choosing how you work is a powerful decision. With the right knowledge and planning, 1099 work allows CRNAs/nurse anesthesiologists to take control of both their professional path and personal time. For many, it is a meaningful step toward lasting work-life balance. Common Questions About 1099 Work for CRNAs What is a 1099 CRNA? A 1099 CRNA/nurse anesthesiologist works as an independent contractor rather than a W-2 employee, allowing more control over schedule, pay, and work setting. What are the main differences between W-2 and 1099 work for CRNAs? W-2 CRNA/nurse anesthesiologist are employees with set schedules and employer-provided benefits. 1099 CRNAs/nurse anesthesiologists work as independent contractors and manage their own taxes, benefits, and contracts, but gain more control over how and when they work. How does 1099 work affect work-life balance for CRNAs? 1099 work gives CRNAs/nurse anesthesiologists more control over their schedules, locations, and workload. This flexibility allows many to better manage stress, plan time off, and balance professional and personal responsibilities. Do 1099 CRNAs work more hours than W-2 CRNAs? Not necessarily. Many 1099 CRNAs/nurse anesthesiologists choose how much they work. Some work fewer hours for better balance, while others take on more shifts to meet financial goals. Is 1099 work right for every CRNA? Not always. It works best for CRNAs/nurse anesthesiologists who value flexibility and are willing to manage taxes, benefits, and business decisions. It often appeals to experienced CRNAs/nurse anesthesiologists, however, newer CRNAs/nurse anesthesiologists can also succeed with the right education and support. What support do CRNAs need before switching to 1099 work? Before switching, CRNAs/nurse anesthesiologists benefit from learning about taxes, insurance, contracts, and business planning. Educational resources like AANA’s 1099 Institute and expert guidance can help make the transition smoother and more confident. Can 1099 CRNAs still have career stability? Yes. Many CRNAs/nurse anesthesiologists build stable careers through long-term contracts, repeat facilities, or consistent scheduling. Stability often comes from planning rather than employment type. Email Facebook Twitter LinkedIn Share Print