Accounting Built for Healthcare Practices
Medical and dental practices juggle insurance reimbursements, payroll for clinical staff, equipment financing and complex entity structures. We keep the books clean and the tax bill optimised so you can focus on patients.
- Practice bookkeeping & payroll
- Entity & S-corp tax planning
- Equipment depreciation handled
- Filed by a CPA & EA team
Running a practice means clinical work all day and a pile of financial complexity at night — insurance receivables, staff payroll, equipment loans, and an entity structure that has real tax consequences. Here's how we keep it under control.
Why practices need specialised accounting
Healthcare revenue rarely arrives clean. Insurance reimbursements lag, get adjusted, and reconcile differently from cash-pay income — and getting it wrong distorts both your books and your tax position.
- Reimbursements and patient payments reconciled correctly
- Payroll for clinical and admin staff handled with the right filings
- Equipment and build-out costs depreciated to maximise deductions
Entity structure is a major tax lever
For many physicians and dentists, how the practice is structured — sole proprietor, S-corp, or a PLLC with an S-election — drives thousands in annual self-employment-tax savings.
- We model whether an S-corp election pays off for your income level
- Set a defensible reasonable salary so the IRS doesn't reclassify it
- Coordinate retirement-plan contributions for further tax savings
See the math in our S-corp savings calculator and reasonable salary guide.
Explore related help
Bookkeeping service · S-corp savings calculator · Virtual CFO services · Reasonable salary guide.
Frequently asked questions
Do you work with solo practitioners and group practices?
Both. We handle solo physicians and dentists as well as multi-provider group practices, structuring the books and entity to fit your size.
Can you help reduce my self-employment tax?
Often yes. For many practices an S-corp election saves thousands a year. We model it against your numbers before recommending it.
Do you handle payroll for clinical staff?
Yes. We set up and run compliant payroll for clinical and administrative staff, including the related federal and state filings.
How much does practice accounting cost?
Plans start at $299/mo depending on volume and complexity. Get a free quote and we'll size it to your practice.
Spend more time with patients
Get practice-ready books, payroll and tax planning from one CPA & EA team.
Get my free quoteTalk to a CPAHow we file taxes for healthcare practices
Filing for this industry has its own forms, dates and deductions. Here's exactly what a healthcare practice return involves when we prepare it.
The forms
1120-S or 1065 for the practice entity with owner-physician W-2 payroll; PC/PLLC state-specific rules; retirement-plan deduction coordination (401(k)/cash-balance); 1099s to associates and locums.
The deadlines
Entity return March 15; payroll quarterly; retirement-plan funding deadlines tie to the extended return date — a reason practices extend deliberately. Full calendar on our 2026 deadlines page.
The deductions that matter here
Cash-balance + 401(k) combinations (often six figures of deduction for owner-physicians), equipment depreciation, malpractice premiums, CME and licensure, practice-management software.
Filing FAQ
What's the biggest tax lever for a practice owner?
Almost always retirement-plan design — a cash-balance plan stacked on a 401(k) can shelter far more than any deduction hunt, and it's decided before the filing deadline, not after.
Locums and associate physicians — W-2 or 1099?
Depends on control and the state's corporate-practice rules. Misclassification in healthcare draws both IRS and licensing attention, so we paper it correctly from the start.