Accounting for Healthcare & Wellness

Yes. Proactive tax planning is central to how we work, and for practices it starts with the right entity structure. The choice among a professional corporation, PLLC, or S-corp election shapes how owner income is taxed.

From there we look at equipment purchases, where Section 179 expensing and bonus depreciation can accelerate the write-off on chairs, imaging, and other capital assets, and at cost segregation when you own your building.

We also plan around the qualified business income deduction under Section 199A, which is limited for many higher-income health providers, and pair it with retirement-plan strategies that shelter income.

We map these moves out with time to spare before year-end, while there is still room to act on them.

Reimbursement timing is one of the biggest differences between healthcare and other businesses, so we build the accounting around it.

We track patient accounts receivable and collections, reconcile insurance and third-party payments against what was billed, and give you visibility into how long revenue takes to convert to cash.

We report performance by payer and, where it helps, by location or provider, so you can see where cash is getting stuck and where the practice is actually earning its margin.

We focus on the accounting and financial reporting side of the revenue cycle; we coordinate with your billing team or clearinghouse rather than replacing them.

For profitable practices, retirement plans are one of the most effective ways to defer tax while building long-term wealth for the owners.

We help design and account for 401(k) and profit-sharing plans, and for higher-earning owners we model cash-balance and defined-benefit plans, which allow substantially larger contributions than a 401(k) alone.

We also coordinate health savings account and flexible spending account strategies where they fit the owners and the team.

We handle the accounting, contribution modeling, and tax coordination, and we work alongside your financial advisor and third-party administrator on plan investments and formal plan administration.

Partner buy-ins and buy-outs are some of the highest-stakes financial events in a practice’s life, and they turn on a defensible valuation.

We prepare practice valuations, model the tax impact of the transaction for both the incoming and outgoing owners, and help structure the payment terms so the deal works for the practice’s cash flow.

We build the financial picture and tax analysis that support the decision, and we work with your attorney on the legal agreements rather than providing legal advice ourselves.

Yes. We work with QuickBooks and other common accounting platforms and coordinate with the practice-management and billing systems you already use.

Our aim is a clean flow of data from where visits are booked and billed into your general ledger, so financial statements reflect reality without hours of manual re-entry.

If your current setup is held together by spreadsheets or outdated tools, we can help you transition to more reliable systems without losing your history, and we train your team on the reporting that keeps everyone aligned.