Professional entity rules
California restricts which entities licensed professionals may use, which narrows the structuring options.
Healthcare & Medical Practices
Healthcare & Medical Practices — tax and accounting that fits how you actually operate
High income, high tax, and a very short list of strategies that actually work at that level. Retirement plan design is usually the largest of them.
What goes wrong
The five things that cost healthcare & medical practices businesses money
Provider compensation
Splitting salary and distribution defensibly across multiple owner-providers takes documentation, not a formula.
Retirement plan design
Cash balance and defined benefit plans can shelter far more than a 401(k) alone — and are underused by practices that qualify.
Insurance receivables
Cash basis and accrual basis tell very different stories when a large share of revenue sits in receivables.
Equipment and build-out
Leasehold improvements and equipment have different recovery periods, and the allocation matters.
What we do about it
How we work with you
- Practice accounting with provider-level and location-level reporting
- Reasonable compensation documented for each owner-provider
- Retirement plan design modelled against the practice's census
- Entity structure reviewed against California professional entity rules
- Equipment and build-out cost allocation for maximum recovery
Services
What this usually involves
Proactive Tax Planning & Strategy
Planning is the part of the work that actually moves the number. We model your year while there is still time to change it — and show you, in dollars, what each decision is worth.
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Outsourced CFO & Financial Advisory
Forecasting, margin analysis, pricing and capital decisions — the work a full-time CFO would do, scaled to a business that does not need one full time.
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Bookkeeping & Monthly Close
Reconciled every month, closed on a schedule, and delivered with a short note explaining what changed. Not a shoebox reconstructed in March.
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Payroll & Worker Classification
Running payroll is the easy part. Staying on the right side of the EDD, wage orders, sick-leave accrual and worker classification is where employers actually get hurt.
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Let’s look at your healthcare & medical practices numbers.
Bring last year’s return and a month of books. Thirty minutes, no charge, and a straight answer about what we would change.