Tax and accounting for physicians, dentists, and healthcare practices — entity structure, owner compensation, and retirement strategy handled with clinical precision.
A medical or dental practice earns like a business and is taxed like a gauntlet: professional-entity rules that vary by state, owner compensation balanced against QBI limits written specifically for professions like yours, retirement plans that are often the largest deduction available, and equipment purchases that deserve a depreciation strategy rather than an afterthought.
We work with practice owners and the physicians behind them — entity returns, personal returns, quarterly planning — and, for internationally trained physicians, the cross-border layer too: foreign assets reported, relocations planned, and both countries' obligations kept straight.
Entity and personal returns prepared together — PC, PLLC, or S-corp — so nothing falls between them.
Owner salary and distribution strategy worked against the QBI deduction's professional-services limits.
401(k), cash-balance, and defined-benefit design coordination — frequently the practice's biggest deduction.
Bookkeeping and monthly reporting on QuickBooks Online — collections, overhead, and provider-level performance visible.
Section 179 and bonus depreciation planning for equipment and build-outs — timed to the tax year, not the invoice.
Cross-border reporting (FBAR, foreign assets) and pre-arrival planning for internationally trained providers.
Federal and state compliance handled end-to-end — accurate returns, defensible positions, and planning that happens before year-end, not after it.
Explore serviceYour accounting function, run as a service — clean books, on-time closes, and reporting you can actually decide from, on QuickBooks Online.
Explore serviceThe intersection most firms avoid — US reporting for foreign-owned businesses, cross-border individuals, and structures that need both sides understood.
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