Healthcare and Medical Practice Accounting

Focus on Patients. We Will Focus on the Numbers.

Running a practice means running a business. Reimbursements shift, staffing costs climb and owners have to balance compensation, reinvestment and planning for their own retirement, often with little time left after patient care.

We work with physician and dental practices, specialty and surgical groups, and healthcare service businesses on practice accounting and reporting, owner compensation and tax planning, and the transitions that come with partner buy-ins, buy-outs and sales. The goal is a clear view of how the practice is performing and a plan that works for every owner.

Practice Accounting and Reporting

Bookkeeping, monthly close and reporting that show collections, overhead and profitability by provider or location.

Owner Compensation and Tax Planning

Structuring owner pay, distributions and benefits so each partner is treated fairly and the practice stays tax efficient.

Entity Structure and Retirement Planning

Choosing the right entity and planning retirement contributions for owners and staff.

Partner Buy-Ins, Buy-Outs and Valuations

Valuing practice interests and planning the financial and tax side of admitting or exiting a partner.

Growth and Transition Planning

Budgeting, forecasting and planning for new locations, acquisitions, succession or a sale.

Learn More About Business Tax

Tax planning, compliance and credits for owners and their companies, with an eye on the owner's personal return.

Learn More About Business Valuations

Independent valuations for partner buy-ins and buy-outs, practice sales and estate planning.

Frequently Asked Questions

How should practice owners pay themselves?

It depends on the entity. Owners of an S corporation generally need to take reasonable compensation through payroll before taking distributions, and the balance between the two affects payroll taxes and retirement contributions. Read more about reasonable compensation.

How is a practice valued when a partner joins or leaves?

Value usually depends on the practice's earnings, the patient base, equipment and how much of the revenue depends on the departing owner. An independent valuation gives every partner a number they can rely on and reduces the chance of a dispute.

What financial reports should a practice review each month?

At a minimum, collections and production, overhead as a percentage of revenue, cash flow and a comparison to budget. Groups with multiple providers or locations benefit from seeing each one separately.

How can practice owners plan for retirement or a sale?

Start early. Planning a few years ahead gives you time to strengthen financial performance, choose the right deal structure and manage the tax impact. Read about succession strategies and their tax impact.

Where are your healthcare clients located?

Our office is in Media, PA. We work with practices and healthcare businesses across Delaware County, Greater Philadelphia, South Jersey and Delaware, and nationwide.

Envelope with cash, representing the paid family and medical leave tax credit

October 13, 2026

Offer Paid Leave? You May Qualify for a Bigger Tax Credit

Offering paid family and medical leave (PFML) can help businesses attract and retain employees while providing workers with financial support when they need time away to care for themselves or their ...

Business Tax • Employee Benefits • Tax Credits

April 27, 2026

ACA penalties are climbing in 2026. Is your reporting ready?

Many small businesses don’t have enough employees to worry about the play-or-pay provisions of the Affordable Care Act (ACA). However, as your business grows, these rules can apply sooner than ...

Taxes • Business Advisory • Tax Compliance • Healthcare • IRS Penalties • Affordable Care Act

June 17, 2025

Is Your Salary Reasonable in the Eyes of the IRS?

Determining “reasonable compensation” is a critical issue for owners of C corporations and S corporations. If the IRS believes an owner’s compensation is unreasonably high or low, it may disallow ...

Tax Planning

Healthcare and Medical