Accounting & tax strategy
for healthcare practices.
From your first associate contract and practice purchase through growth and eventual sale — we handle the tax, accounting, and entity work at every stage of a clinical career.
Built for healthcare.
The specific problems this industry runs into — handled by people who have seen them before.
Practice Lifecycle Tax Strategy
A clinical career moves through distinct tax situations — associate employment, practice purchase, peak earning years, and eventual sale. Each carries different deductions, elections, and structuring decisions. We handle the tax and accounting work at every stage and revisit it annually as your practice changes.
Practice Accounting & Tax
Monthly books, payroll coordination, and tax strategy built around how practices actually earn — insurance reimbursements, production splits, and equipment purchases.
Get practice supportEntity & Compensation Strategy
S-corp elections, owner compensation, and partner buy-in structures designed to minimize tax while keeping partners aligned.
Review your structureOrganizations like yours.
Serving clients across Litchfield County and throughout Connecticut.
Physicians & Specialists
Private practices and partnership groups navigating reimbursement complexity and partner compensation.
Dental Practices
Solo and multi-op practices managing equipment financing, associate pay, and acquisition debt.
Veterinary Clinics
Small-animal and mixed practices balancing inventory, staffing, and seasonal caseloads.
Group & Multi-Site Practices
Consolidated reporting and location-level profitability for practices with more than one site.
What doctors, dentists, and veterinarians ask.
Career-stage financial questions specific to clinical practice.
When should I buy into or start my own practice?
There is no single right age, but there is a right set of conditions: stable clinical volume, manageable student debt service, a down payment that does not wipe out your reserves, and a practice whose numbers actually support the asking price. We model the purchase against your personal cash flow before you sign anything. Most practice acquisitions fail on the financing structure, not the clinical work.
How should I handle my student loans as a practice owner?
Differently than you did as an employee. Income-driven repayment, refinancing, and forgiveness programs interact with your practice entity, your compensation structure, and your tax filing status in ways that can swing the total cost by six figures. Once you own a practice, your reported income becomes something you have influence over — and that changes the math on which repayment path is best.
What entity structure is best for a medical or dental practice?
For most established practices an S-corporation election provides meaningful payroll tax savings once profit exceeds a reasonable salary, but the right answer depends on your state, your partners, and whether you own the building. Professional corporation requirements, partner buy-in mechanics, and eventual sale treatment all factor in. We review structure at formation and again whenever partnership or income changes materially.
Which qualified retirement plan gives my practice the biggest deduction?
It depends on your age, staff census, and profit consistency. Solo 401(k)s, defined benefit plans, and cash balance plans each carry different employer deduction limits and different coverage requirements for your staff — a plan that works for a solo practitioner can become expensive once you have employees. Employer contributions are deductible to the practice, which makes plan design one of the larger tax levers a practice owner has. We model the deduction and the staff cost of each option so you can choose with your advisor.
When should I start planning my practice exit?
Five to ten years out, not when you are ready to retire. Practice value depends on transferable revenue, documented systems, associate relationships, and clean financials — all things that take years to build and cannot be manufactured in the final year. Owners who plan early routinely sell for meaningfully more than those who list a practice built entirely around themselves.
Do you handle both my practice and my personal taxes?
Yes, and they should be handled together. Your practice compensation, retirement contributions, entity distributions, and personal deductions are one connected system. Splitting them across two firms is how opportunities get missed. We coordinate the practice return, your personal return, and the planning that connects them.
What makes veterinary practice accounting different?
Veterinary practices carry meaningful inventory — pharmaceuticals, food, and supplies — that most medical and dental practices do not, and they blend product margin with service revenue. Add associate production pay, equipment financing, and seasonal caseloads, and the reporting requirements look closer to retail than to a physician group. We track product and service margins separately so you can see what each side actually earns.