Medical & Dental Practices
You trained for years to treat patients. The business side of your practice shouldn't consume your evenings.
Provider First, Business Owner Second
You spent years in school and clinical training. All of it focused on treating patients. Then you opened your own practice and discovered a second job waiting for you. Payroll, vendor bills, tax deadlines, insurance follow-ups, equipment financing decisions. Nobody covered any of this in your clinical education.
Most practice owners we work with are still treating patients full-time. There is no back office finance team. The bookkeeping gets squeezed into evenings, weekends, or it gets ignored until tax season forces the issue. That is how bills get paid late, deductions get missed, and cash flow problems show up in the middle of a busy quarter when you least expect them.
Who This Covers
Who This Covers
Dentists, chiropractors, optometrists, physical therapists, and other healthcare providers running their own practices in Riverview, the South Shore, and the greater Tampa Bay area.
What Makes It Complex
What Makes It Complex
Insurance reimbursements that arrive weeks or months after treatment. High fixed overhead from staff, rent, and equipment. Payroll for clinical and administrative employees at different pay structures. Tax rules around equipment depreciation and entity structure that change how much you owe.
What We Handle
Practice finances need someone who understands how healthcare revenue actually works. You bill insurance, wait for reimbursement, track the adjustment, and then follow up with the patient for the remaining balance. That is three distinct accounting events for a single visit. We keep your books accurate through all of it, reconciling deposits to what was billed and making sure nothing slips through quietly.
Beyond monthly bookkeeping, we handle payroll for your staff, prepare your business and personal tax returns, and calculate quarterly estimates so April does not catch you off guard. If your practice is growing and you need help with budgeting or cash flow forecasting, we do that too. The goal is to take the financial management off your plate entirely so you can stay focused on patient care.
Revenue and Receivables
Revenue and Receivables
Insurance payments, patient copays, and out-of-pocket collections tracked and reconciled each month. Accounts receivable monitored so outstanding balances don’t quietly age past 90 days and turn into write-offs that nobody noticed until it was too late to recover them.
Payroll, Tax, and Compliance
Payroll, Tax, and Compliance
Payroll processed for hygienists, assistants, front desk staff, and associates. Business and personal tax returns prepared with healthcare-specific deductions captured. Quarterly estimates calculated throughout the year so you stay ahead of your tax obligation instead of behind it.
Where Practices Lose Money
The most common issue is not knowing your actual collection rate. You billed $90,000 last month. How much of that will you actually collect? Insurance adjustments, denied claims, and patient balances that never get paid can easily knock that number down by 15 to 25 percent. If nobody is tracking the gap between what you bill and what you collect, you are making staffing and spending decisions based on revenue you will never see.
Overhead is the other blind spot. Staff costs, rent, equipment leases, supplies, lab fees, software subscriptions. In a busy practice, these expenses add up fast and rarely get reviewed line by line. Supply costs go up 10 percent over two years and nobody notices because the schedule is full and it feels like everything is fine. By the time someone looks closely at the numbers, margins have thinned out and the practice is working harder for less.
Revenue You Never Collect
Revenue You Never Collect
Billing volume is not the same as collected revenue. Without tracking your actual collection rate by payer, you are overestimating what the practice earns. Denied claims pile up without resubmission. Patient balances age past 120 days and become uncollectible. The gap between what you bill and what you deposit grows wider than you realize.
Overhead Without Visibility
Overhead Without Visibility
Staff, supplies, equipment, and facility costs can easily consume 65 to 75 percent of revenue in a healthcare practice. When nobody tracks these at a detailed level, expenses drift upward a little each quarter while profit moves in the other direction. A full appointment book masks the problem until it can’t anymore.
What Changes
You see what the practice actually makes. Not what you billed, not what insurance promised, but what showed up in your account and what it cost to operate that month. Monthly financials give you a clear picture of revenue, overhead, and profit. You make decisions about hiring, equipment purchases, and expansion based on real numbers instead of how full the appointment book looks.
Tax preparation accounts for the specifics of running a healthcare practice. Equipment depreciation handled correctly. Continuing education, licensing fees, and professional membership expenses captured throughout the year instead of scrambled together in March. Entity structure reviewed to make sure your setup still makes sense as the practice grows. You stop guessing and start managing.
Practice Performance You Can See
Practice Performance You Can See
Monthly books closed on time. Revenue, expenses, and profit tracked consistently. You know whether last month was actually profitable or just busy. Cash flow forecasting helps you plan for equipment purchases, new hires, and slower seasonal periods without surprises.
Tax Strategy Built for Healthcare
Tax Strategy Built for Healthcare
Section 179 depreciation applied to qualifying equipment purchases. Continuing education and licensing deductions tracked throughout the year. Entity structure evaluated to make sure you are not overpaying on self-employment or payroll taxes. Quarterly estimates prevent a large unexpected bill when you file. Your return reflects the full picture of what it costs to run your practice.
Tampa Bay's Small Business CPA Firm
First Step:
A Short Conversation
Tell us about your business and where you need support. We'll walk through your situation, answer your questions, and give you a clear quote.
