The questions we get asked most, the tools we built to answer them, and the writing behind both. Plain English, specifics over generalities, and no gate on any of it.
Honest answers to the questions that come up again and again. Want yours answered directly? A free assessment is one click away.
Often — once your profit comfortably exceeds a reasonable salary, an S-election can cut self-employment tax. The catch is a defensible owner salary. We run the numbers before you elect, so it actually saves money and holds up under scrutiny.
See the worked example →Home office, CEUs and licensure, malpractice and liability insurance, EHR and scheduling software, mileage, and more — when it’s documented. We build a therapy-specific chart of accounts that captures it automatically.
See what a review costs →Most owners end up paying for all three and still tie it together themselves. An MSO is one team that does the books, the tax strategy, and the CFO thinking — so nothing falls through the cracks.
Compare the options →A reasonable W-2 salary plus distributions. Too low invites an audit; too high overpays payroll tax. We document a defensible reasonable-compensation split and run it through payroll cleanly.
How we set it →Under California’s ABC test, most clinicians are W-2. Misclassification is a top EDD audit trigger in behavioral health — we help you classify defensibly before it becomes a problem.
See the real cost →When the books eat your evenings, or you’re hiring and adding locations. If admin is stealing clinical time, the math almost always favors handing it to a specialist team.
What switching involves →None of it is gated and none of it asks for your email. If it answers your question and you never call, that is a fine outcome.
Occasional, useful, and never spammy — tax deadlines, strategy, and benchmarks for practice owners.
Book a free, no-pressure practice assessment. We'll review your books, entity structure, and tax posture and show you exactly where we'd add value.