Healthcare accounting,
actually written by specialists.
Practical tax, compliance, and practice-operations playbooks for California nurse practitioners, school-contracted SLP, ABA, and Mental Health NPAs.
Recent posts
Practical playbooks, no fluff. Bookmark these — your generalist CPA hasn’t read them.
S-Corp Election for Therapy Practices: When It Pays and When It Doesn’t
Most therapy practice owners are leaving $15–18K on the table by mistiming or skipping S-corp election. Here’s the actual breakeven math for PT, OT, and SLP practices in California.
Reasonable Compensation for Healthcare Practice Owners: The IRS Defense Playbook
The single-biggest audit risk for S-corp healthcare owners. Here’s how we document reasonable comp for NPs, PTs, OTs, and SLPs using BLS data, hours worked, and benchmark studies.
The 27-Item Tax Deductions Checklist Every Therapy Practice Owner Misses
Sensory gyms, continuing education, AAC devices, telehealth platforms, vehicle use, home office. The deductions checklist your generalist CPA hasn’t given you.
MSO vs In-House Bookkeeping for Healthcare: The True Cost Analysis
Hiring a $65K bookkeeper looks cheaper than a $1,500/mo MSO until you actually run the math. Here’s the all-in TCO comparison most healthcare practices never do.
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