Whether you work for a hospital or run your own practice, we make the business side easy: clean books, no‑surprise taxes, and the messy parts—expansions, remodels, and 1099s for NPs/PAs—handled.
Our core services are:

Books • Consulting • Tax

Books

The best set of books you've ever seen: clean chart of accounts, separate revenue streams, and expenses tied out

Complete, consistent, and accurate books to help track trends and understand your business cycle with certainty

Monthly close & reconciliations for bank/credit cards; done consistently, timely, and accurately.

Consulting

Entity & S‑Corp readiness: break‑even analysis, reasonable‑comp modeling, payroll design

Cash‑flow & estimated‑tax planning: owner draws vs. payroll; quarterly game plan—no surprises

Hiring someone as contractor vs. employee? We can help narrow down the answer and explain the applicable laws

Retirement/benefits coordination: Solo 401(k) or SEP‑IRA? We can run scenarios or network with a pension administrator if needed

Loan assistance for underwriters: lender‑ready income summaries and support letters

Practice changes: buying in/out or adding a partner? We help think through the "what-if" game

Tax Services

Deductions—aggressive and defensible with audit‑ready workpapers

Proactive tax planning: mid‑year or end of year projections, so cash needs are clear.

S‑Corporations: analysis → election → reasonable‑comp payroll → annual federal & state filings.

1099‑NEC/1099‑MISC e‑filed for contractors

Handling of routine IRS & state notices handled.