← Back to HomePractical advice on bookkeeping, tax strategy, and running a smarter private practice.
Revenue by payer type, a cost of services section for clinician pay, one class per clinician, and an EHR-to-bank tie-out every month. How the books change when a therapy practice grows past solo.
Office-level P&Ls, doctor production and collections, optical as its own profit center, shared costs allocated one written way, and owner draws and buy-ins recorded by owner.
Reconciliations through December 31, the full-year EHR tie-out, matching your Forms 1099-K, W-2 and contractor totals, owner items, inventory, and locking the year in QuickBooks Online.
Payroll or contract labor? How each arrangement lands in QuickBooks Online and on the P&L, what employer taxes add to a split, the records each needs, and how the monthly close changes.
The deposit is your revenue minus write-offs, lab chargebacks, and a services/materials split your books probably don't make. The monthly habit that ties every plan payment back to production.
Group books have to answer three questions solo books never face: what does each location earn, what does each producer generate, and where is the money moving between entities?
Three businesses times N doctors. Production by DVM, margin by revenue stream, and partner capital accounts clean enough that buy-ins are arithmetic instead of arguments.
Your EHR is billing, not accounting. QuickBooks, Wave, Heard, and a bookkeeping firm each solve a different problem. The honest map of the category, and the three events that end the software-only era.
Software, a local solo, a traditional firm, or a remote-first service? The honest tradeoffs for Greenville businesses, what each costs, and the North Carolina filings somebody has to own.
Most QBO setups are built for a clean month-end P&L and little else. Five changes that turn QuickBooks into a Monday-morning operational read.
Private practices share a core accounting pattern that generic bookkeeping misses. Here's why we built our firm around them, and what we handle specifically.
When a group practice pays associates on what they bring in, the books have to know which clinician earned every dollar. Revenue by rendering clinician, EFT tie-outs, pay models, and the edge cases agreements should settle.
On the books, retainers are deferred revenue until the work is done. Booking them as earned on day one is the most common bookkeeping mistake in solo and boutique consulting.
Veterinary practices are three businesses sharing one set of books. Pharmacy inventory exposes whether your bookkeeper understands the difference.
An optometric practice with an optical shop is two businesses sharing one location. The bookkeeping that respects that reality is rare and valuable.
Telehealth nurse practitioners cross state lines casually. Their books rarely reflect the tax exposure that creates.
MSPs that bundle hardware resale into a single revenue line cannot tell where their margin lives. The fix is two revenue lines, not one.
Hybrid PT practices that commingle cash-pay and insurance revenue can't tell which side is paying the bills. Here's how to fix the chart of accounts.
Psychological testing batteries span weeks, not days. Booking them as if they're single-day events is the most common error in doctoral practice books.
Production and collection answer different questions. Most dental bookkeeping treats one as a substitute for the other, and that single substitution drives more bad operational decisions than almost anything else.
In an ABA practice, the per-pair economics of every BCBA-RBT relationship are the most important number nobody is reading. Most practice books do not surface them.
If your speech therapy practice has school district contracts, your AR aging by district is your most important monthly read. Most practices lack one.
A $4,000 hearing aid sale stays refundable until the trial period closes. How to track open trials so refunds never catch your books off guard.
Modern RD practices have three revenue streams: service, digital product, and affiliate. Each has different QBI, sales tax, and recognition implications.
Acupuncture practices that dispense herbs almost certainly have a state sales tax exposure they're not tracking. Here's the framework and how to fix it.
DIY bookkeeping works until it doesn't. Here's what it actually costs you in time, errors, and missed deductions.
The IRS requires S-Corp owners to pay themselves a reasonable salary. Here's what that actually means and how to get it right.
There's a moment in every private practice where the books stop being manageable. Here's how to know when it's time to get help.
Tying EHR payments to insurance EFTs and card payouts, recording revenue by payer and clinician, categorizing therapy-specific costs, and the reports a practice owner should expect every month.
EHR revenue that doesn't tie to the bank, clearing accounts that keep growing, contractor pay without W-9s, and S-Corp payroll that never ran. The self-check to run before your tax preparer does.
QBO is one of the best tools for private-practice accounting. It's also one of the most misused. Here's how to get more out of it.
Every year, private-practice owners leave money on the table. These are the legitimate deductions we see missed most often.
Your accountant says you should be an S-Corp. But what does that actually mean, and is the switch worth it? Here's what you need to know.
Most people pick based on price. Here's what actually matters, and the questions to ask before you sign.
Most bookkeepers hand you a PDF at the end of the month. Here's why that's not enough, and what to look for instead.