← Back to HomePractical advice on bookkeeping, tax strategy, and running a smarter private practice.
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.
Group therapy practices that pay supervisees on collected revenue need a chart of accounts that can tell the story. Most do not have one.
Retainers are deferred revenue, not cash income. Booking them as cash 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 is a liability, not revenue, until the trial period closes. The deferred revenue treatment that keeps audiology books clean.
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.
You know you need a bookkeeper. But what are you actually paying for? Here's what a good monthly service includes, and what it doesn't.
Tax season has a way of revealing the truth about your books. Here are the warning signs and what to do about each one.
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.