Healthcare

Tax, accounting, and advisory for physicians and medical groups

Healthcare CPA services cover the full back-office of a medical practice — billing reconciliation, payer mix analysis, provider compensation, HIPAA-aware bookkeeping, and entity planning for PCs, PLLCs, and management service organizations.

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What the specialist does

What a healthcare specialist actually handles

Practice tax planning and entity selection (PC, PLLC, S-Corp, MSO)
Billing-to-bank reconciliation and collection rate analysis
Provider compensation modeling (RVU, eat-what-you-kill, salary)
Retirement plan design (cash balance, 401(k), profit sharing)
Practice purchase, sale, and partner buy-in support

Common tax issues

Tax issues this specialist handles every year

Generic firms miss most of these. A specialist surfaces them in planning conversations, not on the next IRS notice.

Specified Service Trade or Business (SSTB) limits

Medical is an SSTB — QBI deduction phases out at higher incomes. Planning around the phase-out is critical.

Pass-through entity tax (PTET) elections

Most states offer a SALT-cap workaround for medical entities — proper election can save 4–10% of state tax.

Cash balance plans

Allow $200k–$300k+ in pre-tax contributions for higher-earning physicians; complex but high-leverage.

Self-employment tax on partnership earnings

Limited partner exception for medical partnerships is heavily scrutinized; structure matters.

Locum tenens and 1099 income

Quarterly estimates, retirement contributions, and entity planning differ from W-2 physician income.

Bookkeeping requirements

EHR / PM system deposit reconciliation
Payer mix and adjustment tracking
Physician productivity and overhead allocation
Medical supply and pharmaceutical inventory
MSO / practice intercompany accounting

Payroll issues

Physician compensation, bonus, and call pay
Mid-level provider (NP/PA) pay structures
401(k) and cash balance plan contributions
ACA reporting for >50 FTE practices
Locum tenens 1099 issuance

Software used

The tools a real specialist works in

QuickBooks Online with medical chart of accounts

Sage Intacct or NetSuite for larger groups

Athena, Epic, NextGen, or eClinicalWorks integrations

Gusto, ADP, or Paylocity for payroll

Bill.com or Ramp for AP automation

Pricing ranges

What you should expect to pay

Real market ranges from active engagements. Fees scale with complexity, location, and firm size.

Solo physician practice

$700–$2,000/mo

Bookkeeping, payroll journal, monthly close, tax planning.

Group practice (5–20 providers)

$2,500–$8,500/mo

Provider comp, MSO accounting, retirement plan admin coordination.

Tax return — medical entity + physician 1040

$1,500–$5,500

Includes PTET, QBI modeling, retirement contribution optimization.

Practice valuation / sale support

$5,000–$25,000

Used for buy-ins, partner buyouts, or sale to PE/health system.

Featured professionals

Healthcare CPA services — vetted pros accepting new clients

Verified specialists appear here as profiles are claimed and reviewed in United States.

Questions to ask

How many medical or dental practices do you serve?
Do you support cash balance plan design?
How do you handle PTET elections in our state?
Can you model an associate buy-in or partner buyout?
How do you protect PHI in your workflows?

Red flags

!Doesn't know what SSTB phase-out is
!Hasn't filed PTET elections for medical practices
!No experience with cash balance plans
!Treats all physician partnership income as full SE tax without analysis
!Won't sign a HIPAA business associate agreement

Local provider links

Related directories and pages

Medical practice CPAs directory

/medical-practice-cpas

CPA medical

/cpa-medical

Payroll for healthcare in Baltimore

/payroll-services-for-healthcare-baltimore

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Browse vetted healthcare professionals, compare credentials and pricing, and start a conversation in minutes.

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FAQ

About healthcare cpa services

Does a healthcare CPA need to be HIPAA trained?+

Yes. Any CPA touching billing or payer data should sign a HIPAA Business Associate Agreement and maintain documented safeguards.

Can a healthcare CPA help with practice acquisitions?+

Yes — quality of earnings, working capital targets, payer credentialing transitions, and physician comp redesign are all standard services.

What's a cash balance plan and why do physicians use them?+

A cash balance plan is a defined benefit plan that allows much higher pre-tax contributions than a 401(k) alone — often $200k+/year for older physicians.

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