At Custom Accounting CPA, we provide proactive tax planning that medical practice owners can use to help make informed financial decisions. As a CPA for medical practice owners, we work alongside dentists, physicians, chiropractors, veterinarians, and other healthcare entrepreneurs to develop year-round strategies that legally reduce taxes while supporting long-term practice growth.
Who We Help
Our tax planning services are designed specifically for medical practice owners, not the general public.
We offer:
- Tax planning for physicians
- Tax planning for dentists
- Tax planning for chiropractors
- Tax planning for veterinarians
- Tax planning for practice owners
We often work with private healthcare professionals who typically generate between $500,000 and $5 million in annual revenue.
Our clients often come to us after experiencing one or more familiar frustrations. They received an unexpectedly large tax bill. Their CPA only contacts them when it’s tax season and time to file returns. They wonder whether their business structure is still appropriate or if they’re paying more than necessary.
If that sounds familiar, you’re not alone.
Because we specialize in healthcare businesses, we understand the financial realities that general accounting firms often overlook. Our recommendations are tailored to the unique financial planning challenges of medical practice ownership.
Tax Planning Services
Effective tax planning is not built around one annual meeting. It is an ongoing tax planning strategy that evolves as your practice grows.
Our planning services focus on identifying opportunities to reduce tax exposure before year-end.
Proactive Tax Planning
Every recommendation begins with understanding your practice, income, and long-term goals. We continuously evaluate changes throughout the year and identify opportunities to reduce tax liability before filing season arrives.
Entity Structure Optimization
Your business structure directly affects how much you pay in taxes.
Whether you currently operate as an LLC, S-Corporation, or another entity, we evaluate whether your structure continues to serve your financial goals. Strategic S-Corp elections and entity optimization can significantly reduce self-employment taxes for many profitable medical practices.
Quarterly Tax Strategy Meetings
Waiting until March or April to discuss taxes limits your options.
Quarterly advisory meetings allow us to review financial performance, estimate tax liability, discuss upcoming business decisions, and adjust your strategy before deadlines pass. These meetings help eliminate surprises while creating opportunities to improve cash flow throughout the year.
Retirement and Wealth-Building Strategies
Tax planning should support more than this year’s return. We help coordinate retirement planning strategies that reduce current tax liability while building long-term wealth for practice owners.
Ongoing Financial Support
While proactive planning remains our primary focus, we also provide tax preparation, bookkeeping, IRS representation, and other accounting services that support your overall financial strategy. Every service works together to create a more efficient business, rather than existing as separate transactions.
When to Start Planning
Many practice owners first seek professional planning after receiving a large tax bill.
Others contact us after purchasing a practice, adding another location, hiring associates, switching to an S-Corporation, or preparing to sell their business.
While these milestones create excellent opportunities for planning, the best time to begin is before they happen.
The earlier planning starts, the more strategies remain available.
Even if you’re already working with a CPA, ask yourself one question: are they reaching out throughout the year with ideas to reduce next year’s taxes, or are they simply preparing returns after the fact?
If planning conversations only happen during filing season, there may be valuable opportunities you’re missing.
Why Choose Us
Healthcare practices require more than a general accounting firm.
Our New York-based team serves a nationwide clientele, focusing specifically on serving medical professionals. We understand the financial decisions, operational challenges, and tax opportunities unique to private practices.
Rather than offering reactive compliance services, we build long-term advisory relationships with our clients. Through ongoing communication, quarterly planning meetings, and proactive recommendations, we help practice owners make confident financial decisions throughout the year. Our pricing often pays for itself.
Schedule a Discovery Call
If you’re looking for a tax professional who will give you a smarter approach to tax planning, now is the time to start. Ready to take the next step? Schedule a discovery call today.