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Help…My Medical Practice is Growing, is it Time For In-House Hires❓ 😷🩺… OR How Can Growing Medical Practices Obtain Proper Financial Leadership, Tax Minimization Plans, Billing Optimization & Spot-On Practice Management Without a Full In-House Team 💼📊 🩺 As your medical practice/medical business grows, its financial needs change… Early on, tracking income and expenses is enough. Later, the same reports stop answering the questions that matter. You as the medical…  Read more

The best business strategy discussions and plans don’t wait for quarterly meetings; strategy often gets treated like something formal but most business decisions don’t happen in those settings. They happen in between: during conversations, quick calls, small choices that don’t feel strategic at all. That’s where direction is actually shaped. Strategy works better when it stays close to that rhythm instead of sitting outside it. So…….if you have something on…  Read more

Healthcare businesses operate differently from most other industries when it comes to finances. A quick example: if billing and collection success rates in healthcare were applied to many other industries, most business owners would be shocked. On the surface, the financials may look familiar—revenue, expenses, and reports. But once you dig deeper, the details become much more complex. Payments often arrive weeks or months after services are provided, reimbursement amounts…  Read more

This is one question I love…not quick and not easy but so rewarding when we can help our clients and have an impact on their peace of mind. 😊 It’s June 12th and next week your 2026 estimate #2 is due 📅. We’ve held several client meetings this week; this blog post was inspired by them. Yes, they started with a discussion regarding year-to-date business operations 📊, our next tax…  Read more

Business growth is often interpreted as progress. Increasing revenue 📈, expanding teams 👥, and entering new markets 🌎 are generally taken as indicators that a company is moving forward, but unless you are meeting short-term and long term goals, are you successful…or just busier, AND are you still enjoying the work you are doing…AND are you making a difference in the lives of your customers, patients, clients, staff and just…  Read more

Are there thoughts running through your head at the end of the day😔, when you are desperately trying to sleep💤, something you have heard from other small business owners, other medical practitioners at conferences? You are not alone, this rings true for many small businesses, even those that may be or appear to be hugely successful.  Running a medical practice (YOU CAN SUBSITIUTE small business, law firm, start-up HERE) may…  Read more

If there’s one shift I’ve watched push businesses forward more than anything else these past few years, it’s this: the move from a reactive mindset to a predictive one…Rrrrrrright not forecasting revenue or planning for taxes…I’m seeing the deeper shift: initiate change as your advisory team shares insights, aligns strategies, and works from data that connects cleanly…Advisory TEAM???? Yes, remember there’s no i in team… That’s when you stop playing…  Read more

I tell clients this often, usually while we talk over coffee ☕💬 or zoom 💻 “strong businesses don’t grow by accident, they grow because you design and maintain them that way”. I believe that’s true for our small business owners, medical practitioners, law firm owners and our visionary start-up entrepreneurs as well. And design matters even more when markets, laws, and conditions keep moving.  If you’ve been in business long…  Read more

As a Certified Public Accountant (CPA) and Certified Tax Coach (CTC), I get asked this question all the time: “Can I deduct my business travel?” And—no surprise here—the answer is: it depends 😉But let’s break it down in a practical, real-life way. Next week, I’ll be traveling to San Diego, CA for a tax conference that’s integral to my work as a tax advisor and coach. I already have: ✈️ A…  Read more

As 2025 draws to a close, we have been working through 2025 tax minimization plans, growth plans, exit strategies, and looking towards 2026 and future years as well.  We get so much satisfaction from helping our clients achieve their goals; current, future, imagined as we work with “strategic partners”.  When they follow this model we see success with small business owners, medical practitioners, law firm owners and our visionary start-up…  Read more

Another great question! 🎯 and of course we say “it depends” and “it’s not quick or easy”  when you do things right, we may find opportunities during our tax planning strategy meetings to help you work through your exit strategy in the most tax advantaged way. isn’t just for Silicon Valley startups — Section 1202 Qualified Small Business Stock (QSBS) can also be a high-impact planning tool for small business owners, medical practices…  Read more

Another great question! 🎯 One I asked myself just a week ago, as I considered my purpose for attending the 23rd ATS Tax and Accounting conference, a three (3) day tax symposium held on Long Island.  Spoiler alert:  I am the current Co-President of the N/S Chapter of NCCPAP Educational Foundation and a member of the ATS executive committee so I don’t really have much choice, but I “got\get” so…  Read more

As a small business owner or medical practice owner, setting up a retirement plan doesn’t just help you and your team save for the future — it can also offer immediate tax savings and tax credits for you and your business…NOW. A retirement plan (such as a SEP, SIMPLE IRA, or 401(k)) can cover both the owner and eligible staff. Eligibility is typically based on: Number of hours worked (e.g.,…  Read more

When you’re running a practice, long-term goals & even short-term goals are not always top of mind. Between patients, paperwork, payroll, insurance chaos, and family obligations it’s easy to feel like your immediate finances call the shots. 😅 I believe a thriving practice depends on financial stability; just like you tell your patients “Prevention beats cure every time”. Let’s check your business health and make sure no financial symptoms are…  Read more

Great question — and one I have been discussing with my clients and prospective clients more and more lately; spoiler alert: Not necessarily! Many small business owners and medical professionals assume that if they pay for something with their business credit card, or via their business checking account it automatically counts as a business deduction. Unfortunately, the IRS doesn’t see it that way. Let’s clear this up 👇 🚫 Paying…  Read more

Great question — and one I have been discussing with my clients and prospective clients more and more lately. The good news? If you’re asking this, you’re already ahead of the curve. Thinking about growth, succession, and strategy means you’re not just running a medical practice — you’re running a business too. Here are some key considerations as you look toward expansion, transition, and tax-smart planning: 🔹 1. Keep the…  Read more

By now you know your quick questions take a minute to ask and our quick answer is “It depends”.  We already know, in order to get a valuable, actionable answer/plan we need to determine several things, including short-term and long-term goals and expected exit strategy. Starting a new business, or expanding your existing business is exciting 🎉, but one of the first steps—choosing your business structure—is often confusing, and working…  Read more

The answer, of course, is “it depends” — and it’s not quick or easy. Like most things tax and/or business related, the answer is tailored to each client’s circumstances and goals and of course your goals📈🌈💡 and the tax law! 📚⚖️ Running a medical practice is more than just patient care—it’s also about navigating billing, payroll, compliance, staffing, and vendor contracts. For many physicians, these responsibilities can become overwhelming. That’s…  Read more

Growing a business is like navigating a road trip: you need a clear destination, a solid map, and the determination to keep moving forward—even when detours appear. At our office, we have a favorite saying, “Start with the end in mind.” This principle applies to setting your business up for long-term success. Here’s how you can shift from being overwhelmed to making progress that truly matters: #1 Set Clear Goals…  Read more

Just the other day I received this email: “Hi Andrea- Hope all is well, quick question. I am taking on some additional contract work 1099, likely 2K/month starting in June. How much additional should I payin to cover tax burden? I assume I will have deductions associated with this additional work from home as well.” It’s a quick question, but never a quick (or easy) answer or process when doing it…  Read more