Tax strategy for medical practices. Built for owners.
Practice entity structured for liability and tax. Defined-benefit plans funded to the cap. Cost-segregation on the building. Equipment §179'd the year it lands.
A practice without a defined-benefit plan is leaving six figures of pre-tax contributions on the table every year. An MRI bought without a §179 plan is depreciation drag. A medical-office building owned without cost segregation is permanent over-tax.
How we fix it.
Entity review
PLLC, PC, or LLC depending on state and partner structure. S-Corp election where the QBI math and SE tax align.
Compensation plan
Reasonable salary set. K-1 distributions sized. Quarterly estimateds calibrated to actual production.
Retirement strategy
SEP, Solo 401(k), or Defined Benefit (potentially $200K+ pre-tax per partner). Modeled annually.
Asset planning
Equipment §179, cost-seg on the building, vehicle elections. Coordinated, not improvised.
Why us for medical practices.
IRS Enrolled Agent, enrolled to represent taxpayers before the IRS in all 50 states, alongside CPAs and attorneys.
Finance training: the math behind every recommendation we make. Currently in law school.
Practice entity — PLLC, PC, or LLC, by state.
Some states require a Professional LLC or PC for licensed practitioners. The federal tax election (S-Corp, partnership, disregarded) sits on top of that. We get the state and federal layers right.
Defined-benefit plans — the underused lever.
For a 50-year-old solo specialist, the DB cap can exceed $250K/yr — all pre-tax. The setup is non-trivial; the savings dwarf the setup cost. We design and coordinate with an actuary.
Cost segregation on the medical office.
Specialized medical buildings have unusually high 5/7/15-year components (cabinetry, fixtures, specialized HVAC). Cost-seg studies on medical buildings often reclassify 25–35%. We coordinate with the engineer.
Pricing, on the page.
Published prices · Quoted in writing before any work startsHow it works: one annual fee, half paid at engagement and half before your return is filed. Everything past the package baseline is a published add-on at a fixed price, so nobody counts forms. Books, payroll and sales tax are the only monthly items, because they are the only monthly work. See the full grid and every add-on or get your price in a minute.
One practitioner. Every file, personally led.
Cody is an IRS Enrolled Agent with an MBA — a solo practitioner with a small support team, working out of Lakeland, Florida. He is also currently in law school.
Every client engagement is led by Cody personally. The firm stays deliberately small so the work stays deliberately careful — and so when the IRS calls, the person who picks up is the person who filed your return.
Common questions.
If yours isn't here, ask it on the intake — we read every one before the first call.
Should I be PLLC or PC?
Florida lets you be either. PLLC is simpler in most cases. We map the choice to your liability, multi-state plans, and federal tax election.
What's a DB plan worth to me?
For a single 50-year-old physician netting $400K+, often $150K – $280K/yr of additional pre-tax deferral. The actuarial cost is a fraction of the savings.
Is cost segregation worth it on my building?
Usually yes for medical buildings over $750K basis, especially in the first year. The bonus-depreciation step-down is changing the math; we model your building.
Can I deduct CME?
Yes — continuing medical education is a deductible business expense.
How does QBI work for me?
Medical practices are SSTBs — Specified Service Trades or Businesses. The QBI deduction phases out above ~$483K (MFJ, 2026). We plan around it.
Multi-state practice?
Common with telehealth and multi-location. We handle the apportionment and state filings.
Related
- Business tax preparationS corp, partnership, C corp and Schedule C returns, with the owner's return included.
- S corp tax servicesWhether the election pays, Form 2553, a salary you can defend, and the 1120-S.
- Monthly bookkeepingMonthly close and reconciliations from the firm that files your return.
- CRNAs, NPs, locums and travel nursesW-2 or 1099, multi-state work and the entity question.
Practice the medicine. We'll plan the tax.
Send your last 1120-S and a current production summary. We'll model the planning gap on the call.