Billing deposits vs. what you keep
ERA/EFT deposits, copays, and refunds can look like “income” without context. We categorize to the bank activity you control.
Physician practices · remote-first
Medical practice books that stay decision-ready.Entities, payroll, and owner pay—organized.
Done-for-you bookkeeping for physicians and small groups—remote-first. Essentials $99/month.
Billing company deposits, malpractice premiums, CME, associate compensation, and PC vs. management-company splits are easy to lose in a generic ledger. We keep physician practice books clear enough to run the clinic and plan tax—not just survive April.
Remote-first bookkeeping & tax · we work with clients across the U.S. · Sentinel Tax
What we handle for physician practices
Clinical revenue is one thing. Ownership accounting is another.
Books that respect how physicians actually get paid and spend.
- Practice entity vs. personal activityWe keep the practice books focused on the business you own—owner pay, staff payroll, and operating expenses—so personal activity doesn't blur the P&L.
- S-Corp reasonable compensationOwner W-2 vs. distributions coded consistently so monthly statements support tax conversations.
- Malpractice & insurance expense codingPremiums and related coverage land in predictable accounts—not a year-end scavenger hunt.
- CME, travel & professional spendEducation and travel coded cleanly so deductible practice spend stays separable from personal.
- Partnership / K-1 multi-owner awarenessGuaranteed payments, draws, and partner flows kept consistent when more than one owner is on the books.
- Billing vs. collections timingERA/EFT deposits and patient portions categorized to bank reality—so the P&L isn’t a billing black box.
How it usually works / typical pain
Side gigs, entities, and deposits create fog fast.
Multiple entities & mixed cards
PCs, management companies, and personal charges on practice cards need consistent treatment—or monthly numbers lose trust.
Personal and practice spend get mixed
Personal charges on the practice card—and the reverse—make it hard to trust the monthly numbers. Clean operating books make owner pay and tax conversations easier.
Associates, benefits & retirement
W-2 clinicians, staff payroll, and high-level retirement contributions should show up predictably for planning.
What each plan means for a physician practice
Support scaled to how complex your entity is.
Talk with a CPA first, or start online—soft next steps, no hard sell. Each higher package includes everything below it.
- Quarterly review of your self-kept books
- Bank & credit card reconciliations verified
- P&L and balance sheet checked for accuracy
- Written findings report each quarter
- Tax-ready financial statements at year-end
- Fixes quoted separately — never folded in
For this vertical:
- Monthly reconciliation for a simpler practice banking footprint
- Clear P&L / balance sheet for solo or lean offices
- Portal messaging when a deposit or vendor needs context
- Up to 2 bank & credit card accounts · up to 100 monthly transactions
- Portal, email & messaging
For this vertical:
- Payroll entries from your payroll reports
- Loan / line-of-credit reconciliation & interest tracking
- Quarterly written financial summary for owners
- Up to 4 accounts · up to 250 monthly transactions
For this vertical:
- Capacity for higher transaction volume and extra accounts
- Business-owner tax planning tied to current books
- Estimated-tax and year-end action guidance (online)
- 4+ accounts · up to 1,000 monthly transactions
Monthly price covers one business entity. Essentials is $99/month. Tax return preparation and meetings are separate. Optional S-Corp & partnership returns start at $299. Cleanup or catch-up work is quoted before monthly service begins. Phone support and meetings are not included in monthly packages; existing clients can request a one-on-one meeting for $99.
Optional business taxes
S-Corp & partnership returns
Physician practices commonly need S-Corp or partnership returns. Optional business return preparation starts at $299 per annual return, available with any bookkeeping plan. Personal returns are separate.
$299
Starting at per annual business return
Next step
Not sure which plan fits?
Talk with a CPA free for 15 minutes—or get started online when you're ready. Soft next steps, no hard sell.
Industry FAQ
Before you get started.
Can you handle a PC plus a management company?
We bookkeep one business entity per monthly package. If you have multiple entities, we’ll talk through the right setup on a free intro call—often one package per entity, with clear ownership flows between them.
Do you replace our billing company?
No. We don’t process claims or patient billing. We keep the books from your bank, cards, and the detail you provide so financials stay accurate after money hits the account.
Can you keep owner pay and practice operations straight?
Yes. Practice books stay focused on the business you own—revenue, staff payroll, expenses, and owner salary vs. distributions. We’ll flag personal items that land on the practice books during monthly questions.
Is Complete the same as a tax return?
No. Complete adds ongoing business-owner tax planning using your books. S-Corp/partnership return preparation starts at $299 and is arranged after you’re on a bookkeeping plan.
Practice medicine. Let a CPA firm keep the ledger.
Free 15-minute intro with a CPA, or start online. Essentials $99/month. Remote-first across the U.S.