built for the unique financials of medical practices.
Standard bookkeeping offices miss medical-specific write-offs, mishandle insurance merchant reconciliations, and default to inefficient partner distribution models. AA operates as your specialized financial department.
Section 179 & Equipment Depreciation
Maximize immediate tax deductions on high-value medical equipment including MRI, CT scanners, digital X-rays, ultrasound units, and EHR technology.
- 100% first-year Section 179 expense elections
- Bonus depreciation planning on medical leaseholds
- Lease vs. purchase financial comparison models
Practice Entity & MSO Structuring
Structure your practice into Professional Limited Liability Companies (PLLC), S-Corporations, or Management Services Organizations (MSO) to reduce liability and minimize self-employment taxes.
- PLLC & S-Corp tax election optimization
- MSO management fee agreements & asset isolation
- Multi-partner buy-in and buy-out valuation formulas
Physician Compensation & Distributions
Design fair, transparent partner compensation models balancing W-2 salary requirements with tax-efficient K-1 profit distributions.
- RVU (Relative Value Unit) salary calculation formulas
- Reasonable compensation benchmarking for IRS audit safety
- Quarterly estimated tax payments for high-earning partners
HIPAA-Conscious Payroll & Benefits
Automate complex healthcare payroll including shift differentials, locum tenens 1099 tracking, overtime rules, and pre-tax health insurance deductions.
- W-2 employee and 1099 locum contractor management
- Group health insurance & HSA tax-deductible plan setups
- Automatic payroll tax filings & W-2/1099 distribution
Revenue Cycle & Billing Reconciliation
Reconcile insurance merchant payouts, electronic funds transfers (EFT), patient copays, and merchant processing fees against actual bank deposits.
- EHR system payment data matching
- A/R aging reports & patient balance tracking
- Merchant fee audit & cash flow forecasting
AA One Medical Practice Growth
Maintain 5-star Google ratings and consistent practice listings across Healthgrades, WebMD, Vitals, and 70+ directories without risking HIPAA compliance.
- Automated review requests sent via SMS/Email
- Directory profile synchronization across 70+ platforms
- New patient lead pipeline & consultation follow-ups
sectors served
healthcare specialties we support
Whether you run an independent solo clinic, an expanding multi-provider practice, or an MSO group, AA provides tailored financial support.
Dental Practices & Orthodontics
Job costing for dental lab fees, Section 179 write-offs for 3D imaging & dental chairs, hygienist payroll, and associate buy-in modeling.
Primary Care & Internal Medicine
Insurance copay & claim reconciliation, capitation payment tracking, MSO entity structuring, and patient retention workflows.
Surgical Centers & Specialists
Facility fee revenue allocation, complex multi-physician partner distributions, high-value medical device leases, and W-2/K-1 tax splits.
Mental & Behavioral Health
Telehealth multi-state nexus compliance, sliding-scale fee bookkeeping, solo-to-group practice conversions, and independent contractor 1099s.
Physical Therapy & Rehab
Therapist productivity metrics, equipment leasing vs. financing tax impact, Medicare reimbursement tracking, and local clinic directory sync.
Dermatology & Medical Spas
Mixed insurance/cash-pay retail revenue accounting, aesthetic product inventory tracking, sales tax on cosmetic products, and review management.
estimate your practice tax savings
See how Section 179 equipment deductions and S-Corp/MSO tax optimizations can reduce your practice tax liability.
estimated annual tax reduction
$75,950*
*Estimates based on average 32% federal/state tax bracket and S-Corp payroll optimization. Final tax savings depend on specific practice entity type and state tax codes.
medical practice accounting faqs.
focus on your patients.
we'll handle the practice financials.
Accounting, payroll, taxes, patient reviews, and directory listings — managed through one seamless relationship.