Built for medical & dental practices. Practice books, the S-corp, §179, done right.
Client login786-952-6621
For medical & dental practices

Accounting that speaks production, collections, and overhead.

Most accountants treat a medical or dental practice like any small business. We do not. Books that separate production from collections, equipment expensed the smart way, the S-corp set up to cut your tax, and the practice numbers you actually run on, from a licensed CPA who knows how a practice makes money.

Talk to a practice CPA Where to start →
★★★★★
5.0 from clients on Google
Production vs collectionsThe S-corp, dialed in§179 equipment
A Blue Cloud medical practice owner client
Practice3 providers
$142,600Monthly collections · 3 providers
Overhead58%
Tax saved this year$31,000
Built for practices
Books built for a practiceProduction, collections, AR
Equipment expensed right§179 & bonus depreciation
The S-corp, set up rightLess tax on the same income
A CPA who knows practicesOpening through buy-out
A practice is not a corner store

Insurance adjustments and provider pay break generic books

Production billed, insurance write-offs, what actually gets collected, associate comp on a percentage, and six-figure equipment: a generalist treats every deposit as income and misses all of it. We build the books a practice actually needs, separate production from collections, handle the adjustments, and make the tax moves a practice owner should be making.

  • ✓The S-corp done rightReasonable comp set and documented, so you cut payroll tax without inviting a problem.
  • ✓Equipment expensed smartlySection 179 and bonus depreciation on chairs, imaging, and build-out, deducted when it helps most.
Talk to a practice CPA
A practice owner reviewing the numbers
✓
Collections cleanProduction vs collected
●
Tax cutS-corp dialed in
★
Equipment deducted§179 captured
What we handle for practices

From the PLLC to the buy-out

Payer mix
Insurance62%
Patient pay30%
Other8%
✓Per-provider

Entity & practice books

A PLLC or S-corp set up right, and books that separate production, collections, and insurance adjustments.

Collections+7%
$142,600
✓Tracked

Collections, AR & overhead

Production billed vs collected, insurance adjustments, AR days, and overhead, so you see what you actually earn.

Equipment
$120,000
Section 179, year one
✓Expensed

Equipment & depreciation

Chairs, imaging, lasers, and build-out expensed with §179 and bonus depreciation, deducted when it helps most.

Tax saved
$31,000
S-corp comp, documented
✓Optimized

The S-corp & owner tax

Reasonable comp set and documented, distributions handled, so you keep more of the same income.

Practicing or owning across the border (a Canadian provider with a US practice, or the reverse) gets the cross-border treatment on top. See cross-border →

Where to start

How practice owners usually engage us

Most start with the return and a tax-structure review, then grow into monthly books and a CFO view as the practice adds providers.

Tax + structure review
Start with a return, not a retainer
from $1,295
  • Your practice return done right (C-corp from $2,495)
  • An S-corp & comp review that often pays for itself
  • No monthly commitment to begin
  • See tax & structure →
Start here
Monthly books + tax
When the practice needs clean books
from $350/mo
  • Practice bookkeeping (production vs collections)
  • A CPA-reviewed close every month
  • Add tax + planning on one bill as you grow
  • See the plans →
Start here
Fractional CFO
Growing or adding providers
from $1,750/mo
  • Provider comp & overhead modeling
  • Buy-in, buy-out & valuation support
  • KPI & benchmark reporting
  • See fractional CFO →
Start here

Just opening your practice? We set up the PLLC, the S-corp election, and the books so it is right from day one (formation & tax). Not sure which? A short call sorts it, we will tell you the one move worth making first.

Real work

What that looks like in practice

Medical · S-corp & owner pay

The same income, far less tax.

A solo physician was taking every dollar as salary and overpaying tax. We elected S-corp status, set reasonable comp, and restructured the distributions.

✓
ResultTens of thousands in tax saved, every year going forward.
Dental · equipment & §179

New operatory, deducted in year one.

A dental practice bought new chairs and imaging and was spreading the cost over years. We expensed it under Section 179 in the year it was placed in service.

✓
ResultA six-figure first-year deduction against a strong year.
Practice · collections & overhead

An overhead number they could trust.

A group practice's books mixed production with collections, so the P&L never matched the bank. We rebuilt them around collections and insurance adjustments.

✓
ResultClean numbers, and an overhead figure the partners could finally trust.

Client engagements of the firm. Details anonymized.

What clients say

Practice owners who stopped explaining the P&L to their accountant

G★★★★★ 5.0 from clients on Google
★★★★★

"The S-corp election alone saved more than a year of fees. I have no idea why my old accountant never even brought it up."

Sample client
Solo physician
★★★★★

"They expensed our new operatory equipment in year one. The deduction landed exactly when we needed it most."

Sample client
Dental practice owner
★★★★★

"For the first time our overhead number actually means something. Production, collections, and the bank finally agree."

Sample client
Group practice partner

Sample layout. Real client reviews drop straight into this section once collected.

What you can count on

Built to standard, in writing

Books built around collections, the tax structure done right, and one CPA from the PLLC to the buy-out. The promises below are written into your engagement.

  • Books built for a practiceProduction, collections, and insurance adjustments handled, so your numbers match the bank and your overhead figure means something.
  • The tax structure done rightThe S-corp and reasonable comp set and documented, equipment expensed under §179, so you keep more of the same income.
  • From the PLLC to the buy-outThe same CPA from opening the practice to selling your share, so nothing gets re-explained to a new vendor at the worst moment.
Engagement LetterBlue Cloud CPA
Our promise

Books built around collections, the S-corp and §179 documented, and one CPA from the PLLC to the buy-out.

Yarik Yarosh
CPA (US · Canada)
✓Signed
✓Built to standard
✓In writing
Who you work with

A CPA who knows how a practice makes money

Yarik Yarosh, CPA
Licensed CPAUS + Canada
Practice to buy-outKnows healthcare

Your entity setup, your practice books, your S-corp and owner comp, your equipment depreciation, and your KPIs are handled by Yarik Yarosh, a CPA licensed in both the United States and Canada who knows how a medical or dental practice actually runs, not a generalist learning your P&L on your dime. The same firm keeps the books, files the return, and plans the next provider hire, so your tax return and your practice numbers agree, and owners crossing the border get both countries in-house.

LicensureCPA (US) · CPA (Canada)
MembershipsAICPA · CPA Canada
FirmFlorida-licensed CPA firm
ProfileLinkedIn
Owner questions

Honest answers, up front

Do you actually know medical and dental practices, or just bookkeeping?
Both. We keep the books around production, collections, and insurance adjustments, and we speak overhead percentage, collection ratio, AR days, and provider comp. The point is that your practice numbers and your tax return finally agree, instead of living in two different spreadsheets.
Will the S-corp election actually save me money?
For most established practice owners, yes, and often more than our fees. We set a reasonable salary, document it, and handle the distributions so the savings hold up if anyone ever asks.
We just bought a lot of equipment. Can you help with the deduction?
Yes. Chairs, imaging, lasers, and build-out can often be expensed under Section 179 or bonus depreciation in the year placed in service. We time it to the year it helps you most.
Can you handle a practice buy-in, buy-out, or sale?
Yes. We support valuation, the buy-in or buy-out structure, and the tax side of a transition, whether you are adding a partner or selling your share.
I'm a provider licensed or owning in both the US and Canada. Does that matter?
It can matter a lot, and it is our specialty. Cross-border providers get the both-countries treatment on top of the practice work, from a CPA licensed in both.
How do we get started?
A short call with a CPA who knows practices. We will tell you the one move worth making first for yours, and quote it before anything starts.
Running a practice?Talk to a CPA who knows how one actually makes money.
Talk to a practice CPA

Let's set the practice side up right

A short call with a CPA who knows practices. We'll tell you the one move worth making first, and quote it before anything starts.

  • ✓A CPA who speaks collections, overhead, and comp
  • ✓The S-corp set up to cut your tax
  • ✓Equipment expensed when it helps most
  • ✓No payment until after the call
A CPA who knows practicesEntity setup, the S-corp, equipment, and provider comp, handled by a licensed CPA, not a generalist bookkeeper.
Practice booksThe S-corp§179

Talk to a practice CPA

Two quick steps, then pick a time. A short call with a CPA.

No payment until after the call. Prefer the phone? 786-952-6621

Talk to a practice CPA