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  • You Take Care of Your Patients. 
    We'll Take Care of Your Books.

    You Take Care of Your Patients. 
    We'll Take Care of Your Books.

    Bookkeeping, tax filing, and financial reporting for doctors, dentists, chiropractors, therapists, and allied health professionals running their own practice.
    Book a Call

You Didn't Go to School for This.

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"I earn good money but my tax bill every year feels way higher than it should be"


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"I didn't spend years training to spend my evenings on bookkeeping"


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"My accountant files my return once a year and never once mentioned ways to reduce what I owe"

Who This Is For

We work with solo practitioners and small practice owners across clinical and allied health who know their accounting deserves more than a once-a-year phone call. You hold yourself to a high standard clinically. We hold ourselves to the same standard with your books.

General practitioners and medical specialists

Dentists and orthodontists

Chiropractors and physiotherapists

Optometrists and allied health practitioners

Mental health therapists and psychologists in private practice

Nurse practitioners and registered nurses running independent practices

What's Included

Bookkeeping

  • ​Transactions categorized and reconciled every month
  • Practice revenue and expenses tracked separately from personal finances
  • QuickBooks Online managed on your behalf
  • Clean books delivered without you lifting a finger

Tax Filing

  • ​
    Federal and state business tax return
  • Owner's personal 1040 included in all bundle plans
  • Estimated tax calculations so you're never caught off guard
  • S-Corp structure and reasonable compensation review for eligible practitioners

Business Insights

  • Financial reports covering revenue, expenses, and net profit
  • Key metrics tracked and tailored to your business
  • Know how your business is performing on a regular basis
  • Quarterly business review call on mid and high tier plans

Why Us?

Running a healthcare practice is not like running most businesses. Your income can be high but your overhead is real, your billing is complex, and the gap between what you earn and what you actually keep after taxes can be surprisingly wide.
Most accountants file your return and leave that gap exactly where it is. We approach every healthcare client with the same question: what can we do throughout the year, not just at tax time, to make sure you are keeping more of what you earn.

Before starting S.M. CPA & Accounting I spent over 10 years at a Big 4 firm across accounting and advisory, followed by a role as the first finance hire at a venture-backed startup. That range of experience, from working with large institutional clients to building financial infrastructure from scratch inside a growing business, shapes how I approach every client in this space.


FAQs

Absolutely. We assess the cleanup scope on your discovery call and give you a clear quote covering both the cleanup work and bookkeeping for the months we are catching up on. Once everything is clean you move onto your flat monthly plan.

Yes. Proactive tax planning is a core part of what we do for healthcare clients. That includes reviewing your business structure, making sure your entity setup is working for you, and planning throughout the year so your tax bill reflects smart planning rather than missed opportunities.

Yes. Whether you are just setting up your practice or have been running one for years, we work with you where you are. Getting the financial foundation right early makes everything easier down the road.

For most businesses, yes. Your business tax return depends on accurate income, expenses, assets, liabilities, owner contributions, distributions, and other financial activity. Clean bookkeeping makes tax filing easier and helps avoid missing important information.

Yes. Tax-only services are available for individuals and businesses with complete and organized records. If your books need cleanup, catch-up, or correction before the tax return can be prepared, we can help with that work at an additional rate.

Yes. This is one of the most common situations we see. We'll assess the scope on your discovery call and give you a clear quote covering both the cleanup work and bookkeeping for the months we're catching up on. Once everything is clean you move onto your flat monthly plan.

You'll receive regular financial reports covering profit and loss, cash flow, and the key metrics that matter to your business, so you always know where you stand, not just at year end. See Pricing for more details. 

Book a call and tell us about your business, entity type, transaction volume, number of accounts, and tax filing needs. We will recommend the right bookkeeping, tax, or bundled package. Book a Call with us today. 

Let's Take the Books Off Your Plate

Book a free 30-minute discovery call. We will look at where your finances stand today and put together a plan so you can stop worrying about your books and get back to running your business.