An LLC or PLLC is what your practice is under state law. An S-corp is how it’s taxed. They aren’t competing choices. A physician usually

An S-corp isn’t a kind of company. It’s a tax election that lets a physician-owner split practice income into a reasonable salary and distributions, where

The Appointment You Forget to Make for Yourself You spend your days telling patients not to skip their annual physical. Then you skip your practice’s

Some dates on the tax calendar are quiet. September 15 is not one of them. Two Things Are Due, and One of Them is Due

You opened the envelope, saw a number with a comma in it, and felt your stomach do something clinical. The notice is a CP162, and

You would never diagnose a patient from the waiting room. You take a history. You run the labs. You look before you reach a conclusion.

You would never start a patient on a new medication without knowing what it might do. You weigh the options; you run the differential; you

You run intakes every day. A new patient sits down; you take a history, you ask the questions that matter, and you form a working

You know the saying: the second-best time to plant a tree was twenty years ago, the best time is today. Tax planning works the same

The One Number You Cannot Diagnose Yourself You can read a lab panel in seconds. You can spot a diagnosis three questions into an intake.

You already know continuity of care works. You would never treat a chronic condition with a single annual visit. You would not hand a patient

The Relationship You Never Renegotiated You didn’t choose your accountant so much as inherit them. Maybe a colleague referred them over coffee. Maybe you were

Your profit and loss statement (P&L) says you had a great year. Your accountant nodded approvingly at your year-end review. And yet here you are,

Back in January, you made a guess. You called it a budget, or a projection, or maybe just a number your bookkeeper handed you before

Last week we left you standing over a tax return, reading it the way you would read the chart of a patient who had already

You spent the better part of a decade learning to read a human body. Anatomy; pharmacology; the precise way a symptom in one place quietly

You marked April 15 in red. You braced for it, paid it, and exhaled (hopefully). What you may have missed is that the next one

There are two completely different jobs being done with the money inside your practice. You are almost certainly paying for only one of them. The

A Practice That Looks Fine on Paper Picture a psychiatric practice in your specialty, in your region, billing roughly $1.4 million a year. Three providers.

Memorial Day weekend arrives almost exactly halfway through the second quarter. The country pauses. You probably will too, somewhere between the grill and the lake.

Three weeks ago, we named the thing. The edge. That quiet confidence that comes from knowing what’s ahead, not just what’s behind. Two weeks ago,

Last week, we laid out what CFO-level clarity actually looks like inside a private practice. Monthly close that actually closes. A weekly five-number dashboard. Forward-looking

Last week, we named the thing most practice owners are missing. The edge. The posture. The rhythm. The quiet confidence that comes from actually knowing

Last week, we talked about trimester planning. How breaking your practice’s financial year into three distinct phases creates the kind of structured attention that turns

The first third of your calendar year just ended; if you blinked during tax season, you may have missed it. Say the word “trimester” in

Your tax return just came back. You signed it, you filed it, and you probably breathed a sigh of relief deep enough to fog up

Revenue is up. You added a provider last year. Patient volume is climbing. So why does your bank account still feel like it’s on life

Your tax return is a rearview mirror. It tells you what already happened. What you already earned. What you already owed. What you already missed.