HEALTHCARE PRACTITIONERS
You heal patients. We’ll heal your books.
Specialized accounting for the people who keep the rest of us healthy.
Accounting built for healthcare practitioners
Running a medical, dental, chiropractic, or specialty practice means wearing more hats than most business owners. You’re a clinician, an employer, a billing manager, and a business owner—often all in the same day. The financial side of a healthcare practice is genuinely complex, and a generalist accountant can only take you so far.
At Lange Accounting, we understand how healthcare practices earn, spend, and grow. Insurance reimbursements, cash-pay services, staff compensation, equipment investments, compliance requirements…we know the territory. And we bring the same personal, concierge-level attention to every practitioner we serve.
The Challenge
The financial complexity behind the white coat
Healthcare practices have a financial structure unlike almost any other business. Revenue comes in from multiple payers on different timelines, overhead is high, and the margin for financial error is slim. The challenges add up quickly:
• Insurance reimbursements that lag, get denied, or get underpaid, quietly eating into collections
• Payroll complexity, from W-2 providers to 1099 contractors to support staff
• Tax obligations that vary by entity type, state, and whether you’re in solo practice or a group
• Equipment purchases, build-outs, and expansions that require careful cash-flow planning
• Retirement and wealth-building strategies that some general accountants aren’t equipped to maximize
The Solution
We know healthcare practices, inside and out
Lange Accounting brings real expertise to the financial side of running a practice, so you can stay focused on patient care. We dig into the specifics of your business and work proactively to keep things running smoothly:
• We track the numbers that actually matter for healthcare—collections, overhead ratios, payer mix, and per-provider margins.
• We build tax strategies around the deductions and retirement plans available to healthcare professionals.
• We help you plan for the big decisions, such as new locations, partner buy-ins, equipment purchases, and eventual transitions.
• We stay ahead of issues so nothing catches you off guard.
You take care of your patients. We’ll take care of the rest.
Everything you need, so you can focus on your patients
You didn’t go into medicine to manage books and chase down tax deadlines. Here’s how Lange takes that completely off your plate.
Outsourced Accounting
Clean books, accurate financials, timely tax prep, and payroll handled start to finish. We build your chart of accounts and reporting around how a healthcare practice actually operates, so your numbers always tell the right story.
Learn more
Business Foundation Services
From entity selection at startup to accounting system setup that integrates with your practice management software, we build the financial infrastructure your practice needs to grow on solid footing.
Learn more
Business Management Services
Our Virtual CFO and cash management services give you the strategic guidance to make smart decisions, whether you’re managing a slow insurance month, planning a new service line, or thinking about what comes next.
Learn more
Services built around how your practice works
Healthcare finances have their own rules, and so does the accounting that supports them. Here’s a closer look at the specialty services we offer for healthcare practitioners.
- Tax compliance & planning
- Bookkeeping & financial reporting
- Revenue cycle & cash flow
- Payroll & compensation
- Practice setup, growth & transitions
- Retirement & wealth building
Smart tax strategy starts long before April.
Healthcare practitioners have real opportunities to reduce their tax burden, but capturing them requires year-round planning, not just year-end prep. We handle the full picture:
• Business and personal tax preparation for sole practitioners, PCs, PLLCs, S corps, and partnerships
• Multi-state filing for locum tenens providers and telehealth practitioners
• Year-round tax planning to maximize deductions, like CME expenses, professional dues, malpractice premiums, equipment, and more
• Timing strategies for major purchases and income to keep your tax liability as low as legally possible
Numbers that mean something to your practice.
Generic financial statements don’t tell you much about how a healthcare practice is really performing. We build your reporting around what matters:
• Full bookkeeping with bank and credit card reconciliation and clean month-end closes
• Chart of accounts and reporting designed around healthcare—payer mix, procedure revenue, provider productivity, and location profitability
• KPI dashboards that highlight collections, overhead ratios, payroll burden, and per-provider or per-chair margins
• Financial statements that give you a clear, accurate picture of where your practice stands
Get paid what you’re owed, and plan around when it arrives.
Insurance reimbursements are unpredictable, and cash flow in a healthcare practice reflects that. We help you tighten the cycle and plan around the gaps:
• Consulting on billing and coding workflows to shorten accounts receivable days and improve collection rates
• Analysis of payer contracts and fee schedules to identify underpaid services and out-of-network opportunities
• Cash flow forecasting that accounts for insurance lag, seasonal patterns, and big-ticket outlays
• Profitability analysis by payer, so you know which relationships are actually working for you
Fair pay, clean compliance, and a structure that works.
Healthcare payroll is more complicated than most. Between provider compensation models, staff ratios, and W-2 versus 1099 classifications, there’s a lot to get right. We handle it:
• Full payroll processing and compliance with wage and hour rules
• Proper classification of physicians and other providers as W-2 or 1099
• Design of provider compensation models, including salary, productivity-based, profit-share, or bonus structures
• Staffing and overhead analysis to benchmark pay and keep labor costs in line with collections
Whether you’re starting out or planning what’s next, we’re with you.
The financial decisions you make at each stage of your practice’s life have long-term consequences. We help you get them right:
• Startup advisory covering entity choice, projections, breakeven analysis, and systems setup
• Expansion planning for new locations, adding service lines, or bringing on associates
• Buy-in and buy-out support, including valuation guidance and transition planning
• Partner admission and ownership structuring that works for everyone involved
Build the financial future your career is paying for.
Healthcare professionals are often so focused on their practices that long-term wealth planning takes a back seat. We make sure it doesn’t:
• Design and analysis of retirement plans, including 401(k), profit-sharing, SEP-IRA, cash balance, and defined benefit plans
• Strategies to maximize retirement contributions and reduce current-year tax liability
• Personal financial planning coordination for owner-level decisions, like debt payoff versus investing, practice equity, and exit planning
• Long-term scenario modeling so you can see clearly what each path looks like
FAQs
What types of healthcare practitioners do you work with?
We work with a wide range of practitioners in private practice, including physicians, dentists, chiropractors, therapists, nurse practitioners, and specialists. If you’re running a clinical practice—solo or with a group—we’re equipped to help.
What entity structure is best for a healthcare practice?
It depends on your situation. Professional corporations, PLLCs, and S corporations each have different implications for liability, taxation, and ownership. We evaluate your specific circumstances and give you a clear recommendation, and handle all the filings once you decide.
How can I reduce my tax bill as a healthcare practitioner?
There are several strategies available, including maximizing deductions for professional expenses, structuring your entity to reduce self-employment tax, and setting up retirement plans that lower your current-year taxable income. Year-round planning is what makes the difference. We start working on your tax strategy well before the end of the year.
Can you help me understand my practice’s financial performance?
Absolutely. We build reporting around the metrics that matter in healthcare—collections, overhead ratios, payer mix, and per-provider margins—so you’re always working with numbers that actually reflect how your practice is doing.
How do you handle the revenue cycle and insurance billing side?
We don’t replace your biller, but we work alongside your billing process to analyze cash flow, identify problem payers, and flag where collections are leaking. We look at payer contracts, reimbursement rates, and A/R aging to help you get paid what you’re owed.
I’m thinking about buying a practice or bringing on a partner. Can you help?
Yes, this is one of the most consequential financial decisions a practitioner makes, and we take it seriously. We provide valuation support, structure buy-ins and buy-outs, and help you understand the full financial picture before you commit.
Your practice deserves a financial partner who gets it
You’ve put everything into building your practice. Let’s make sure the financial side is as strong as the care you deliver. Get in touch today and find out what Lange Accounting can do for you.