Clearwater, Florida · National & international client service · (727) 474-0922
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The Medical Practice Group

Medicine pays well. Keeping it takes planning.

For physicians, private practices, and the fast-growing med-spa world: entity strategy, contract-aware tax planning, and books that understand how care gets paid for.

Physician finances have become genuinely complicated: employment contracts with 1099 tails, moonlighting income, surgery center distributions, private equity offers arriving unsolicited. Each piece has a different tax personality, and treating them casually costs real money at physician income levels.

The med-spa side adds retail dynamics to medical economics: cash-pay revenue, memberships, inventory, injector compensation. It is one of the fastest-growing practice models in Florida and one of the least well served by traditional accounting.

We handle both, with the same one-firm model: books, payroll, entities, and a tax plan that sees every income stream at once.

Built for how medicine pays

i.
1099 versus W-2 modelingContract offers compared after tax, with entity and retirement strategy attached.
ii.
Practice accountingBooks that understand payer mix, cash-pay lines, and provider-level productivity.
iii.
Med-spa economicsMemberships, packages, inventory, and injector comp accounted for correctly.
iv.
PE and buyout analysisPrivate equity offers modeled after tax, side by side with keeping the practice.
v.
Physician personal planningThe household side: multi-entity income, real estate, and equity events planned together.
The Value of One Firm

At physician income levels, coordinated planning decisions can move meaningful money each year. The cost of casual advice is rarely visible until it compounds.

Questions

Asked and answered

I got a 1099 contract offer. Is it better than W-2?
It depends on the numbers, and it is answerable: we model both after tax, including entity options, retirement space, and the benefits you would be replacing. The answer is often surprising in one direction or the other.
Do you work with med-spas that are growing fast?
Yes, that is precisely when the accounting matters: inventory, memberships and sales tax get complicated exactly as the revenue gets interesting.
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One conversation. Everything handled.

Tell us where your finances live today, even if that means fragmented providers and disconnected responsibilities. We will show you what one coordinated firm takes off your plate.

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