Practice owners usually ask what an accountant costs at the worst possible moment: right after a tax bill they weren’t expecting, or right after a colleague mentions what their firm does for them. The question feels like it’s about price. In my experience, it’s really about whether what you pay
One runs an HVAC company. The other runs a healthcare practice. Every year, the HVAC owner takes a deduction worth 20% of his business income, and it shaves thousands off his tax bill.
Dental supply reps love December. Somewhere, a practice owner just heard the most expensive six words in year-end tax planning: “Stock up. It’s a write-off.”
How much did your state income tax save you on your federal return last year? If you take the standard deduction, the answer might be nothing at all. Every dollar you paid your state came straight out of after-tax income, with no federal benefit attached
When did someone last check whether your quarterly estimates still fit your practice?
There’s a short window every year when your tax bill stops being a guess and is still something you can change.
The answer is not just the tax bill, though that changes significantly. What changes is the entire financial experience of running a practice: the clarity, the forward visibility, the confidence in financial decisions, and over…
Chiropractic practices are typically valued using two methods: a percentage of annual gross collections, ranging from 50% to 80%, or an EBITDA multiple, ranging from 3x to 5x for independent buyer transactions.
EBITDA stands for earnings before interest, taxes, depreciation, and amortization. It is the most commonly used valuation metric for healthcare practice acquisitions because it measures the operating cash flow the practice generates before financing and tax decisions, which vary by buyer.
Dental practice valuations are built on five financial metrics: EBITDA margin, collections per year, production per dentist, overhead percentage, and patient base stability. No single metric tells the full story, but each contributes to the…
Multi-doctor veterinary practices face tax planning complexity that solo practices do not. When more than one veterinarian owns and operates the practice, decisions about entity structure, compensation allocation, retirement plan design, and profit distribution have different implications for each owner.
Healthcare practice buyers, whether they are individual practitioners, group practices, or corporate consolidators, evaluate acquisitions on five fundamental questions: Is the revenue sustainable without the seller? Is the practice financially healthy and well-documented? Are the…
Dental practice buyers evaluate six core dimensions when determining whether a practice is worth buying and what price to pay: EBITDA margin, owner dependency, patient base stability, financial documentation quality, practice systems and team strength,…
The right time to start exit planning for a chiropractic practice is five to seven years before the intended sale date, and the earlier the better.
Most healthcare practice owners treat personal wealth building as something that happens after a practice sale. It is not.