Medical & Dental Practices SpecialistsIRS Tax Resolution & Specialized Accounting for Medical & Dental Practices in Austin
Protecting your practice from IRS scrutiny. Expert guidance on ERC documentation, lifestyle audits, and associate compensation structures.
Trusted by Austin-area physicians, dentists, veterinarians, and specialty practices
The Medical/Dental Tax Nightmare
These are the industry-specific tax problems that catch medical & dental practices businesses off guard:
ERC Credit Documentation Scrutiny
Many medical practices claimed Employee Retention Credits during COVID. The IRS is now auditing these claims aggressively, requiring detailed documentation of eligibility.
The Consequence: Disallowed ERC claims mean repaying the entire credit plus 20% accuracy penalty and interest—often $100,000+ for larger practices.
The 'Lifestyle' Audit
High-income practice owners trigger IRS scrutiny when reported income doesn't match visible lifestyle. The IRS uses bank deposit analysis to reconstruct unreported income.
The Consequence: Lifestyle audits often expand into multiple years. Reconstructed income assessments include fraud penalties (75%) if the IRS suspects intentional underreporting.
Associate vs. Owner Tax Split Disputes
How income is allocated between practice owners and associates creates tax implications. Improper splits trigger reasonable compensation audits and reallocation.
The Consequence: IRS reallocation of income between owners changes both income tax and self-employment tax, often creating significant unexpected liability for one or both parties.
How We Defend Medical & Dental Practices Owners
Medical professionals face unique IRS attention due to high income and complex practice structures. We understand both the clinical workflow demands and the tax complexities of healthcare businesses. From associateship buy-ins to retirement planning, from ERC defense to lifestyle audit representation—we protect your practice and your personal finances.
ERC Audit Defense & Documentation
Comprehensive review of your ERC claim, documentation gathering, and direct IRS representation if audited. We defend legitimate claims and resolve problematic ones.
High-Income Audit Representation
Strategic defense against lifestyle audits, bank deposit analysis, and income reconstruction. We manage IRS communication and protect your rights.
Compensation Structure Review
Analysis of associate and owner compensation splits for tax efficiency and IRS defensibility. S-Corp reasonable salary optimization for maximum tax savings.
Practice Financial Management
Monthly bookkeeping, payroll management, and financial reporting designed for medical practice workflows. HIPAA-aware processes and practice management integration.
Common Medical/Dental Audit Triggers
- High income with significant deductions
- ERC claims during COVID period
- Large equipment and technology deductions
- Practice sale or ownership changes
- Retirement plan contribution patterns
Our Medical/Dental Services
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Helping Austin & Leander Medical & Dental Practices Businesses
From Cedar Park contractors to Round Rock medical practices, we serve medical & dental practices businesses across Central Texas with specialized tax resolution and accounting services.