Physicians, dentists, mental health professionals, veterinarians, and the operators of substance abuse and assisted living facilities — each with practice economics that deserve specialty CPA depth.
Whether you own a medical practice with insurance billing complexity, a dental practice navigating equipment financing, a mental health practice juggling 1099 clinicians, or a treatment facility working with payer mix — the financial dynamics differ meaningfully from a typical small business.
Generic small-business CPA work misses the highest-leverage moves in each of these practices. We have built playbooks for each — refined through actual engagements — that catch the work most CPAs leave on the table.
Six specialty areas, each with its own playbook.
Physician-owned practices — entity work, equipment financing, partnership economics, retirement plan optimization.
View Practice →Dental practice owners — practice acquisition support, equipment depreciation, multi-doctor partnership structures.
View Practice →Therapists, psychologists, psychiatric practices — entity structure, retirement plans, contractor classification.
View Practice →Clinic owners — equipment depreciation, inventory accounting, partnership economics, practice acquisition support.
View Practice →Outpatient and residential treatment programs — multi-facility structure, grant reporting, clinical staff classification.
View Practice →Senior living and assisted care operators — facility economics, payer mix, staff classification, regulatory reporting.
View Practice →All four practice areas at Milestone fold into health and wellness engagements — tax planning, accounting, advisory, and private client work for the practice owners themselves.
How Bay Area dentists should structure a practice acquisition for maximum after-tax cash flow: §179 equipment expensing, §197 goodwill amort…
Read →How Bay Area physicians should structure entity, compensation, and retirement plans as their practice grows from solo to multi-provider — wi…
Read →For Bay Area medical, dental & healthcare practices · 15 min read Key Takeaways Running a private practice in healthcare or dentistry r…
Read →A complimentary 30-minute consultation. We review your situation and tell you honestly whether Milestone is the right firm.
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Read →TL;DR Healthcare and dental practice owners face tax planning challenges far beyond what a generic CPA handles — entity choice, PTET, retirement...
Read →Form 2553 + Strategy
When the S-Corp pays off, how to actually file the election, and the post-election operating discipline that keeps the IRS away.

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