For Medical & Healthcare

You built the practice. Now build the exit.

Practice owners and healthcare professionals planning for growth, a partner, or a sale. We plan the structure and the numbers well before the decision.

How we work with medical and healthcare practices

Four situations come up most often.

01

Selling a practice

Selling the assets of a practice and selling its stock are taxed differently, and how the price is divided matters. We model the options against the buyer’s offer before you agree.

02

Separating the practice from the building

Owning the building through a separate entity can limit risk to the practice and make the lease a deductible expense for the practice. We help you decide whether a separation fits.

03

Credits for research and development

Some practices develop new protocols, techniques, or software-driven workflows that can qualify for federal and California credits. We help you identify and document what is already happening.

04

Bringing in or buying out a partner

When you add an associate or buy out a retiring partner, the way the payments are structured affects the tax for both sides. We plan the transition with you and your attorney.

How it starts

01

A conversation

You tell us what you are facing or planning. We listen, ask questions, and tell you whether we are the right fit.

02

An agreed scope

If we work together, we agree on what we will do, who is responsible for what, and the fee, before the work begins.

03

The work

We gather the facts, explain your options in plain terms, and act while your choices are still open.

Common questions

If yours is not here, the Assessment answers it directly.

Should I sell my practice as an asset sale or stock sale?

It depends almost entirely on goodwill allocation, basis, and buyer type. Asset sales typically favor the buyer (depreciation step-up); stock sales typically favor the seller (long-term capital gain treatment). We model both before you sign any LOI.

Can I separate my practice from the building I own?

Yes, and you should, for both tax and liability reasons. We use a holding-company structure with an arm's-length lease between your real estate entity and your practice entity, unlocking depreciation and limiting practice risk to practice assets.

Do medical practices qualify for R&D credits?

More often than physicians realize. Custom protocols, internally-developed software, and process improvements that involve experimentation can qualify. The credit can be applied against payroll tax for newer practices.

Questions about your situation?

Call or text the Irvine or Palm Desert office. A person answers, and a senior CPA follows up.

Start with an Assessment