Accounting and bookkeeping for medical and dental practices, so you see what the practice actually keeps
Clean books, provider & associate payroll, and the return.
- Monthly books you can read
- Provider and staff payroll
- April planned in the fall
- Practice and personal together
- Healthcare
- Insurance
- Real Estate
- Professional Services
- Retail
Sound familiar?
In a practice, cash and profit are two different stories
You bill an insurer today and collect a fraction of it weeks or months later, minus adjustments you did not choose. So the balance in the practice account tells you almost nothing about whether the practice is actually making money. The only thing that does is a set of clean, reconciled books and financial statements that separate what you earned from what you have collected. Most practices do not have that, they have a bookkeeping file someone updates when there is time, and it is usually behind.
A dental practice adds a second layer: the capital. You did not just open a practice, you bought a building’s worth of equipment to run it. Chairs, imaging, sterilization, the software, the build-out, often on debt. That capital changes your taxes in ways a general preparer misses: the depreciation timing, the Section 179 election, the interest, the way a big purchase in the right year can move the whole tax bill. Handled well, it is a lever. Handled by habit, it is money left on the table.
When the books lag, everything downstream wobbles. Provider and staff payroll gets squeezed in around patient care. The bank asks for financials you cannot produce quickly. Decisions about a hire, a piece of equipment, or a new provider get made on a number nobody fully trusts. And because the practice’s profit eventually flows to the owners’ personal returns, a fuzzy practice picture becomes a fuzzy personal one too.
The owners and administrators who come to us are not looking for anything fancy. They want the practice’s books current and its numbers trustworthy, kept by a firm that also files the return.
Our approach
The same firm keeps the practice's books and signs its return
At Voss, a medical practice starts with the books, not the return. Accounts are reconciled every month, and you get financial statements in plain terms: what the practice earned, what it collected, what it spent, and where it stands. When the numbers are clean and current, everything else, payroll, planning, the return, rests on something solid instead of a year-end guess.
From there, payroll for providers and staff runs on the firm’s calendar, including year-end forms. Then the planning: a fall projection so the practice and its owners see the tax bill with months to act, plus owner compensation, distribution, and equipment-timing decisions modeled before the year closes rather than explained after. For an equipment-heavy dental practice, that includes fixed-asset and depreciation timing, Section 179 and bonus depreciation included, so a major purchase lands in the year that helps. And because the same firm also prepares the owners’ personal returns, the practice K-1 (the schedule that reports each owner’s share of the profit) and each owner’s 1040 never surprise each other.
CPAs on staff
combined years of practice
filing from the same Hattiesburg office
Reconciled every month, with financial statements that separate earned from collected, so you always know where the practice stands.
Provider and staff payroll, filings, and year-end forms run on our calendar, not your front desk’s memory.
A flat arrangement, in writing, in an engagement letter you sign first.
The Clean Books Standard
Most firms go silent May through January, then scramble February through April. We run the opposite way — a clean file isn’t an accident, it’s a standard we hold every month.
We move your file and clean it up.
Sign one authorization and we pull your prior returns, schedules, and books from your old firm. The switch happens in the background.
- Prior-year return reviewed for missed deductions
- Every account reconciled, books brought current
- Live within 30–60 days of signing
We project your tax bill before April.
When your year calls for it, we run a full projection before year-end, so you know what you’ll owe with months to plan, not days, and weigh the tax impact of big decisions first.
- Available for Projection Meetings
- Quarterly federal & Mississippi estimates
- No scrambling for cash nobody warned you about
One firm, every filing, year-round.
Business return, personal return, payroll, sales tax, the Mississippi Department of Revenue (MS DOR), the IRS — all under one roof, all signed by a credentialed CPA. A letter shows up, we handle it.
- A credentialed CPA on the line, not a call center
- Monthly financials hit your inbox
- IRS & MS DOR letters handled by the firm
What that means for you.
Because the books separate what you earned from what you collected, the account balance stops being the only number you can see.
Because financial statements are current and reconciled, you hand your partners and your banker real figures without waiting a month to produce them.
Because payroll for providers and staff runs on our calendar, the deadlines and year-end forms stop landing on the front desk.
Because the fall projection covers the practice and its owners, the tax bill arrives with months to plan, not as a spring verdict.
Because salary, distributions, and equipment timing get modeled, the levers a practice owner has actually get pulled instead of defaulted, Section 179 and depreciation timing on financed equipment included.
Because the same firm handles the owners’ personal returns, the practice K-1 and your 1040 agree instead of surprising each other. (The differentiator, not the headline.)
Filers who stopped hoping someone checked the work.
A few words from Pine Belt individuals and owners who moved their returns to Voss & Associates.
“I’ve been a client for 25 years. Always received prompt professional service. I would recommend this firm to anyone.”
Client for 25 years
“As a business owner, they have always met my needs and provided great service and direction. I have never once considered another firm. This one is the best!”
Business owner
“Ric and his team have been keeping our business books for several years. They have done an excellent job for us, and are always available for us and professional.”
Bookkeeping client
Before you call
The questions practices ask first
Cost is the first question, and for monthly books, payroll, and the return it is one arrangement, priced at your consultation and put in writing up front, rather than a stack of separate invoices. The frame that matters: clean books you can actually run the practice on, plus payroll off your front desk, tend to be worth more than the engagement before you even count the planning.
The second is whether we understand a medical practice, the reimbursement lag, the provider payroll, the way profit flows to the owners. Those are the specific mechanics we work: reconciled books that separate earned from collected, payroll for a mixed clinical and administrative staff, and a fall projection that ties the practice to the owners. If something is outside our depth, we say so before you commit.
And the practical one: do I have to move everything at once? No. Most practices start with the books and the practice return, and the owners’ personal returns can come along when it makes sense. We will lay out the right starting point in a Fit Conversation.
Zero pressure. Ever.
Your consultation is a real conversation with a CPA, not a sales pitch. If Voss isn’t the right fit for your business, we’ll tell you on the call and point you toward a firm that is. No contracts to trap you, no surprise invoices, and every return signed by a credentialed CPA who stands behind the work.
Month to month, stay because it works.
Your pricing discussed up front.
Received a tax letter on our work? We handle it.
The questions we hear most.
Both, and that is the point. We reconcile the books every month and prepare financial statements you can actually read, then file the practice return from those same books.
In plain terms: what the practice earned, what it collected, what it spent, and where it stands. Enough to run the practice on real numbers instead of the account balance.
Yes, on the firm's calendar, including year-end W-2s and 1099s for the practice.
Yes. We run a fall projection and model salary, distributions, and equipment timing before the year closes, so April is planned rather than discovered.
Yes, and it is the advantage of one firm: the practice K-1 and each owner's 1040 are prepared together, so they line up. It is optional, though, and can be added when it makes sense.
Yes. Reconciled practice books, provider payroll, and the practice return are daily work here in greater Hattiesburg, for medical and dental practices both.
Yes, and it should be planned before you sign, not booked after. Depreciation timing, the Section 179 election, and bonus depreciation can move the whole tax bill, so we model a major purchase against real numbers first, in the year it helps most.
Hand your return to a CPA who'll still know it next year.
A credentialed CPA who signs the work, and answers when your decisions can’t wait for spring. Start with a no-cost Fit Conversation.