Attention Healthcare Practice Owners

If Your Healthcare Practice Does $1M+ A Year, We'll Save You At Least $100K In Taxes This Year, Or You Don't Pay

Our team is built around doctors and therapists, and we plan your practice's taxes during the year, not after it's over.

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The Firm Behind The Offer

15
years in practice, focused on healthcare professionals
50
states served, fully remote
90%
client retention rate
13
on the team, including CPAs, a tax manager and bookkeepers

Is This You?

Who Is This For?

Who This Is For:

  • You own a medical, mental health or physical therapy practice that does $1M or more a year.
  • Your CPA files an accurate return every spring, but nobody plans your taxes before December 31st.
  • The practice keeps growing, but your tax bill climbs faster and no one explains why.
  • You have a bookkeeper, but you don't fully trust the numbers.
  • You're not sure you're paying yourself the right way between salary and distributions.
  • You're adding partners, staff or locations and feel behind on the financial side.

This Is Not For:

  • Clinicians who don't own their practice.
  • Practices doing well under $1M a year.
  • Businesses outside healthcare.
  • Owners who only want a return filed each spring, with no planning during the year.
  • Anyone looking to buy equipment just for the write-off.

Real Clients · Real Outcomes

What We've Delivered

What changed for 2 healthcare practice owners once our team got involved.

Physician practicePublished case
Tens of thousands
saved in taxes
Equipment leaseBooks recoded

Her return showed she owed more than $100,000 in taxes. Her practice carried a monthly equipment lease of over $20,000, and her bookkeeper had booked the entire lease as an owner's draw instead of a deductible business expense. Once we reclassified the expense correctly, it saved her tens of thousands of dollars in taxes.

Physician practice owner
Psychotherapy practicePublished case study
6 months
for her finances to improve dramatically
LLC to S corpMissed deductionsQuarterly payments

Colleen came to us behind on quarterly taxes and paying penalties. We moved her practice from an LLC to an S corp, found deductions she'd missed on past returns, like continuing education and office expenses, and set up quarterly payments so the penalties stopped.

Colleen Cavanagh, LCSW

Results from past clients. Your numbers depend on your income, structure and timing.

100% Done-For-You

Here's Everything We Do For You

How David's team handles the books, the planning and the filing for your practice.

We Fix And Run Your Books

Our bookkeepers go line by line and recode anything booked wrong, then close your books every month with reconciled bank and card accounts, so every real practice expense gets deducted.

We Set Up The Right Entity

We review how the practice is structured and owned. If an S corp election makes sense, we file it, and we keep the practice current with its federal and state obligations.

We Set Your Owner Pay

We put you on a reasonable salary that fits your role and what the practice can support, so payroll taxes only hit what belongs on payroll and the rest comes out as distributions.

We Build Your Retirement Plan

We set up a retirement plan sized to your income, such as a Safe Harbor 401(k) paired with a cash balance plan, which can shelter far more than a standard plan allows.

We Plan Before Year End

We look for planning opportunities before December 31st, plan your quarterly estimates and time any equipment the practice already needs, so the write-off lands in the year it's worth the most.

We File Every Return

We prepare and file the federal and state returns for the practice and for you, matched to the planning decisions we made with you during the year.

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On The Record

Does It Actually Work?

“
David and his team are extremely responsive and always go above and beyond. ... David has always taken the time to explain financial concepts and help me think through the various challenges of setting up and growing a private practice...
JS
Jonathan Schubert
Client review, leichtercpa.com
“
I am able to keep records appropriately knowing that I have a knowledgeable team who will manage the details at the end of the year, thereby reducing my stress around owning a business significantly...
JC
Jennifer Candela, LCSW, CCTP
Candela Counseling
“
Couldn't agree more with other reviewers. After some disastrous experiences with other accountants, we've been using Leichter for the past few years, and they couldn't be better to work with. Would give 6 stars if I could.
PG
Paul Guerino
Client review, leichtercpa.com
“
David and his staff are excellent. I have only been a client for two years now, but their level of professionalism and efficiency has made me a client for life. I highly recommend Leichter Accounting for all tax preparing and advising needs.
MH
Michael H.
Client review, leichtercpa.com

Still On The Fence?

Frequently Asked Questions

Why hasn't my accountant brought any of this up?+
Usually it's not because your accountant is bad at the job. Filing is the work they were hired for, and a return only looks at a year that's already closed. Planning is separate work: someone has to look at the practice before December 31st and ask what should change. That's the part we take on.
Is it too late to lower this year's taxes?+
No. The fourth quarter is when planning works best, because most of the year is on the books and there's still room to act. Your owner pay for the remaining months, most retirement plan decisions and the timing of a purchase you'd already planned have to happen before December 31st to count for 2026. The savings show up when your 2026 return is filed.
Do I have to spend money to save on taxes?+
No. Buying something just for the write-off means spending a dollar to save maybe 40 cents. Most of the savings we find come from things you already pay for, set up the right way: your books, how you pay yourself and your retirement contributions. If the practice genuinely needs equipment, we'll time it so the write-off falls in the year it's worth the most.
My books are a mess. Can you still help?+
Yes. Our bookkeepers go through your books line by line and recode anything that was booked wrong, so every real practice expense is deducted. One physician's bookkeeper had booked an equipment lease of over $20,000 a month as an owner's draw, and fixing that saved her tens of thousands of dollars in taxes.
Who will I actually be working with?+
A team of 13, including CPAs, a tax manager and a bookkeeping department led by a CPA. David prepares every proposal himself, built around the practice in front of him. You send documents through a secure, encrypted portal, and the team handles the rest.
Do I need to be near your office?+
No. We work fully remote and serve practices in all 50 states. Everything runs through secure online platforms, so it doesn't matter where your practice is.
How much does it cost?+
We use fixed pricing, so you'll know the price before we start and you won't get a bill you weren't expecting. David quotes the fee up front on the strategy call, based on your practice.
What happens on the strategy call?+
David asks for rough answers to a few questions: what the practice collected last year, what it's tracking toward in 2026, how it's taxed and how money gets from the practice to you. Then he shows you where the overpayment most likely sits and which fixes still have time to work before year end. If we look like a fit, he writes a proposal with a fixed price, and if not, he'll tell you straight out.
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One Last Step

Want To See What Your Practice Could Still Save Before December 31st?

On the strategy call, David walks through your revenue, your entity and how you pay yourself. You'll leave knowing where the overpayment most likely sits and which fixes still have time to work for 2026.

Book A Strategy Call

Any client results described on this page are not a guarantee of future results. Every tax situation is different, and outcomes depend on your income, structure and timing. This site is not affiliated with or endorsed by Facebook, Instagram, Google or any other advertising platform.