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ProAxis Tax & Accounting Services

Physician, Doctor & Dentist Practice Tax Intake

Physicians & Providers • Dental & Medical Practices

This is a scoping intake — share what you'd like our CPA team to know before we review your practice, your W-2 and 1099 income, and your year-end planning. We do not collect Social Security numbers, dates of birth, full EINs, or government ID through this form. Sensitive items are gathered through our secure client portal once we begin the engagement.

Before You Begin

Six quick steps: provider profile, practice details, income, expenses and staff, owner planning, and disclosures. Estimates are fine — your CPA reconciles everything against your records. We never collect Social Security numbers, full EINs, dates of birth, or government ID through this form.

How Practice Structure Shapes Your Return
  • Sole proprietors and single-member PLLCs report practice income on Schedule C.
  • Multi-member PLLCs file Form 1065 and issue a K-1 to each owner.
  • S-Corporations file Form 1120-S, and owner-providers take W-2 wages.
  • Professional Corporations taxed as C-Corps file their own corporate return.

Not sure how the practice is taxed? Choose "Not sure" in Step 2 and we will confirm it from your records.

W-2 Plus 1099 Moonlighting

1099 income from locum shifts or side work arrives with no tax withheld. It lands on Schedule C and carries self-employment tax. Quarterly estimated payments spread the tax and help avoid underpayment penalties. Flag your 1099 income in Step 3.

Retirement Plans for Practice Owners

Common designs include a 401(k), a SEP IRA, and — for some owners — a cash balance plan. The right design depends on staff headcount, owner ages, and cash flow. Setup and funding deadlines are tied to the tax year. Step 4 asks what the practice offers today; Step 5 asks where you want to be.

Common Provider Filing Mistakes
  • No estimates on 1099 income — waiting until filing season often means a balance due plus penalties.
  • S-Corp owners off payroll — owner-providers must take reasonable W-2 wages; skipping payroll is a common audit trigger.
  • Equipment expensing decided after year-end — deciding late removes options. Flag purchases in Step 4.
  • Multi-state licensure income unreported — telehealth and locum work can create filing duty in more than one state.
  • Retirement plan deadlines missed — some plans must exist before year-end to count for the year.

After You Submit

Your CPA team reviews this intake within one business day. We follow up to confirm scope and request records — prior returns, payroll reports, and bookkeeping access. Nothing sensitive is collected until the engagement letter is signed and the secure portal is open.

Provider & Practice Tax: Common Questions

Is an S-Corp right for my practice?
It depends on practice profit, your state, and what a reasonable wage is for your specialty. An S-Corp can change how self-employment tax applies, but it adds payroll, a separate return (Form 1120-S), and ongoing compliance. We help clients evaluate the election with their real numbers before any change is made. If you are weighing it, note it in Step 5 and we will review it during the consultation. Outcomes vary; this is general information, not tax advice.
How is 1099 moonlighting income taxed?
1099 income is reported on Schedule C and is subject to both income tax and self-employment tax. No tax is withheld when you are paid, so quarterly estimated payments usually carry that liability through the year. Expenses tied to the 1099 work may be deductible against it. Outcomes vary; this is general information, not tax advice.
Does the QBI deduction apply to medical practices?
Sometimes. Health care is treated as a specified service trade or business under the QBI rules, so the deduction phases out at higher income levels. Whether any deduction remains depends on taxable income, filing status, and how the practice is structured. We model QBI as part of every practice engagement. Outcomes vary; this is general information, not tax advice.
What retirement plans do practice owners use?
Common designs include a 401(k), a SEP IRA, a SIMPLE IRA, and cash balance or defined benefit plans. The right fit depends on owner ages, staff headcount, and how much the owners want to put away. Plan design is a coordination between your CPA and a plan administrator. Outcomes vary; this is general information, not tax advice.
Can you handle multi-state licensure or telehealth income?
Yes. ProAxis regularly works with providers licensed or seeing patients in more than one state — especially NJ, NY, and PA. Telehealth and locum income can create filing duty in states where you never set foot. Flag multi-state activity in Step 6 and we will map the state filings during scoping. Outcomes vary; this is general information, not tax advice.
Can ProAxis handle the practice's bookkeeping too?
Yes. We offer bookkeeping built for medical and dental practices, including payroll coordination and clean books for tax time. Many intake clients pair the tax engagement with monthly bookkeeping so year-end is simple. Medical & dental bookkeeping →
Does PSLF affect how I pay myself?
It can interact. Loan forgiveness programs measure income in ways that entity choice and payroll decisions can touch. Changing your structure without checking the loan side first can be costly. If you are on a PSLF track, flag it in Step 5 and bring it to the consultation. Outcomes vary; this is general information, not tax advice.
What documents will you request after I submit?
Start with the form — you do not need documents to begin. After review, your CPA will typically request prior year returns, year-end payroll reports, practice financials or bookkeeping access, and any tax notices received. Everything sensitive moves through our secure client portal, never email.

Why Medical & Dental Practices Choose ProAxis

Healthcare Practice Specialists

Tax prep and planning for physicians, dentists, and group practices across NJ, NY, and PA.

Healthcare accounting →

Medical & Dental Bookkeeping

Practice bookkeeping with payroll coordination, so the books are tax-ready all year.

Practice bookkeeping →

S-Corp & Entity Planning

Entity reviews, reasonable compensation, and S-Corp evaluation for practice owners.

S-Corp planning →