For owners of small, independent dental, chiropractic, and other healthcare practices who want to understand the business behind the schedule.
Accounting, Tax and Advisory for Independent Healthcare Practices in Tampa Bay
Paul Belshaw, MSCTA — in Tax and Accounting since 1978.
Your schedule can be full.
Your revenue can be growing.
Your staff can be busy.
But is the practice becoming more profitable?
Belshaw Accounting Tax and Advisory Services (BATS) helps healthcare practice owners with virtual bookkeeping, business and individual tax preparation, tax planning, and business advisory. You choose the services you need.
A quick, no-pressure call to see whether we're the right fit. No prep needed.
Accounting for independent healthcare practice owners in Tampa Bay
BATS is a good fit for small practices where the owner is closely involved in running the business. That includes dentists and dental specialists, such as endodontists, orthodontists, and oral surgeons. It includes chiropractors, podiatrists, dermatologists, optometrists, physical and occupational therapists, counselors, and other small, owner-operated physician practices.
BATS does not aim to be the accounting department for a hospital or a large medical group. We work directly with owners who want to understand what is happening inside the business.
You're a healthcare professional.
You're also a business owner.
You spent years learning to take care of patients. Nobody promised the business side would be simple.
Your practice may have:
01
Employees and payroll
02
Rent or a mortgage
03
Dental, medical, or treatment equipment
04
Supplies and lab fees
05
Software and subscriptions
06
Insurance
07
Advertising
08
Loans and equipment financing
09
Retirement plans
10
Estimated taxes
11
Business and personal tax decisions
At the end of the month, one question matters most:
What did the practice actually produce for you?
Revenue alone does not answer it.
A full schedule is not the same as a profitable practice
A packed calendar feels good. But activity and profit are different things.
A practice can show strong production and a full schedule without the same result showing up in deposits, cash flow, or what you take home.
Suppose the money coming in goes up this year. Did payroll, supplies, lab fees, insurance, software, loan payments, and your own pay go up faster?
If costs grew faster than deposits, you may have created more work without creating much more profit.
Did the practice grow, or did your workload grow?
Frequently asked questions
1. Do you work with dentists and dental specialists?
Yes, BATS works with owner-operated dental practices, including endodontic, orthodontic, and oral surgery practices. We focus on smaller, independently owned practices where the owner is closely involved in running the business.
2. Do you work with chiropractors?
Yes, BATS works with independently owned chiropractic practices. Bookkeeping, business and individual tax preparation, tax planning, and advisory are all available, and you choose the services you need.
3. What other healthcare practices do you work with?
BATS works with small, independently owned practices of many kinds, including podiatrists, dermatologists, optometrists, physical and occupational therapists, counselors, and small physician practices. If your practice is owner-operated and you want to understand the numbers behind it, a 15-minute call is a good place to start.
4. Do you work with hospitals or large medical groups?
BATS focuses on small, owner-operated practices rather than hospitals or large medical groups. That lets us work directly with the person making the decisions.
5. Can BATS handle both my practice bookkeeping and my tax returns?
Yes, and you choose which services you want. Many clients use bookkeeping and tax preparation together, and some add advisory. The business tax return is scoped and quoted separately from monthly bookkeeping, and the two can be coordinated when you engage BATS for both.
7. Can BATS help with S corporation and owner pay questions?
Yes, entity structure, S corporation considerations, and owner pay can be part of tax planning and advisory work when included in your engagement. Whether an S corporation makes sense depends on the practice and the owner, and the scope of that work is agreed separately from monthly bookkeeping.
8. Can BATS help with retirement and exit planning?
BATS can help with the tax and cash-flow side of long-term planning and coordinate with your financial advisor, attorney, and retirement-plan professional. Investment and legal advice come from those professionals, not from BATS.
8. Do I have to come into the office?
No, BATS is virtual first. You can meet with Paul by phone, by Zoom, or in person by appointment. The accounting and tax work happens in secure online systems.
9. How does BATS protect my information?
BATS uses secure online systems with multi-factor authentication and maintains a Written Information Security Plan (WISP). Documents are exchanged through a secure client portal.
10. What areas do you serve?
BATS works with practice owners across Pasco, Pinellas, and Hillsborough counties and the wider Greater Tampa Bay area. Because BATS is virtual first, we can also work with qualified practice owners outside the area, depending on fit. The full list is on our Areas We Serve page.
6. How much does bookkeeping cost for a healthcare practice?
Monthly bookkeeping starts from $495 per month. Actual pricing depends on practice revenue and the agreed scope, and you choose the services you need. The tiers are on our pricing page. The business tax return is quoted separately, and catch-up work on books that have fallen behind is quoted separately as one-time work. The exact accounts, schedules, reporting, and support are defined in your scope-of-work agreement before work begins.
11. What is the 15-minute call?
The 15-minute call is a short, informal conversation with Paul to see whether BATS is a good fit for your practice. There is nothing to prepare and no obligation.