MEDICAL & DENTAL PRACTICES

Accounting expertise for healthcare providers focused on patients, not paperwork

Whether you’re running a family practice, specialty medical clinic, or dental office, you went to medical or dental school to help people, not to become a financial expert. Between patient care, insurance reimbursements, staff management, and regulatory compliance, the business side of healthcare can feel overwhelming. You need a financial partner who understands the unique challenges of running a medical or dental practice.

You trained to heal, not to manage a complex small business

When you opened your practice, you had a clear vision: Providing exceptional patient care and building lasting relationships with the people you serve. But somewhere between dealing with insurance companies, managing staff, investing in equipment, and trying to maintain work-life balance, the business side became a constant source of stress.

You’re a healthcare provider and a small business owner dealing with overhead costs that can reach 60-70% of collections, employee management challenges in a tight labor market, and insurance reimbursement rates that never seem to keep pace with your expenses. You need more than a generic accountant who doesn’t understand why your accounts receivable is so complex or why your cash flow fluctuates despite a full schedule. You need someone who speaks healthcare and understands that every hour you spend on financial management is an hour you’re not spending with patients or your family.

The financial pressures that healthcare providers face daily

Medical and dental practices operate in a uniquely complex financial environment. Despite your expertise and hard work, you’re likely dealing with:

  • Insurance reimbursement delays that create cash flow challenges, with payments sometimes taking 60-90 days or more.
  • Rising overhead costs for everything from medical supplies and equipment to staff salaries and malpractice insurance that squeeze your profit margins.
  • Complex billing and collections that require specialized knowledge and significant administrative time.
  • Staff turnover and training costs in a competitive healthcare labor market where good hygienists, medical assistants, and front office staff are hard to find and keep.
  • Equipment financing decisions for expensive diagnostic tools, chairs, x-ray machines, and technology upgrades that impact both your taxes and cash flow.
  • Regulatory compliance, including OSHA, HIPAA, and state licensing requirements that demand meticulous documentation.
  • Partnership and buy-in agreements that require careful financial structuring when adding or transitioning associates.

Without specialized financial guidance, these challenges can prevent you from investing in better equipment, competitive staff compensation, or the work-life balance that drew you to private practice in the first place.

Financial guidance tailored to healthcare practices

At Hendricks Advisors, we’ve worked with medical and dental practices throughout the Treasure Valley, and we understand the unique financial landscape you navigate every day. Our specialized services help you maintain a healthy practice while focusing on what matters most—your patients.

How we support medical and dental practices:

  • Cash flow management strategies that account for insurance payment cycles and help you maintain adequate reserves for operations.
  • Practice overhead analysis that benchmarks your costs against industry standards and identifies opportunities to improve profitability without compromising care quality.
  • Staff compensation planning, including strategies for bonuses, benefits, and retirement plans that help you attract and retain excellent team members.
  • Equipment acquisition guidance helping you determine whether to buy, lease, or finance, and maximizing your tax benefits from equipment investments.
  • Tax planning specific to healthcare providers, including strategies for maximizing deductions related to continuing education, equipment, and office expenses.
  • Associate and partnership structuring for practices adding providers or planning ownership transitions.
  • Practice valuation and transition planning for doctors and dentists considering retirement or sale.
  • Financial reporting that gives you clear visibility into your production, collections, overhead ratios, and profitability by provider.

From survival mode to sustainable success

You shouldn’t have to choose between providing excellent patient care and running a financially healthy practice. With the right financial partner, you can do both. We help healthcare providers move from reactive financial management—constantly stressed about collections and overhead—to proactive planning that creates stability and gives you back time for what matters most.

Whether you’re a solo practitioner just starting out or an established practice looking to add associates or plan your exit, our team provides the financial clarity and strategic guidance you need to make confident decisions. We become an extension of your administrative team, helping you understand your numbers, improve profitability, and navigate the financial complexities of healthcare practice management.

Services designed for medical and dental practices

Advisory Services

Strategic guidance on overhead ratios, provider productivity, and practice growth—including KPI tracking, associate compensation structures, and expansion planning.Learn More

Business Foundation Services

Essential support for new practices, including entity selection, accounting system setup for medical billing integration, and retirement planning for healthcare providers.Learn More

Outsourced Accounting

Comprehensive financial management that integrates with your practice management software, tracks collections and overhead, and keeps your books accurate and compliant.Learn More

Payroll Solutions

Healthcare-specific payroll processing, including provider draws, staff bonuses, and retirement plan contributions—ensuring compliance with complex healthcare employment regulations.Learn More

Succession Planning

Strategic transition planning for doctors and dentists ready to retire or add partners—maximizing practice value while ensuring continuity of patient care.Learn More

Tax Services

Proactive tax planning that maximizes healthcare-specific deductions, manages provider compensation for tax efficiency, and minimizes your overall tax burden.Learn More

Common questions from medical and dental practice owners

How can I improve my practice's cash flow when insurance payments are so unpredictable?

Healthcare practices face unique cash flow challenges due to insurance billing cycles. We help you implement strategies like maintaining 2-3 months of operating expenses in reserves, establishing lines of credit for temporary gaps, optimizing your billing and follow-up processes to speed collections, and creating cash flow projections that account for seasonal variations and typical insurance payment delays.

We also help you analyze which insurance plans are actually profitable for your practice and may recommend adjusting your payer mix if certain insurers consistently delay or deny claims.

What overhead percentage should I be targeting for my practice?

Industry benchmarks suggest medical practices should aim for 60-65% total overhead, while dental practices typically target 55-65%. However, these ranges vary based on your specialty, location, and practice model.

We help you analyze your overhead by category (e.g., staff costs, occupancy, supplies, lab fees, equipment) and compare your ratios to specialty-specific benchmarks. If your overhead is higher than optimal, we help identify specific areas where you can improve efficiency without compromising patient care quality.

Should I buy or lease major equipment like X-ray machines or diagnostic tools?

The buy-vs-lease decision depends on several factors, including your cash position, tax situation, and how quickly the technology becomes obsolete. Buying can offer tax advantages through Section 179 deductions and bonus depreciation, allowing you to deduct the full cost in year one (within limits). Leasing preserves cash flow, includes maintenance in some cases, and makes it easier to upgrade to newer technology.

We analyze your specific situation, including your projected income, tax bracket, and equipment lifecycle, to determine which option makes the most financial sense for your practice.

How should I structure compensation for an associate I'm bringing into the practice?

Associate compensation structures typically fall into three categories: straight salary, production-based (percentage of collections), or a hybrid model. For newer associates, we often recommend starting with a guaranteed salary for the first 6-12 months, then transitioning to production-based compensation once they’ve built a patient base.

We help you structure agreements that are fair to both parties, including considerations for overhead allocation, patient retention, and buy-in opportunities. Proper structuring from the start prevents conflicts and sets clear expectations for the path to partnership.

What should I be thinking about if I want to retire in the next 5-10 years?

Practice transition planning should ideally start 5-10 years before retirement to maximize value. We help you focus on key areas: increasing practice profitability (as practices typically sell for multiples of earnings), documenting systems and processes, building a strong management team that can operate without you, addressing deferred maintenance on facilities and equipment, and growing your patient base in desirable demographics.

We also help you understand different exit options (i.e., selling to an associate, outside buyer, or dental service organization (DSO)) and structure transactions to minimize taxes while ensuring continued patient care quality.

Your colleagues are focusing on patients while their practices run smoothly

Other healthcare providers in the Treasure Valley work with financial partners who handle the business complexity, letting them focus on what they do best. Every day spent stressed about overhead, collections, or cash flow is a day that takes away from patient care and your quality of life. Stop managing your practice alone.