Shaqildi CPA Group
Accountants and Advisors
Running a medical or dental practice means navigating a financial landscape that looks nothing like a typical small business. Between insurance reimbursements, associate compensation structures, equipment-heavy capital decisions, and the ever-present pressure to grow — most practice owners find themselves either overpaying in taxes or making major financial decisions without the right advisor in their corner.
At Shaqildi CPA Group, we work directly with physicians, dentists, and med spa owners who need more than a once-a-year tax preparer. We serve as your embedded finance department — a technical team that understands your industry, knows your numbers year-round, and helps you make smarter decisions before the opportunities close.
Medical and dental practices run on specialized platforms — from practice management systems like Dentrix and Practice Fusion to billing, scheduling, and EHR tools that sit alongside your accounting software. We understand how these systems interact, where the data gaps occur, and how to reconcile what your practice management software reports versus what actually hits your bank account after insurance adjustments, contractual write-offs, and patient collections. That distinction — production versus collections — is one that generalist CPAs routinely miss. We don't.
AR aging, insurance write-offs, contractual adjustments, and patient balances create complexity that requires an advisor who can actually read your financials — not just compile them.
Whether you’re bringing on an associate, structuring a buy-in, or optimizing your own compensation as an owner-operator, getting this wrong is expensive. S-corporation elections, reasonable compensation analysis, and profit distributions need to be structured intentionally — not discovered at tax time.
Dental chairs, imaging systems, lasers, and practice buildouts represent significant capital expenditure. Section 179 elections and bonus depreciation strategies can generate substantial tax savings — but only when planned before year-end, not after the purchase is already on the books.
Many practices benefit from separating the operating entity from the real estate holding entity — creating intercompany rent arrangements that shift income, build equity, and reduce overall tax exposure.
Med spas blend medical services with retail product sales, creating a unique mix of cash transactions, injectable inventory, and skincare product revenue. Sales tax treatment, inventory accounting, and revenue recognition all require specific attention.
Asset versus stock, goodwill allocation, earnout treatment, and entity positioning all materially affect what you actually walk away with when acquiring a practice or responding to a DSO approach.
We’ve helped practice owners save anywhere from $20,000 to over $1,000,000 in taxes — through technical precision and proactive planning that most advisors simply don’t execute. That means identifying retirement plan strategies — defined benefit plans, cash balance plans, and solo 401(k)s — that dramatically reduce taxable income for high-earning practitioners. Structuring compensation to minimize payroll tax exposure. Coordinating year-end tax moves before December 31st, when the window to act is still open. And advising on practice growth decisions with the tax and cash flow implications mapped out in advance.
The difference between a generalist CPA and an advisor with real healthcare practice experience shows up in the questions we ask, the issues we catch, and the strategies we bring to the table unprompted. Practice owners carry enough complexity in their clinical work. Your financial team should be reducing that burden — not adding to it.
Shaqildi CPA Group serves medical, dental, and med spa practice owners across the country, with deep familiarity in the operational and financial realities of running a modern healthcare practice.