
CPA-Led • Medical Practice Specialists
Medical practices doing $1M+ in annual revenue
Typical engagements start at $995/month
In Medical Practices
Years Experience
Avg Tax Savings Per Client
CPA-Led Firm
Medical Industry Specialists
HIPAA-Aware Accounting
Compliance-First Approach
Complex Revenue Streams
Services, memberships, and retail all require different accounting treatment.
Payroll Challenges
Provider compensation, contractor pay, and benefits each carry different tax and reporting rules.
Sales Tax Confusion
Navigating different tax treatments for products vs. treatments.
Missed Deductions
Industry-specific deductions that generic accountants overlook.
Poor Financial Visibility
Lack of clear insights hurting your growth decisions.
The Solution

Deep understanding of medical business models
Expertise in medical industry compliance
Proactive tax planning strategies
Growth-focused financial guidance

Our Services
Tax Planning & Preparation
Strategic tax optimization tailored for Medical practices revenue structures. We identify opportunities year-round, not just at filing time.
Example: Restructuring provider
compensation to save $25k-40k annually in payroll taxes.
Financial Insight & Advisory
Ongoing financial analysis and performance tracking. Understand your numbers, make informed decisions, and scale with confidence.
Example: Monthly dashboard showing which codes drive actual profit-not just revenue.
Strategic Bookkeeping
CPA-supervised financial management designed for medical practice complexities. Provider compensation, benchmarking, and growth oversight.
Example: We benchmark your practice against similar medical practices to identify where you may be overpaying — payroll, supplies, lease costs, and overhead.
Growth Strategy Consulting
Planning to expand or add providers? We help structure your finances for sustainable growth and optimal profitability.
Entity & Structure Optimization
Ensure your business structure maximizes tax efficiency and protects your assets as your practice scales.
Payroll Compliance Oversight
Add-on
Provider compensation complexity and payroll compliance management.
Available as an add-on, priced separately based on complexity.
Why Choose Us
Niche-Specific Expertise
We work exclusively with medical practices — not general businesses.
CPA-Led Strategy
Real CPA guidance, not just basic bookkeeping.
Proactive Tax Planning
We plan ahead to minimize taxes, not just file returns.
Built for Growth
We help medical practice owners scale operations, expand locations, and structure for long-term growth.
Clear Communication
Ongoing support with transparent, jargon-free advice.
My old CPA filed my taxes once a year and that was the whole relationship. No insight into my practice, no strategy, no idea what was actually driving profit. Now I get monthly reports that show me exactly where my money is going — and I've made smarter decisions about staffing and overhead because of it.
I was looking at bringing on an associate physician but had no idea how to structure the compensation or what it would do to my taxes. They walked me through the model, the entity considerations, and the long-term plan — saved me from making decisions I would have regretted.
I'm Michael De Lucia, CPA, CFP®, founder of DeLucia CPA. After 12 years in practice, I kept seeing the same pattern with every physician owner who walked in: brilliant clinicians building growing practices, paired with generic accountants who didn't understand insurance reimbursements, provider compensation, or the tax strategies available to medical practice owners.
So I built a firm specifically for medical practices.
We work with physician practice owners who are ready to get serious about their financials. Every engagement is tailored, but typically includes monthly financials, KPI dashboards, proactive tax planning, and strategic guidance.
If you're a physician practice owner tired of explaining your business to your accountant — we should talk.

Getting specialized financial support for your medical practices is straightforward.
Common questions from medical practice owners considering specialized CPA support.
Yes, we specialize exclusively in accounting, tax planning, and financial strategy for medical practices and aesthetic medical practices. This focus allows us to understand your unique revenue streams, compliance requirements, and growth challenges better than any generalist firm.
Tax savings vary based on your specific situation, but our proactive approach typically identifies significant opportunities that generic accountants miss. Many of our clients see five-figure savings in their first year through industry-specific deductions, entity structure optimization, and strategic timing of income and expenses.
Yes, we work with medical practices nationwide. We handle all federal filings and state tax compliance for your location.
This is comprehensive, CPA-led financial strategy — not just bookkeeping. While we provide ongoing financial oversight and reporting, our primary focus is proactive tax planning, strategic advisory, and supporting your growth objectives with real financial insight.
• Best fit for Medical practices doing $1M+ annually • Typical engagements start at $995/month
No long-term contracts. Month-to-month engagements.
CPA-led accounting, tax strategy, and financial advisory services built specifically for growing medical practices and aesthetic medical practices.

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