Author: David Leichter
-
Doctors With Multiple Income Streams: A 2026 Tax and Accounting Guide for Physicians
Guide for Physicians For many physicians, income no longer comes from one employer, one paycheck, and one clean W-2. A hospital salary may now sit beside locum tenens income, telemedicine fees, urgent care shifts, expert witness roles, chart reviews, medical writing projects, consulting work, real estate, investment accounts, or revenue from a medical practice. That…
-
Is an S-corp for Doctors Worth It
At some point, most physicians who begin earning 1099 income hear the same suggestion. “You should look into an S Corp.” It’s usually offered as a simple way to reduce taxes. However, it is rarely explained in a way that helps you decide. That’s where the problem starts. An S Corporation can be useful. In…
-
How to Track Income and Expenses in a Healthcare Practice Without Losing Visibility
If your practice is busy but your numbers still feel unclear, that disconnect usually comes down to how income and expenses are being tracked. I’ve worked with enough physicians to know this isn’t about effort. You’re seeing patients, the schedule is full, and revenue is coming in. But when you step back and try to…
-
When Doctors Run Into IRS Trouble — and Why
Most doctors and physicians spend their careers focused on patient care, not tax law. But as income grows and financial life becomes more complex, the tax side of running a medical career often becomes harder to manage than expected. Many physicians earn income from several sources, and each one comes with its own reporting requirements.…
-
Bookkeeping vs Accounting for Doctors
Most doctors only start looking into bookkeeping vs accounting when something stops making sense financially. Usually, it’s when the numbers on a report don’t match what they’re seeing in their bank account. At that point, the concern isn’t just about why the information doesn’t match, but whether the information they’ve been relying on is giving…
-
Best CPA for Doctors: Generalist or Focused Accountant
Most physicians do not spend much time thinking about their accountant until something feels off. Usually, it shows up as a higher tax bill than expected or cash flow that does not match how much the practice is bringing in. By the time that happens, the issue is rarely one missed deduction. It is usually…