Accounting for Medical Practices
Our team handles accounting for medical practices across the Denver metro, with a dedicated account manager, bookkeeper, and payroll officer assigned to every client from day one.
Where Private Practice Accounting Gets Complicated
Private practice ownership introduces financial challenges that don’t show up in most firms’ playbooks. Here’s where they tend to concentrate.
Revenue That Doesn’t Arrive on a Predictable Schedule
Patient volume varies by season, service mix, and growth phase. Without accurate monthly financials on a set delivery date, staffing decisions and equipment investments get made without a clear picture of what the practice can actually support. Our monthly accounting services deliver complete, bank-ready financials on a set date every month so you’re never operating off a six-week-old snapshot.
Payroll for Mixed Clinical and Administrative Teams
Paying physicians, mid-level providers, and support staff across different wage structures and schedules adds compliance complexity to every payroll cycle. Errors here carry tax consequences, not just accounting headaches. Our payroll services cover processing, tax filing, W-2 preparation, and notice resolution end to end.
Tax Strategy That Accounts for Physician Compensation
Physician compensation structures, including owner distributions, W-2 wages, and pass-through income, create planning opportunities that only surface with a proactive, year-round approach. The goal is to keep the maximum amount legally within the practice and in your pocket. Our tax planning and preparation runs Q2 through Q4, when there’s still room to act before year-end.
Physician Accounting Services for Private Medical Practices
Every client receives a complete back-office package scoped to how their practice actually operates, managed by the same dedicated team month after month.
Monthly Accounting
Our monthly accounting services cover bank, credit card, and loan reconciliation; comparative monthly reports; annual personal property filing; sales tax filings and payment; and accounts payable support. Every financial statement is reviewed by an experienced accountant before it leaves our office.
Tax Planning and Preparation
For tax planning and preparation, our team works year-round across S-Corporations, C-Corporations, Partnerships, and individual returns. Tax notice resolution is included, and new clients receive a complimentary review of the prior year’s return at engagement start to confirm no credits were left on the table.
Payroll Services
Our payroll services cover full payroll processing, payroll tax filing, W-2 preparation, payroll notice resolution, and full employee onboarding. Your practice doesn’t need to send hours if you’d prefer not to—our team manages the full cycle.
Business Advisory and Consulting
Through business consulting, we work through entity selection and planning, compensation structure analysis, cash flow analysis, and succession planning. Advisory is built into how we work, not offered as a separate engagement.
Ready to Put a Dedicated Accounting Team Behind Your Practice?
Every engagement includes a dedicated medical practice bookkeeping expert and payroll officer. One flat monthly fee covers the full scope, including calls and questions. No hourly billing, no surprises.
How Our Engagement Works
At engagement start, our team receives read-only access to your accounts and pulls financial data directly. From there, we process, reconcile, and deliver a complete monthly financial package on a set schedule. The same account manager and bookkeeper handle your file every month. No handoffs, no reintroductions, no relearning your practice from scratch each quarter.
The initial proposal is no cost. Billing is set as a flat monthly fee based on your practice’s scope and service mix. That fee covers everything.
Why Private Medical Practices Choose Swick
Our firm has served Denver-area businesses since 2000 with the resources and technical depth of a large accounting firm at a price structure designed for small-to-medium private practices. Every client gets a named contact who knows their numbers and a team that stays in place.
- Dedicated staffing model. Your account manager, bookkeeper, and payroll officer are assigned to your practice and stay there. Our team members are long-tenured and rarely move to other firms, which means we don’t create the same revolving-door problem you may have experienced elsewhere.
- Flat-fee billing. One monthly fee covers the full service scope, including phone access. No hourly billing. No unexpected charges between revenue cycles.
- Bank-ready financials. Every financial statement is reviewed in detail before delivery and formatted to hand directly to a lender or banker if needed.
- Complimentary prior-year review. New clients receive a review of the prior year’s tax return at no charge to confirm no credits were left unclaimed before the formal engagement begins.
- Minority-owned and majority women-led. Swick & Associates is minority-owned, minority-led, and predominantly women-employed.
Our values: transparency, honesty, accuracy, and timeliness. These are the promises we make to every client at engagement start.
Frequently Asked Questions About Accounting for Medical Practices
Does Swick handle medical billing or insurance reimbursement?
No. Our services cover financial management, accounting, tax, and payroll. Medical billing and insurance reimbursement processing aren’t in scope. That boundary is intentional. It lets our team go deep on the financial management side without attention divided across billing workflows.
What types of medical practices does Swick work with?
Private practice physicians, surgeons, orthopedic practices, urgent care centers, and similar private practice structures in the Denver metro. Large hospital systems and practices whose primary need is billing services aren’t a fit for our model.
How does flat-fee billing work for a medical practice?
At engagement start, our team reviews your practice’s scope and structures a flat monthly fee that covers all services: accounting, tax planning for private practice, payroll, and communication. There are no hourly charges for calls or questions. The fee stays consistent month to month, which keeps your financial planning more predictable even when patient volume fluctuates.
When should a private practice start tax planning?
Year-round. Our most consequential planning work happens in Q2 through Q4, when there’s still room to act before year-end. Waiting until Q1 narrows the options significantly, particularly for practices with variable revenue or complex compensation structures. Tax planning is a standing part of every engagement, not an annual sprint.
Can Swick handle payroll for a practice with both W-2 employees and independent contractors?
Yes. Our payroll team manages mixed teams, including W-2 clinical and administrative staff and contractor arrangements. Services include payroll processing, payroll tax filing, W-2 and 1099 preparation, notice resolution, and full employee onboarding.
