Cosmetic and plastic surgery practices run differently from most medical practices: cash-pay procedures sitting alongside insurance billing, significant equipment and facility investment, and revenue that can swing with the season and the broader economy. Epsilon Accounting Solutions works with plastic surgery and cosmetic practices in Edmond and the Oklahoma City metro on the accounting details that come with that particular mix.
Where We Help Most
- Cash-pay revenue tracking alongside insurance-billed procedures, kept clean and clearly separated for tax and reporting purposes.
- Entity structure and S-Corp planning for surgeon-owners looking to reduce self-employment tax exposure.
- Equipment and surgical suite depreciation, including Section 179 elections for major purchases.
- Staff payroll, covering both surgical and administrative teams with different pay structures.
- Cash flow planning around seasonal procedure volume, which tends to fluctuate more than a typical medical practice.
What We Provide
- Monthly bookkeeping and financial statements built around your revenue mix
- Practice and individual tax preparation for surgeon-owners
- S-Corp formation and tax planning
- Payroll for practice staff at every level
- CFO-level guidance on equipment investment and practice growth decisions
Why the Cash-Pay Mix Matters for Tax Planning
A practice earning a large share of revenue through cash-pay elective procedures has more flexibility in timing income and expenses than one relying entirely on insurance reimbursement, and that flexibility is exactly where good tax planning creates real savings. Without someone actively managing that timing, most of the advantage goes unused.
We also work closely with surgeon-owners on the bigger financial picture behind the practice: how much of the practice’s profit should go toward retirement savings, when a new procedure room or equipment purchase makes sense from a tax standpoint, and how to structure compensation so the numbers hold up cleanly at tax time.
Call (405) 458-8949 or schedule a consultation to talk through your practice’s specific numbers.