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(618) 656-6010
For Medical & Dental Practices

Keep more of what your practice earns.

A profitable practice pushes you into top brackets, self-employment tax, and QBI phase-outs. We plan all year, structuring your income, comp, and equipment purchases so you stop overpaying every April.

Schedule Your Consultationor call (618) 656-6010
Dental treatment room

Books closed by the 10th
Every month. In writing.
3,000+ businesses served
Best Accountants Finalist
AICPA Member Firm
QuickBooks Certified ProAdvisor
100% IRS audit success
What we solve

The hidden cost of waiting until April

Without proactive planning, a strong year quietly becomes a big tax bill.

1
QBI phase-out cliffs
As a specified service business, your 20% QBI deduction phases out fast, and your comp and entity choices decide how much you actually keep.
2
Heavy tax exposure
Self-employment tax plus top federal and state brackets land hard on strong practice income. Proactive structuring is the only lever that moves the number.
3
Expensive equipment
Imaging, chairs, operatories, and IT are major purchases. How you time them and depreciate them, with Section 179 and bonus, drives what they really cost you.
4
Payroll & associate comp
Staff payroll, associate models, and retirement plans all have to be structured well. Done wrong, they quietly cost you every pay run.
What we do

One firm for the whole financial back office.

Four services, one team, one monthly rhythm, all built around how your practice actually runs.

Accounting
Practice financials you can actually use.
Monthly close with provider-level P&L
Production vs. collections reporting
CFO-level benchmarking & advisory

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Bookkeeping
Clean, reconciled books every month.
Insurance reimbursement reconciliation
Up-to-date books by the 10th
Audit-ready records year-round

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Managed Payroll
Your team, paid right, on time.
Full-service payroll runs & filings
Associate, hygienist & bonus handling
Owner retirement-plan contributions

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Tax
Planning all year, not just April.
Protect your QBI deduction
Section 179 & bonus depreciation timing
S-corp & PTE strategy to beat the SALT cap

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The difference

We do things differently than most accountants.

Most firms are built around volume. File the return, move on, repeat. Here’s what you get with us instead.

What you’re used to
Only hearing from your CPA at tax time
Outdated or messy books you can’t trust
Slow responses, or no answers at all
Tax prep only, with zero real planning
Feeling like just another number on a list
With Thompson Flaherty
Year-round communication and proactive check-ins
Clean, reconciled books every single month
Fast replies by email, text, or phone
Tax strategy that starts now, not in April
A dedicated CPA who knows your name and your practice
Getting started

From first call to
year-round partner

The first call is completely free, with zero pressure and zero obligation. Just a straight, honest read on your practice.

01
Free intro call
Tell us about the practice and your goals. No pressure and no commitment, just a real conversation.
Step 1
02
We review your numbers
We dig into your books, payroll, and prior returns, then show you exactly where we can help.
Step 2
03
We take the wheel
We transition your accounts, clean things up, and put reliable systems in place. Fast.
Step 3
04
Year-round partnership
Proactive planning, fast answers, and ongoing advisory. We’re in your corner all year.
Ongoing
The team

Talk to a dedicated CPA, not a call center

You’ll work directly with the same CPA every time, someone who actually knows your numbers, your goals, and your industry.

Tyler Hawkins

Tyler Hawkins, CPA
Senior Certified Public Accountant
Kelly Flaherty

Kelly Flaherty, CPA
Senior Certified Public Accountant
Jim Klostermann

Jim Klostermann
Senior Tax Accountant
Christian Kimble

Christian Kimble, CPA
Certified Public Accountant

Common questions

Straight answers about working with us. Anything else? Bring it to the call.

Yes. We’re based in Edwardsville with a Chicago office, and we serve practices across the Metro East, St. Louis, Chicago, and nationwide through virtual CPA services.
Let’s talk
Ready to work with a CPA who actually gets back to you?
Whether it’s your books, payroll, or a real tax plan, let’s talk. The first call is free, with zero pressure.
Schedule Your Consultation

Prefer the phone? (618) 656-6010

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