Pricing

We’ve created scalable tax & accounting packages designed to grow with your practice.

pricing

Tax Support Packages

Essentials

For high-earners with simple setups

$450
/mo

Most Popular

Pro

For operational businesses on triannual books

$950
/mo
Elite

Monthly visibility + priority access (25 client limit)

$1750
/mo
Essentials

For high-earners with simple setups

$425
/mo

Most Popular

Pro

For operational businesses on triannual books

$895
/mo
Elite

Monthly visibility + priority access (25 client limit)

$1645
/mo
Monthly Investment

All plans begin with a one-time $4,950 Tax Plan Design to build your personalized tax strategy and ensure ROI.

Essentials
$450
/mo

Most Popular

Pro
$950
/mo
Elite
$1750
/mo

1

1

1

Tax Planning & Advisory
Channels & Response Time (SLA)
Email + Portal Chat

Response within 5 business days

Email + scheduled Zoom

Response within 72 hours

Phone, text, or video

Response within 24 hours

Implementation of Your Personalized Tax Plan

One-time investment of $4,950 for Tax Plan Design to build your personalized tax strategy and ensure ROI. Backed by the MedTax ROI guarantee.

Tick mark logo
Tick mark logo
Tick mark logo
Tax Return Preparation

Fed + 1 State

Individual
Individual + Business

(1120S/1065)

Individual + Business

(1120S/1065)

Live Strategy Sessions

Both Pro & Elite include two semi-annual Strategy Sessions that blend tax + books; tax projections are delivered with those sessions. Essentials get an annual Strategy Session.

Annual (1)

Semi-annual (2)

Semi-annual (2)

Tax Projections

Includes polished tax projection reports following your Strategy Sessions (plus additional updates depending on your plan).

1

2

2

Additional Tax Projection Updates

For mid-year changes or new circumstances, additional updates to your Tax Projection are available between scheduled sessions. Most updates require 2–3 hours to complete, depending on complexity. A 2-hour minimum applies to all Essentials updates.

Billed at advisory rate

$350/hr

Included:

1 additional update (up to 90 min) + unlimited 15‑min quick updates

Included:

1 additional update (up to 90 min) + unlimited 15‑min quick updates

ROI Dashboard

Track your tax strategy’s performance, savings, and ROI in real time.

Tick mark logo
Tick mark logo
Tick mark logo
Business Tax Credit Optimization

(Pass-throughs)

Cross icon
Tick mark logo
Tick mark logo
Bookkeeping Pace
Cross icon
Every 4 months

Strategic Books Support™

Monthly

Full‑Service Bookkeeping

CPA Review of Your Books
Cross icon
Every 4 months
Monthly
QuickBooks Online Subscription
Cross icon
Tick mark logo
Tick mark logo
Gusto Payroll Subscription

Pro clients must maintain their own Gusto subscription (we manage payroll on your platform). Elite includes an owner-level Gusto subscription.

Cross icon
Client‑maintained

(not included)

Owner‑level subscription included
W‑2 Preparation (owner)
Cross icon
Tick mark logo
Tick mark logo
1099 Preparation for Vendors
$85/form
5 forms included

(then $85/form)

10 forms included

(then $85/form)

State withholding / UI account setup
Cross icon
Up to 2 states
Up to 6 states
Workers Compensation Payroll Audits
Cross icon
Cross icon
Tick mark logo
IRS account monitoring for notices
Cross icon
Tick mark logo
Tick mark logo
IRS/State notice responses (per year)
Up to 2
Up to 4
Up to 6
Audit representation hours included

($425/hr thereafter)

2
4
6
Entity formation setup (if needed)
Tick mark logo
Tick mark logo
Tick mark logo
Annual report filings (monitoring & reminders)
Tick mark logo
Tick mark logo
Tick mark logo
Meetings with third parties

Meetings are billed in 30-minute increments; 60-minute minimum. Unused included meetings expire at year-end.

Billed at advisory rate
3 included/yr

(30‑min increments)

6 included/yr

(30‑min increments)

Build Your Personalized Tax Strategy (One-Time Upfront Investment of $4,950)
$4,950

(one-time investment)

$4,950

(one-time investment)

$4,950

(one-time investment)

Tax Blueprint Session

90-minute strategy deep dive with live scenario modeling (income levels, deductions, tax liability).

Tick mark logo
Tick mark logo
Tick mark logo
Tax Plan Delivery

60-minute review & delivery

Tick mark logo
Tick mark logo
Tick mark logo
Kickoff Checkpoint

45-minute post-plan implementation review

Tick mark logo
Tick mark logo
Tick mark logo
Personalized tax strategies tailored just for you
Tick mark logo
Tick mark logo
Tick mark logo
In-depth review of your prior 3 years of tax returns

To identify missed opportunities

Tick mark logo
Tick mark logo
Tick mark logo
Business entity structure review
Cross icon
Tick mark logo
Tick mark logo
Business Owner Optimization

Retirement plan strategy + compensation benchmarking

Cross icon
Tick mark logo
Tick mark logo
Guaranteed 2x return on investment

Guaranteed 2x return on the cost of your Initial Tax Plan Design.

Tick mark logo
Tick mark logo
Tick mark logo
Operational entity add‑on

(per additional active business; requires Pro/Elite)

Cross icon
+ $245/mo
+ $245/mo
Annual entity add‑on

(holding/self‑rental/passive)

+ $750 - $950/yr
+ $750 - $950/yr
+ $750 - $950/yr
Multi‑tier adjustment

(complex multi‑entity)

N/A
+ $1,750/yr
Included
Partner Advisory Module

(per additional partner)

Cross icon
+ $350/mo
+ $350/mo
Full‑Service (Monthly) Bookkeeping add‑on

(per additional operational entity)

Cross icon
Cross icon
+ $650/mo
Cash Flow Forecasting

We connect the dots between strategy and your liquidity.

Cross icon
+ $300/mo
+ $300/mo
KPI Metrics/Benchmarking
Cross icon
+ $200/mo
+ $200/mo
Sales / Occupancy Tax Filings
Cross icon
+ $195/filing
+ $195/filing
Individual

+ $1,250

+ $1,250

+ $1,250

Business

+ $1,950

+ $1,950

+ $1,950

Estate

+ $1,850

+ $1,850

+ $1,850

Trust

+ $1,750

+ $1,750

+ $1,750

Gift

+ $1,150

+ $1,150

+ $1,150

Discount

Annual Pre-Pay Discount

6%
6%
6%

Which Tier is Right For You?

Pick the plan that matches your needs.

Essentials Tier

For Simpler Setups

Perfect if:
  • You don’t own a business or your activity stays on your 1040 (tiny Schedule C/E, simple rental/holdco).

  • One annual live tax strategy session plus email/portal support.

  • Annual Write-Up for any Annual entities.

Example clients:
  • A high-earning W-2 individual with investments.

  • An individual with a small, low-volume rental (less than 150 tx/yr; up to 3 accounts).

Most Popular
Pro Tier

For operational businesses on triannual books (SBS)

Pro is ideal if:
  • You own a business that files its own return (1120S/1120/1065) or have any operational entity (S-corp, partnership, active SMLLC/rental/STR, payroll, sales/occupancy tax, multistate).

  • Semi-Annual Tax Planning (2 live sessions/year).

  • Strategic Books Support™ (SBS) with closes every 4 months and close-period reviews.

  • Scheduled Zoom calls; 72-hour response time.

Example clients:
  • An S-corp owner or consultant with steady revenue who doesn’t need monthly bookkeeping.

Elite Tier

For high-touch service with monthly visibility (FSB)

Best if:
  • You want monthly bookkeeping for tighter cash and performance visibility.

  • Monthly close reviews  plus the same semi-annual Tax Planning as Pro.

  • Direct phone & text access; 24-hour response time.

  • Ideal when volume/complexity or decision speed makes monthly closes worthwhile.

Example clients:
  • Business owners with larger or multi-state operations, payroll/contractors, or fast-moving growth.

FAQS

A Few Quick Answers

Why is the $4,950 Tax Plan Design & Implementation Blueprint required?

Because it front-loads a complete plan and operating setup-so no mid-year surprises. It includes:

  • Tax Blueprint (90 min): live modeling of income, deductions, and tax liability.
  • Plan Delivery (60 min): finalize the written plan and action steps.
  • Kickoff Checkpoint (45 min): verify implementation is working.
  • Tailored strategy package: personalized tactics, 3-year return review for missed savings, and entity/owner optimization (structure, retirement plan, compensation).
  • Operational setup: entity classification, bookkeeping cadence (SBS or FSB), payroll/sales-tax workflows, cash-flow guardrails, and close windows.
  • Guarantee: 2x ROI on the plan fee.

Both Pro and Elite include the same baseline tax planning cadence: two Review and Close Sessions per year.

Pro includes Strategic Books Support™ (SBS) — triannual closes, with reviews tied to each close.
Elite includes Full-Service Bookkeeping (FSB) — monthly closes plus short monthly close reviews.
Choose Elite if you want monthly visibility and faster operational touchpoints; choose Pro if triannual accuracy fits your pace.

We classify each of your entities first:

Operational if any apply: separate business return (1120S/1120/1065), payroll/contractors, sales or occupancy tax, STR, multi-state, ≥3 reconcilable accounts, or >150 transactions/year. Operational entities require SBS (Pro) at minimum (or FSB/Elite for monthly). Annual if activity is truly light (e.g., tiny Sch C/E, simple holdco, simple rentals).

Annual entities use Annual Write-Up within Essentials (or as an add-on to Pro/Elite).

Monthly bookkeeping need automatically places you in Elite.

Yes—upgrade/downgrade anytime. If an Annual entity becomes active (or crosses thresholds), we’ll reclassify to Operational and move you to Pro or Elite. We’ll re-scope transparently; add-ons (e.g., connectors, extra accounts/transactions) adjust as needed. If volume exceeds 500 transactions/month, we’ll provide a separate quote.

Additional accounts (beyond included): + $55/mo (SBS) · + $85/mo (FSB)
Connectors / data wrangling (Stripe, PayPal, Shopify, Airbnb, etc.): + $85/mo (SBS) · + $105/mo (FSB)
Extra transactions (above included): + $75/mo (SBS) · + $95/mo (FSB)
Class categorization (≤5 classes): + $75/mo (SBS) · + $95/mo (FSB)
Clean-up & backwork: $175/hr
QBO Ledger is included for all; upgrade to Simple Start/Plus if you need invoicing or Class tracking (available for SBS/FSB subscribers).
Service window: we reconcile and request docs within the 5th–20th each close; timely responses keep you on schedule.

we specialize in medical accounting

Less Waste. More Take-Home Pay. That’s What We’re Here For.

goal icon

Year Round Tax Strategy

with a 200% ROI guarantee

Our tax strategies pay for themselves, twice over. If you don’t save at least 200% of the cost, we’ll refund the difference.

book icon

Bookkeeping

for financial clarity

We’ve changed the way medical practices do bookkeeping. Now you can see cash flow, spending, and profit, anytime.

payday icon

Monthly payroll

for simple payroll runs

We run your payroll monthly so you don’t have to think about it. Just one less thing on your plate.
price icon

CFO Advisory

for expedited growth

As your practice grows, so do the moving parts. We help you stay organized, focused, and financially on track.