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Facility Fee vs. Professional Fee: The Separation That Keeps a Surgery Center's Books Clean
By Tammy Hoang, Certified QuickBooks ProAdvisor An ambulatory surgery center earns its money in a way that trips up almost every general bookkeeper who has never worked in healthcare. When a procedure happens at an ASC, two separate bills go out. The surgery center bills a facility fee for the use of the center — the operating room, the nursing staff, the supplies, the recovery space. The physician bills a professional fee for the surgical work itself. These are two different
19 hours ago6 min read


The Bookkeeping Mistakes That Quietly Drain a Dental Practice's Profit
By Tammy Hoang, Certified QuickBooks ProAdvisor A dental practice can be busy, well-reviewed, and fully booked — and still quietly lose profit it never sees leave. The reason is almost never the dentistry. It is the books. Dental practices carry financial mechanics that most general bookkeepers have never handled, and when those mechanics are recorded wrong, the numbers on the profit and loss statement stop telling the truth. The practice looks profitable while cash quietly s
4 days ago6 min read


Cash Basis for Your Books vs. Cash Basis on Your Tax Return: Why They're Not the Same Thing
By Tammy Hoang, Certified QuickBooks ProAdvisor If you run a business in Orange County, you have almost certainly told someone, “we’re on cash basis.” It sounds like a single, simple statement. It is not. “Cash basis” can describe how your books are kept, how your tax return is filed, or both — and those are three separate things that do not automatically line up. A business can keep its books one way and file its taxes another, and neither version is the same as GAAP. This c
6 days ago6 min read


ASC Compliance and Review-Readiness: How Clean Bookkeeping Keeps Your Surgery Center Prepared
By Tammy Hoang, Certified QuickBooks ProAdvisor ASC compliance and review-readiness rest on one quiet foundation: clean, well-kept books. An ambulatory surgery center faces more outside scrutiny of its finances than most businesses — a CPA financial audit, lender covenant reviews, buyer due diligence, and the financial-records side of Medicare certification and accreditation surveys. Every one of those reviews assumes the surgery center can produce accurate, complete, and org
7 days ago6 min read


ASC Financial Statements Explained: The Three GAAP Reports Every Surgery Center Needs
By Tammy Hoang, Certified QuickBooks ProAdvisor ASC financial statements are how an ambulatory surgery center sees itself clearly — how profitable it really is, what it owns and owes, and whether cash is actually flowing. Yet many surgery centers run on incomplete or non-standard reports that hide as much as they reveal. In this fourth part of our ASC series, we step back from the individual mechanics of revenue and expenses and look at the finished product: the three core fi
Jul 126 min read


ASC Accounts Payable: How Surgery Centers Should Manage Vendors and Prevent Payment Errors
ASC revenue recognition is the accounting rulebook that decides when and how much revenue an ambulatory surgery center puts on its books. In our first article we walked through the revenue cycle — how a surgery center's money moves from billed charge to collected payment. This guide goes a layer deeper, into the accounting standard behind that cycle: whether a surgery center should use cash or accrual accounting, and how the ASC 606 revenue recognition model applies to a surg
Jul 96 min read


ASC Revenue Recognition Explained: Accrual vs. Cash and the ASC 606 Model for Surgery Centers
By Tammy Hoang, Certified QuickBooks ProAdvisor ASC revenue recognition is the accounting rulebook that decides when and how much revenue an ambulatory surgery center puts on its books. In our first article we walked through the revenue cycle — how a surgery center's money moves from billed charge to collected payment. This guide goes a layer deeper, into the accounting standard behind that cycle: whether a surgery center should use cash or accrual accounting, and how the ASC
Jul 86 min read


ASC Revenue Cycle Bookkeeping: Why Your Surgery Center's Real Revenue Isn't What You Billed
By Tammy Hoang, Certified QuickBooks ProAdvisor For an ambulatory surgery center, the single biggest source of bookkeeping confusion is revenue — and specifically, the gap between what you billed and what you will actually collect. ASC revenue cycle bookkeeping is not like a retail business where a sale equals cash. A surgery center bills an insurer one amount, gets paid a contracted amount that is often far lower, and waits weeks or months for the money to arrive. If your bo
Jul 76 min read


Reasonable Compensation for Law Firm Owners: Why S-Corp Distributions Alone Are an IRS Risk
By Tammy Hoang, Certified QuickBooks ProAdvisor If your law firm is taxed as an S corporation, reasonable compensation is one of the most important tax issues you will ever face — and one of the easiest to get wrong. Many attorney-owners hear that S-corp distributions avoid self-employment tax and decide to pay themselves a tiny salary while pulling most of the money out as distributions. The IRS is very clear that this does not work. An S-corp shareholder who performs real s
Jul 67 min read


How Law Firms Should Record Attorney Compensation to Keep the Books Clean
By Tammy Hoang, Certified QuickBooks ProAdvisor Attorney compensation is one of the most sensitive subjects in any law firm, and it is also one of the most misunderstood from a bookkeeping standpoint. This guide is not about how much an attorney should pay themselves — that depends on each firm's situation and is a conversation for your tax advisor. It is about how compensation is recorded once those decisions are made. Partner draws, salaries, bonuses, profit sharing, and eq
Jul 56 min read


Starting a New Law Firm? The Financial Setup Checklist Every Attorney Needs
By Tammy Hoang, Certified QuickBooks ProAdvisor Opening a new law firm is exciting, but the financial setup is where many new attorneys feel lost. Law school teaches you how to practice law, not how to structure a firm's bank accounts, set up an IOLTA trust account, or build a chart of accounts that keeps you compliant. The good news is that getting the money side right from day one is mostly a matter of working through a clear checklist. This guide walks a new law firm throu
Jul 26 min read


Did You Get a State Bar Notice About Your Trust Account? Here's What It Means
By Tammy Hoang, Certified QuickBooks ProAdvisor Getting a State Bar trust account notice in the mail can make any attorney's stomach drop. Before you panic, the first thing to understand is that not every notice means you are in trouble — and the right next step depends entirely on which kind of notice you received. Some are routine, some are time-sensitive, and some are serious. What they all have in common is that they turn on your records: clean law firm bookkeeping and a
Jul 17 min read
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