Accounting for Medical Practices in San Francisco

At Presti & Naegele Accounting Offices, our team has worked closely with medical professionals throughout San Francisco. We've partnered with a broad mix of healthcare clients — from solo physicians and specialists to multi-provider practices and outpatient facilities. Our accounting for medical practices in San Francisco is built around understanding and addressing the everyday realities that local providers face.

Fortunately, Presti & Naegele Accounting Offices Medical Practice partners and professionals have just the expertise required. Since inception, P&N has provided solutions to a wide array of medical practices including surgi-centers, independent physician practices and group specialty practices. 

Our experience equips us to offer sound advice that supports strategic decision-making, operating performance and profit optimization.

COMMON RECOMMENDATIONS TO MEDICAL PRACTICES in San Francisco

✔ Entity Structure
Helping medical practices in San Francisco choose the right business setup — like an LLC or S corp — for legal protections and tax benefits.

✔ Business Expense Deductions
Making sure providers claim the right deductions on items like clinical tools, rent, staffing, and professional education.

✔ Equipment Purchases
Advising on tax-saving options like bonus depreciation and Section 179 when purchasing new medical equipment.

✔ Retirement Planning
Helping San Francisco practices set up SEP IRAs or 401(k)s to support employee benefits and reduce taxable income.

✔ Health Savings Accounts
Guiding providers on using HSAs to build tax-advantaged savings for medical expenses.

✔ Cost Segregation
Helping property-owning practices in San Francisco accelerate building depreciation through cost segregation strategies.

✔ Tax Credits
Locating available tax credits — from eco-friendly upgrades to job creation incentives — to help lower practice tax liability.