Accounting, bookkeeping, and tax services for medical and healthcare practices in Northern Virginia and Washington DC.

    Medical Practice Accounting in Northern Virginia & DC

    Running a medical practice means juggling patient care, staff, scheduling, insurance, and compliance. When the financial side is messy or unclear, everything feels harder than it needs to be.

    Hollins & Hur is a small business CPA firm based in Manassas, VA, serving healthcare and medical practices across Northern Virginia and the DC area.

    Who We Help

    We work with a range of healthcare and medical practices

    Solo physicians and group practices
    Specialists and clinics (e.g., dermatology, med-spa, urgent care)
    Therapy and counseling practices
    Allied health practices (chiro, PT, OT, etc.)

    Our typical clients:

    Have staff and/or contractors to pay
    Use an EMR or billing system but don't always trust the financial picture
    Want to understand profitability, owner compensation, and taxes more clearly

    Common Financial Challenges

    These are the pain points we hear again and again

    Unclear financial picture. You see deposits from insurance and patients, but don't have a clean view of profit, cash, and owner pay.
    Books that don't match reality. The EMR or billing system says one thing, the bank balance says another, and your bookkeeping is somewhere in between.
    Confusing owner compensation. Salary vs distributions vs bonuses feels murky, and you're not sure what's tax-efficient or sustainable.
    Multi-entity complexity. The practice might be in one entity and the office building in another, and you're not sure everything is being handled correctly.
    Surprise tax bills. You're profitable, but you only hear from your prior accountant at tax time—and it's usually bad news.

    Our job is to turn this into a clear, reliable financial system that supports both patient care and practice growth.

    How Hollins & Hur Supports Medical Practices

    We provide comprehensive financial support tailored to the unique needs of healthcare providers.

    Monthly Bookkeeping & Practice Financials

    We keep your books clean and current so you can trust the numbers:

    Monthly reconciliations in QuickBooks Online
    Proper categorization of revenue, expenses, payroll, and owner pay
    Handling of insurance reimbursements and patient payments through your bank feeds
    Clear monthly profit & loss and balance sheet
    Simple explanations of what changed month-to-month

    Learn more about our Bookkeeping & Monthly Accounting services.

    Tax Preparation for Practice and Owners

    We handle tax work for both the entity and the doctor/owners:

    Business returns (LLC, S corp, partnership, C corp)
    Owner personal returns, including K-1s from the practice and related entities
    Multi-state and DC filings where needed
    Coordinated approach if you own the practice and a separate real-estate entity

    Learn more about our Small Business Tax Preparation services.

    Year-Round Tax Planning

    We help you move from "I hope it's enough" to a clear plan:

    Estimates of how much to set aside for taxes throughout the year
    Recommendations on owner salary vs distributions for S corps
    Planning for equipment purchases, build-outs, and major investments
    Strategies for retirement contributions and long-term tax efficiency

    We translate the options and tradeoffs so you can choose what aligns with your goals.

    Clarity on Cash & Practice Health

    You shouldn't have to guess:

    "Can we afford to hire another provider or support staff?"

    "Is the practice actually profitable, or am I just busy?"

    "How much can I safely pay myself without starving the business?"

    We give you:

    Regular reporting focused on cash, profit, and owner pay
    Short check-ins to walk through the numbers
    Clear next steps if something doesn't look right

    How Our Process Works

    We keep things structured but simple, giving you a consistent point of contact throughout our engagement.

    1

    20-Minute Intro Call

    We learn about your practice, current systems, and pain points.

    2

    Review of Books & Tax Returns

    We review your existing QuickBooks (or other system) and recent returns to understand where you're starting.

    3

    Cleanup & Setup (If Needed)

    If your books are behind or inconsistent, we quote a one-time cleanup so monthly work starts from a clean baseline.

    4

    Ongoing Monthly Support

    We agree on deadlines, communication, and reporting so you know when books will be closed and when to expect updates.

    Throughout, you have a consistent point of contact—not a different person every time you reach out.

    Is Hollins & Hur a Good Fit for Your Practice?

    We're usually a great fit if:

    You're an established healthcare or medical practice, not just starting out
    You care about both patient care and running a financially healthy business
    You want clear answers, not jargon, and you're open to recommendations

    We may not be the right fit if:

    You're looking for the cheapest possible option to just file a return
    You don't want to share information or respond to basic questions
    You want to keep everything ad hoc and only talk to an accountant once a year

    FAQ: Medical Practice Accounting

    Do I have to be local to work with you?

    No. We're based in Manassas, VA and serve medical practices across Northern Virginia and the DC area. Most of our work is done virtually using secure tools.

    Can you work with my existing EMR or billing system?

    Yes. We don't replace your EMR or billing platform. We make sure the accounting system reflects what's actually happening, using the data that flows into your bank and financial records.

    Do you also handle my personal tax return as a physician or practice owner?

    Yes. In most cases we prepare both the practice return and the owners' personal returns so everything is aligned.

    What if my books aren't in great shape right now?

    That's common. We'll review your situation and, if needed, quote a one-time cleanup project so your books are accurate going forward.

    Can you help if I own both the practice and the building?

    Yes. We regularly work with multi-entity structures where the practice and real estate are separate entities and make sure the tax and accounting treatment is coordinated.

    Ready for a Clearer Financial Picture?

    If you're ready to move away from financial guesswork and last-minute tax stress, we'd love to talk.

    Book a Free 20-Minute CPA Call and we'll:

    Learn about your practice and goals
    Review where your books and taxes stand today
    Outline a practical plan for cleaner books and fewer surprises
    Hollins & Hur Logo

    Small business accountants in Manassas, VA serving Manasses, Gainesville, Haymarket, and small businesses across Northern Virginia & Washington DC. We provide bookkeeping, tax preparation, tax planning, and advisory support so businesses can grow with confidence.

    Phone: (571) 222-4765

    Email: ops@hollinsandhur.com

    Gainesville • Haymarket • Manassas

    8506 Wellington Road, Suite 201

    Manassas, VA 20109

    © 2025 Hollins & Hur. All rights reserved.

    Hollins and Hur is the brand name under which Hollins and Hur CPAs PLLC and Nautilus Financials LLC and its subsidiary entities provide professional services. Hollins and Hur CPAs PLLC and Nautilus Financials LLC and its subsidiary entities practice as an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations and professional standards. Hollins and Hur CPAs PLLC is a licensed independent CPA firm that provides attest services to its clients. Nautilus Financials LLC and its subsidiary entities, which are not licensed CPA firms, provide tax, advisory and other non-attest services to its clients. The entities falling under the Hollins and Hur brand are independently owned and are not liable for the services provided by any other entity providing the services under the Hollins and Hur brand. Our use of the terms "our firm" and "we" and "us" and terms of similar import, denote the alternative practice structure conducted by Hollins and Hur CPAs PLLC and Nautilus Financials LLC and its subsidiary entities.