Taxstra

Taxstra • Planning worksheet • 2026-09-18

How to Choose a CPA for Your Medical Practice: 12 Questions to Ask

Use this worksheet alongside the guide. The figures and schedules are educational illustrations, not individualized tax advice or a recommendation for your circumstances.

Work through your records

Read the explanation in the guide before filling in the schedule. Keep the illustrated values separate from your actual records. For each row, identify the supporting document, applicable period, unresolved assumption, and person responsible. Do not treat example percentages or classifications as established facts for your situation.

Your situation Work to clarify in the proposal Evidence to request Your records / questions
Employed physician Personal preparation, planning meetings, side-income and investment coordination A sample planning agenda and written list of returns included
Independent or locum physician Business records, estimated payments, entity review, state filing coordination A records checklist and assignment-to-filing workflow
Practice owner or administrator Monthly close, payroll coordination, owner reporting, business and personal tax handoffs An illustrative report package, responsibility list, and close schedule
Cost item Proposal A Proposal B Your records / questions
Recurring monthly work $900 × 12 = $10,800 $1,250 × 12 = $15,000
One-time cleanup $2,400 $1,000
Annual returns listed in scope $3,000 separately Included
First-year total for listed work $16,200 $16,000
Criterion Evidence to collect Your records / questions
Comparable practice experience A relevant explanation or illustrative report
Monthly close ownership Named preparer, reviewer, inputs, and schedule
Collections reconciliation An example and an owner for exceptions
Owner and entity tax coordination Return inventory and information handoffs
Recurring deliverables Report package and review agenda
Payroll coordination Reconciliation responsibilities and approvals
Planning analysis Assumptions, alternatives, and implementation steps
Communication Contacts, channels, and agreed response expectations
Records and access Onboarding and secure-transfer instructions
Fees and exclusions Written scope and change procedure
Transition File transfer, opening balances, and deadline ownership
Boundaries and escalation Exclusions and an owner for unresolved issues

Resolve the decision

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Explore the relevant Taxstra service. Use the consultation to establish fit and scope; individualized analysis and implementation require an engagement.