Dental & medical practices
Run the practice.
We'll run the numbers.
Buy-ins, owner compensation, equipment and payroll for 60+ dental and medical practices across New York and New Jersey.


Practices we work with
The questions every practice owner asks.
Eleanor has worked with practices for twenty years.
Book a consultation
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Purchases and buy-ins
Valuation, financing and the new entity.
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Owner pay
Salary, distributions and retirement plans.
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Equipment
Financing and Section 179, timed to your tax year.
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Payroll
Clinical and front-desk staff, bonuses included.


★★★★★
We used to find out what we owed in April. Now we see it every month.
Dr. Megan Walsh
Walsh Family Dentistry · client since 2019
What changes when your accountant knows dentistry
A generalist
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Learns the buy-in on your dime
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Sees equipment as one line
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Owner pay set once and forgotten
A practice specialist
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Has priced forty buy-ins
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Plans equipment around your tax year
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Reviews owner pay every November
What our clients say
Owner-run businesses from Manhattan to Montclair, in their own words.
★★★★★
We used to find out what we owed in April. Now Daniel walks us through it every quarter and the number never surprises us.

Dr. Paul Kessler
Kessler Family Dental, Montclair
★★★★★
Job costing finally matches what happens on site. Our bonding company asked who does our books, which has never happened before.

Marcus Hayes
Hayes Building Co., Queens
★★★★★
Tips, payroll and sales tax used to eat my Sundays. Now the books close by the tenth and I spend Sundays in the kitchen.

Tony Russo
Russo's Trattoria, Hoboken
★★★★★
Denise's team made our first audit calm. Our board got a clean opinion and our grantors got their reports early.

Laura Bennett
Executive director, Riverside Pantry
★★★★★
They set up our inventory accounting before the holidays and caught a sales tax problem that would have cost us thousands.

Jessica Hollis
Owner, Hollis Street Boutique
★★★★★
Six rentals, two LLCs and a 1031 exchange. Robert keeps it all straight and I know my estimated payments before I ask.

Michael Grant
Real-estate investor, Brooklyn
Questions clients ask
Do you work with medical practices too?
Yes: dental, medical, physical therapy and veterinary practices.
Can you help with a practice purchase?
Yes. We review the books, model the deal and set up the new entity.
Do you handle payroll?
Yes, for clinical and front-desk staff, including bonuses and retirement contributions.
Free consultation
Bring last year’s return. We’ll take it from there.
An hour with a partner, at our office in New York or Montclair or by video. You leave with a written scope and a fixed fee.
What to bring
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Last year’s federal and state returns
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Recent bank and card statements
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Any IRS or state notices you have received

Eleanor Ashcombe
Managing partner · takes most first consultations
Tell us about your business
A partner replies within one business day.



