The Trusted Tax Strategist & Fractional CFO For Your Medical Practice
Discover How to Add $50K – $250K in After-Tax Profit to Your Practice – Without Seeing More Patients or Working Longer Hours
We start by uncovering at least $25K in legal tax savings for physicians earning $500K – $5M… then we turn that win into a complete profit, cash flow, and tax strategy for your practice.
“Because you deserve to keep more of what you earn.”
(No cost. No pressure. Just clarity and insight.)
Watch This 5-Minute Video to See How We Help Physicians Legally Reduce Their Tax Bill by $25K+ in Just 10 Days
Get a Written Plan to Save $25K+ in Taxes, Stop Losing Money, and Start Paying Yourself More
If you’re a self‑employed physician earning $500K–$5M, this complimentary session will reveal $25K+ in missed tax‑saving opportunities and give you a clear, written plan – delivered in 10 days or less – to put those savings in your pocket fast.
(No cost. No pressure. Just clarity and insight.)
Want to see how much you’re overpaying the IRS?
What You'll Get In Your Free Tax Strategy Analysis Session
During your 1-on-1 strategy session, we will:
Analyze your current tax structure to uncover hidden inefficiencies
Identify $25K+ in missed tax-saving opportunities
Pinpoint where your practice is leaking cash or profits
Show you how to increase your take-home pay without seeing more patients
There's no cost and no obligation.
Best case? We find you $25K – $250K+ in hidden profit.
Worst case? You leave with a plan to reduce your tax bill and improve profitability – even if we never work together.
(No cost. No pressure. Just clarity and insight.)
Why Are High-Earning Physicians Overpaying the IRS?
Most successful physicians are losing $25K – $100K+ to the IRS every year – without even realizing it.
You’re Writing Massive Checks to the IRS
You’re paying your fair share – and then some. The average physician pays over $75,000 in taxes annually. We regularly uncover $25K – $100K+ in legal tax savings.
You’re Tired of Last-Minute Tax Surprises
Tax season always feels rushed. You’re reacting instead of planning – and missing out on major deductions and savings strategies.
Your CPA Just Files and Forgets
Most CPAs focus on filing. They don’t build proactive, year-round strategies – and that’s costing you money.
High-Stakes Decisions, No Guidance
You’re making big decisions – hiring, expansions, investments – without the financial visibility or guidance to do it confidently.
Your Cash Flow Feels Unpredictable
Even profitable practices feel tight. Reimbursements are delayed. Overhead is rising. And there’s no system behind your numbers.
Growing Overhead Costs
Your overhead keeps climbing – staffing, EMR, malpractice – and you don't know how to control it.
You don’t need more patients. You need a better financial strategy.
(No cost. No pressure. Just clarity and insight.)
Here’s how we help you solve that – fast.
Introducing: The Practice Profit System™ – Your 3-Step Financial Transformation
More than bookkeeping. More than tax prep. Real financial transformation.
We start with one clear goal: uncovering at least $25K in tax savings fast.
Once we’ve secured those savings, we use them as the foundation for a comprehensive plan to maximize profit, strengthen cash flow, and reduce your tax burden year after year.
Led by Carla Brown, EA, our fully managed service functions as your outsourced financial department – bringing together proactive tax planning, strategic advisory, and full bookkeeping in one integrated solution for physicians earning $500K – $5M per year.
From there, we implement your plan for you, handle the ongoing adjustments, and meet with you regularly to ensure your strategy continues to deliver – so you can focus on patients while we make sure you keep more of what you earn.
(No cost. No pressure. Just clarity and insight.)
We don't just give you a plan. We implement it for you.
When you enroll, we get to work immediately by:
Conducting a complete financial and tax diagnostic
We review your entity structure, prior tax returns, collections process, and overhead to identify missed savings and hidden inefficiencies that could be costing you $25K – $100K+ each year.
Building a custom dashboard with real-time profit and cash flow visibility
You’ll see exactly where your money is going, where profit is being lost, and how much you’re keeping after taxes – all in one clear, easy-to-use view.
Meeting with you monthly to fine-tune strategy and grow your take-home pay
These sessions ensure your tax plan, profit strategy, and cash flow improvements stay on track and continue producing measurable results.
Replacing your reactive CPA with a proactive tax advisory team
We manage your tax strategy year-round, ensuring every decision you make is aligned with your long-term goal of keeping more of what you earn.
Installing a proven system to minimize taxes legally and efficiently year after year
This isn’t a one-time savings. We create a repeatable, compliant process designed to protect your income and optimize your financial results over the long term.
(No cost. No pressure. Just clarity and insight.)
Our Proven Framework Starts With $25K+ in Tax Savings and Builds to $50K – $250K in After-Tax Profit in 12 Months
Our Practice Profit System™ is a proven three-step process that helps physician-owned practices reduce taxes, increase profit, and improve cash flow – all without adding patients or extra hours to your schedule.
Here’s how it works:
Step 1
Step 1: Minimize Taxes
We start by uncovering at least $25K in missed tax savings within 10 days. This includes reviewing your entity setup, income structure, retirement planning, and depreciation strategies to legally and permanently reduce your tax bill.
Step 2
Step 2: Increase Profitability
Once tax savings are secured, we plug revenue leaks, cut unnecessary overhead, and fix inefficient billing processes – so you keep more of what you earn without adding patients or working longer hours.
Step 3
Step 3: Accelerate Cash Flow
With taxes and profitability optimized, we streamline collections, reduce payment delays, and align billing cycles so cash comes in faster and more predictably – giving you the liquidity to cover expenses, fund growth, and reduce stress.
Whether you need essential bookkeeping and tax support, proactive financial strategy, or full-scale CFO-level guidance, the Practice Profit System™ has a service level designed for your stage of practice:
Accountant – for essential monthly bookkeeping and tax compliance
Advisor – for growing practices that need proactive financial strategy
Virtual CFO – for established practices seeking high-level planning and hands-on guidance across all areas of the business
No matter which level you choose, you’re getting more than just advice… You’re getting a full-service financial engine – with a dedicated team that implements the plan for you, month after month
(No cost. No pressure. Just clarity and insight.)
When physicians implement our system, here's what they experience...
How Physicians Transform Their Practices With Us
These are the high-impact financial breakthroughs our clients experience after just a few months of working with us.
Clear Financial Visibility
For the first time, see exactly where every dollar goes in your practice. Our custom dashboards reveal hidden inefficiencies and profit opportunities that most physicians miss. This foundation of clarity eliminates the guesswork that plagues practice management decisions.
Data-Driven Decision Making
With accurate financial insights, practice growth becomes strategic rather than speculative. Whether considering a new physician hire, equipment purchase, or location expansion, you'll have precise projections showing the real impact on your bottom line before you commit.
A New Approach to Taxes
Beyond just compliance, we implement year-round tax strategies tailored to your specific practice. Our physician clients typically identify substantial savings through entity structuring, retirement planning, and timing strategies that traditional accountants often miss until it's too late.
Reduced Financial Stress
As you gain control over your practice finances, the constant worry about unexpected tax bills, cash flow crunches, and uncertain profitability dissolves. Our physicians report this newfound confidence extends well beyond their practice – improving their overall quality of life.
Pathway to Personal Wealth
With optimized practice finances, we help direct your increased profitability toward building lasting personal wealth. Your practice becomes not just a source of income, but a strategic asset in your comprehensive wealth-building plan designed specifically for medical professionals.
More Time for What Matters
Perhaps most valuable of all, our comprehensive financial management frees you from the 8–12 hours physicians typically spend each month on financial matters. This reclaimed time returns to what truly matters – your patients, your continued education, or simply more time with family.
(No cost. No pressure. Just clarity and insight.)
We offer three service levels to match your practice's specific needs...
Customized Financial Support for Every Stage of Your Medical Practice
All packages include responsive, unlimited access to our expert team – what changes is the depth, strategy, and hands-on implementation.
Accountant
Get Clarity & Control
Deliver accurate, up-to-date financial reports, eliminate tax surprises, and equip you with the clarity to make confident decisions.
Monthly bookkeeping and reconciliations so your numbers are accurate, timely, and audit‑ready
Monthly financial reports (P&L, balance sheet, cash flow) with plain‑English insights you can act on
Quarterly review calls to spot trends, answer questions, and prevent year‑end surprises
Annual tax preparation and filing with compliance checkpoints to minimize risk
Secure document portal for fast, organized information exchange
Unlimited email support + office‑hours access for quick answers when decisions can’t wait
Best for: Physicians who want to stop flying blind, remove tax‑time stress, and make decisions from clean, current numbers.
(No cost. No pressure. Just clarity and insight.)
Advisor
Get Proactive & Profitable
Move from reactive compliance to proactive strategy that increases after-tax take‑home pay.
Everything in Accountant tier, plus:
Monthly 1:1 advisory sessions to uncover profit and tax-saving opportunities – and track progress toward your goals
Proactive quarterly tax planning to legally unlock $25K – $100K in annual savings through compensation planning, retirement contributions, and depreciation strategies
Entity structure optimization to align income, payroll, and distributions with your tax plan
Cash flow forecasting and reserve planning so payroll, taxes, and investments are funded on time
Scenario planning for key decisions (hiring, equipment, location) with modeled after‑tax impact
Priority response (same business day) for urgent finance and tax questions
Best for: Practice owners earning $500K – $3M who want a partner to identify leaks, reduce taxes, and grow profit – without seeing more patients.
(No cost. No pressure. Just clarity and insight.)
CFO
Get Strategic Leadership & Execution
Act as your dedicated CFO – leading financial strategy, managing complexity, and ensuring every decision grows after-tax wealth.
Everything in Advisor tier, plus:
Monthly CFO strategy sessions to lead high‑stakes decisions, manage complex structures, and drive long‑term after‑tax growth
Advanced forecasting & financial modeling to show how changes in services, staffing, or payer mix will affect your after-tax profit
Custom KPI design & performance reviews so every provider, location, and service line is accountable to your growth and profit targets
Budgeting and compensation planning that maximize your take-home pay and keep top providers motivated
Coordination across multiple entities, real estate, and trusts to ensure everything is structured in the most tax-efficient way possible
Capital allocation & banking advisory so you always have the funding to invest, grow, and maintain smooth cash flow
Full coordination with legal, insurance, and wealth advisors so every move is aligned, compliant, and tax-efficient
Best for: Multi‑provider or multi‑location practices ($1M – $5M+) that want to delegate financial leadership entirely and scale with confidence.
(No cost. No pressure. Just clarity and insight.)
The expert behind this proven system is Carla Brown, EA...
Meet Your Trusted Advisor
Carla Brown, EA
Carla Brown is a federally licensed Enrolled Agent – the highest credential awarded by the IRS, with the same legal standing as CPAs and tax attorneys to represent clients in all tax matters nationwide.
For over a decade, she’s served physician-owned practices as the trusted advisor they turn to when basic bookkeeping and tax prep aren’t enough, combining deep tax expertise with strategic business insight to eliminate financial guesswork and improve profitability.
Her connection to physicians is also personal. Both of her sons, Ben and Alex, were born with hip dysplasia and underwent double hip replacements, and her daughter Emily is an ICU nurse.
The care her family received from physicians inspired her to create the Practice Profit System™ – a way to give back by helping doctors navigate complex financial decisions with confidence.
Today, Carla helps physicians reduce surprise tax bills, increase take-home pay, and build long-term wealth, turning their practices into powerful engines for financial security and peace of mind.
(No cost. No pressure. Just clarity and insight.)
Here’s how we make your financial transformation simple and stress-free...
Start Your Financial Transformation in Just 3 Simple Steps
Step 1
Your Free Strategy Session
We’ll review your current structure, identify missed tax savings, and map out where you’re leaking profit. Real conversation. Real insight. No fluff.
Step 2
Your After-Tax Profit Plan
A written roadmap to reduce taxes, increase take-home income, and build long-term wealth – designed around your goals and delivered in 10 days or less.
Step 3
Implementation & Ongoing Support
We handle the heavy lifting while you focus on patients – running your financial back office and making sure your plan keeps delivering results month after month.
(No cost. No pressure. Just clarity and insight.)
30-Day Money-Back Guarantee
We Stand Behind Our Work – So You Can Move Forward Without Worry
We know the value of the Profit & Tax Strategy Analysis and the results that come from working with us – and we want you to feel completely confident as you get started.
That’s why we offer a 30-Day, No-Risk, Money-Back Guarantee.
If you move forward with any of our services and decide it’s not the right fit within the first 30 days, just let us know – we’ll refund you in full. No fine print. No questions asked.
We offer this guarantee to give you complete confidence. Most firms would never offer this. We do – because we stand behind our work, and because doctors deserve this level of trust.
(No cost. No pressure. Just clarity and insight.)
Frequently Asked Questions About the Practice Profit System™
Common questions physicians ask before starting their financial transformation
Q: How quickly will I see results?
A: Many physicians start seeing financial clarity within 2–4 weeks, and identify their first major tax-saving opportunity within 30 days. Cash flow gains and compensation increases often follow in the next 60–90 days. The full $50K–$250K in annual profit improvement typically unfolds over 6–12 months.
Q: How much time will this require from me?
A: Not much. Beyond your initial consultation, most clients spend just 1-2 hours per month on strategy calls with our team. We handle the rest. In fact, many clients gain time by handing off tasks they were managing alone.
Q: How is this different from my current CPA?
A: Most CPAs focus on tax filing. We focus on financial transformation. We combine tax strategy, accounting, and CFO insight under one roof – and tailor it exclusively to the financial realities of physicians.
Q: What If I already use accounting software?
A: Great – we integrate with most platforms like QuickBooks or Xero. But software is only as good as the strategy behind it. We turn your financial data into a plan – then we execute that plan for you.
Q: Do you work with my specialty?
A: Most likely. We've worked with physicians in family medicine, pediatrics, dermatology, orthopedics, internal medicine, plastic surgery, psychiatry, and more. We know the nuances of different specialties – and how to optimize finances in all of them.
Q: Is my practice too small (or too large) for your service?
A: We serve solo physicians all the way up to multi-location groups with dozens of providers. Our tiered model grows with you, offering essential support early on and strategic insight as you scale.
(No cost. No pressure. Just clarity and insight.)
Address
Brown Tax & Accounting LLC
206 East Main Street
Portageville, Missouri
Phone: (573) 379-3826