What Changed for Medical Practices in 2025
The One Big Beautiful Bill Act made permanent what was previously a set of expiring provisions. 100% bonus depreciation is now a permanent feature of the tax code. The Section 179 deduction cap has been more than doubled to $2.5 million. For practice owners investing in in-house laboratory equipment, diagnostic technology, or clinical infrastructure, the first-year tax treatment of that capital investment is fundamentally different than it was under prior law.
What We Can Help You Explore
We connect practice owners and their CPAs with advanced tax strategy specialists who work specifically with medical practice owners and high-income healthcare professionals. The specialists we work with focus on strategies that are legal, documented, and defensible — not aggressive schemes.
- OBBBA Section 179 and bonus depreciation planning for capital equipment
- Entity structure review and optimization for practice owners
- Washington State Millionaire’s Tax planning and awareness
- High-earner state tax burden analysis across all 50 states
- CPA-to-CPA introduction to advanced tax strategy specialists
How the Introduction Works
We facilitate a CPA-to-CPA introduction, meaning your existing accountant connects directly with our tax strategy specialists. This preserves your existing advisory relationship while bringing in additional expertise for specific planning opportunities. If you don’t have a CPA, we can help facilitate a direct introduction as well.
The initial conversation is free and without obligation. Our compensation comes from the tax strategy specialists upon successful engagement, so there is no cost to you for the introduction or the initial analysis.
Start the Conversation
Tell us a bit about your practice, your current tax situation, and what equipment or investments you’re considering. We’ll set up the right introduction.
Connect with Our Tax Strategy Specialist