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Healthcare
Financial management and accounting solutions for healthcare businesses
The 100% Pharma Tariff Arrives September 29: What Independent Pharmacies and Specialty Clinics Must Do Before Your Next Reorder Costs Twice as Much
A 100% Section 232 tariff on patented drugs and APIs hits smaller manufacturers on September 29, 2026; here is how independent pharmacies and specialty clinics should audit country of origin, separate tariff in landed cost, and manage the working-capital lag before the cost passes through.
The ACA Subsidy Cliff Is Back in 2026: How the Self-Employed Health Insurance Deduction Can Pull Your MAGI Back Under the 400% Threshold
The enhanced ACA subsidies expired after 2025 — the 400% FPL cliff is back. Learn why $1 over 400% FPL wipes the credit, and how the §162(l) self-employed health insurance deduction can lower MAGI back under the threshold.
Home Care Bookkeeping in 2026: The Accounting Guide Every Agency Needs
Home care bookkeeping: monthly closes by the 7th, EVV to payroll to billing, Medicaid/Medicare compliance, and the controls that prevent audit findings.
Non-Medical Home Care Agency Bookkeeping: Payroll, Billing, and Margin-by-Client Tracking
Track caregiver payroll, client-level margins, and complex revenue streams with the bookkeeping system non-medical home care agencies need to separate profitability from operational chaos.
Mobile IV Therapy Bookkeeping: Corporate Practice of Medicine, Medical Director Fees, and Nurse Classification
Mobile IV and wellness injection bars must structure ownership as a physician-owned PC plus an MSO to satisfy corporate-practice-of-medicine rules, pay medical directors a flat monthly fee rather than a percentage of revenue, and classify nurses as W-2 employees in ABC-test states — each decision maps directly to a different chart-of-accounts structure.
PBM Reform 2026: What Rebate Pass-Through Means for Small Employer Health Plans
Congress's February 2026 PBM reform mandates 100% rebate pass-through, bans spread pricing, and requires transparency reporting by August 2028. In West Virginia, an early rebate pass-through approach cut average 2026 group plan rate increases to 12.6% versus 19.5% under the old system. Here's what small employers should do before the 2029 enforcement date.
Med Spa Bookkeeping: How to Handle Injectable Inventory, Injector Commissions, and Membership Revenue
A practical bookkeeping guide for med spa owners covering the industry's hardest problems — tracking expiring injectable inventory with FIFO and treatment recipes, calculating 15–25% injector commissions from provider-level revenue, deferring membership and package revenue until services are delivered, and building a chart of accounts that shows which service lines actually carry margin.
California's SB 525 Health Care Minimum Wage: July 2026 Rates, Tiers, and the Exempt-Salary Trap
California's SB 525 raised health care worker minimum wages to $22, $23, or $25 per hour on July 1, 2026, depending on facility tier — and pushed exempt salary floors as high as $78,000. Here's who is covered, the rate for each tier, and how to budget payroll facility by facility.
Are Health Care Sharing Ministry Payments Tax Deductible? What H.R. 2062 Would Change
Health care sharing ministry payments are not deductible under current IRS rules, but H.R. 2062 and a pending IRS HRA regulation could change that for taxable years after December 31, 2025. What the Tax Parity Act proposes, the after-tax math for self-employed members, and how to keep records ready.
Orthodontic Practice Bookkeeping: Contracts Receivable, Deferred Revenue, and Insurance AR Explained
Contracts receivable — typically 55–60% of trailing twelve-month production in a healthy orthodontic practice — is a distinct metric from accounts receivable, and tracking it correctly requires ASC 606-style deferred revenue schedules, monthly insurance write-off reconciliation, and a chart of accounts that separates production, collections, and write-offs.
Panacea Financial and the Rise of Physician Banking: What Doctor-Focused Lending Teaches Anyone With Unusual Income
84% of medical student borrowers owe $100,000+ and residents earn $60,000–$70,000 while their debt suggests far more — a gap Panacea Financial, a physician-founded division of Primis Bank, underwrites around with no-cosigner PRN loans, refinancing, and practice financing. What niche banking gains, what it gives up, and why the 2026 Grad PLUS elimination changes the math.
2027 ACA Premium Tax Credit Percentages: What Rev. Proc. 2026-26 Means for the Self-Employed and Small Employers
IRS Revenue Procedure 2026-26 sets the 2027 ACA employer affordability threshold at 10.22% and updates the premium tax credit applicable percentage table (2.15%–10.22% of household income by federal poverty line bracket). Here is how the new numbers — and a quiet premium-growth methodology change — affect self-employed marketplace buyers and small employers.