#healthcare
Financial management and accounting solutions for healthcare businesses
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: monthly closes by the 7th, EVV to payroll to billing, Medicaid/Medicare compliance, and the controls that prevent audit findings.
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 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.
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.
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 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.
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.
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.
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.
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.
Since 2020, at least 16 CCRC bankruptcies have cost residents an estimated $190 million in unpaid entrance-fee refunds. Here is how continuing care retirement communities actually account for entrance fees — deferred-revenue amortization, the actuarially computed Future Service Obligation (FSO) liability, and the re-occupancy dependency that can make a community look solvent on paper right up until it fails.
