Your practice deserves a financial team that speaks your language
Hand off the bookkeeping, payroll, and tax planning so your focus stays on patient care
You trained for years to care for patients, not to reconcile bank statements at 11 p.m. or guess whether your entity structure is costing you money. A medical practice is a complicated business: payroll, insurance reimbursements, overhead, and tax deadlines all run in the background while you see patients.
That background work is where we come in. Brammer, Begnaud, & Lattimore has kept the books for physicians and medical professionals across Southeast Texas since 1950, and we know what a physician’s financials look like before you finish describing them. From our office in Port Arthur, we handle the accounting, payroll, and tax side of your practice so your attention stays where it belongs. Healthy patients. Healthy practice. We help with the second part.
What makes accounting for physicians different from general bookkeeping
Most bookkeeping templates assume one revenue stream and a simple expense list. A practice does not work that way.
Your income arrives from insurers, patients, and sometimes ancillary services, each on its own schedule. Insurance reimbursements land weeks after the work, often at a different amount than billed, which makes cash flow harder to read than a typical retail ledger. Your overhead carries clinical staff, malpractice premiums, equipment leases, and supply costs that general bookkeepers rarely categorize correctly.
Then there is structure. Many Texas physicians operate as a PLLC or elect S-corp treatment, and that choice changes how you pay yourself, how much self-employment tax you owe, and what you can deduct. Get it wrong, and you overpay quietly for years.
There are also questions a generalist will not think to ask. How should you handle owner draws across partners in a group practice? Are your retirement contributions optimized against your marginal rate? Is your malpractice coverage recorded in a way that holds up under scrutiny?
We answer those questions because we have answered them before, for dentists, physicians, and other medical professionals throughout Southeast Texas. Bookkeeping records what happened. Accounting for a practice explains what it means and what to do next.
How BBL handles the financial side of your practice
We bundle the services a practice actually needs into one fixed monthly fee. No hourly meter, no surprise invoice after a phone call, and real-time numbers you can check any day through our secure online platform.
Outsourced accounting
A fully bundled accounting service delivered through a secure online platform, billed at one predictable monthly rate. You see your practice’s financial picture in real time instead of waiting for a quarterly catch-up.
Bookkeeping
Comprehensive bookkeeping handled by a seasoned team, including transaction classification built around how a medical practice earns and spends. Reimbursements, overhead, and payroll all land in the right place.
Payroll
Full-service payroll for your clinical and administrative staff, run through a secure online platform. Filings, withholdings, and pay runs stay current without you touching a spreadsheet.
Business tax planning and preparation
Strategic tax planning and preparation delivered digitally, with decisions made across the year rather than scrambled together in April. Your practice keeps more of what it earns.
Business management services
CFO-level financial oversight at a fraction of the cost of a full-time hire, including regular financial reviews and guidance on the decisions that move your practice forward.
Audit protection
Expert IRS representation that handles notices, letters, and proceedings on your behalf. If a question comes from the IRS, it comes to us first.
Tax strategy built around how physicians earn and grow
A once-a-year tax preparer records history. We plan ahead, because the choices that lower a physician’s tax bill happen during the year, not after it closes.
- Entity selection that fits your income. We run the numbers on S-corp, LLC, and PLLC treatment so your structure matches how much you earn and how you pay yourself, not a one-size template.
- Retirement plan analysis. We compare plan options, from SEP-IRAs to defined benefit setups, so high earners shelter income at the right rate. See how we analyze retirement plans.
- Deduction optimization. Equipment, continuing education, malpractice premiums, and home office costs get captured correctly instead of left on the table.
- Year-round support. You can call in October about a major purchase or a partnership change and get an answer before the decision, included in your monthly fee.
- Entity type analysis on demand. As your practice grows, your ideal structure can change. We revisit it with you.
Proactive beats reactive every time your money is involved. We would rather save you tax in March than explain it next April.
Starting or expanding your practice in Southeast Texas
Opening your own practice, or adding a second location, is one of the biggest financial moves of a physician’s career. The wrong setup early creates cleanup work for years.
Our Business Foundation Services help new physician owners launch on solid footing: choosing the right entity, setting up your accounting system so the books are clean from day one, and building a plan for payroll and tax obligations before the first patient walks in. If you are already established and growing, we adjust the structure to match your new scale.
Start with Business Foundation Services and Entity Type Analysis, and we will map the financial foundation together before you commit to a lease or a hire.
Why physicians across Southeast Texas trust Brammer, Begnaud & Lattimore
Longevity is its own credential. We have prepared taxes and managed books for Southeast Texas businesses through every tax law change since the Truman administration, and physicians stay with us because the numbers are clear, the fee never surprises them, and someone answers when the IRS calls.
1950
The year we opened in Port Arthur, serving Southeast Texas ever since.
1 fixed fee
Bundled services billed at one predictable monthly rate, no hourly surprises.
Full IRS Representation
Audit protection that handles notices and proceedings on your behalf.
Frequently Asked Questions about accounting and tax services for physicians
Do physicians really need a specialized CPA instead of general bookkeeping?
Yes. A practice runs on insurance reimbursements, malpractice premiums, clinical payroll, and entity choices that general bookkeepers rarely categorize correctly. Since 1950, Brammer, Begnaud, & Lattimore has handled these specifics for Southeast Texas physicians, so your books reflect how a medical practice actually earns and spends.
Should my Texas medical practice be an S-corp, LLC, or PLLC?
It depends on your income, how you pay yourself, and your self-employment tax exposure. We run the numbers through our Entity Type Analysis service to compare S-corp, LLC, and PLLC treatment, then recommend the structure that keeps more money in your practice. We revisit it as you grow.
How does the fixed monthly fee work for a physician practice?
We bundle bookkeeping, payroll, tax planning, and business management into one predictable monthly rate billed through a secure online platform. There is no hourly meter and no surprise invoice after a phone call, so you can ask questions year-round without watching the clock.
What happens if my practice gets an IRS notice?
Our audit protection service handles it for you. We provide expert IRS representation on notices, letters, and proceedings, so the correspondence comes to us first. You stay focused on patients while we manage the response and the paperwork on your behalf.
Can you help me open a new medical practice in Southeast Texas?
Yes. Our Business Foundation Services help new physician owners choose the right entity, set up clean accounting systems, and plan for payroll and taxes before the first patient arrives. From our Port Arthur office, we build the financial foundation so your launch starts on solid footing.
Ready to get your practice finances off your plate
Hand us the books, the payroll, and the tax planning, and check your numbers any time through our secure platform. One monthly fee, no billing surprises, and a team that has guided Southeast Texas practices toward a healthy financial future since 1950. Let us take the financial weight so you can get back to your patients.
