Chiropractic practice accounting.
Insurance billing A/R, cash-pay package accounting, equipment depreciation, and the S-corp election that matters once practice profit clears six figures.
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Chiropractic practices balance two revenue streams: insurance billing (slow-pay, contractual write-offs, prior auth issues) and cash-pay packages (often booked as deferred revenue). Most practices we onboard have not separated the two cleanly, which means margin per patient looks like a single number when it should be two very different numbers.
We work with solo chiropractors, multi-DC practices, and chiropractic + wellness combined operations.
What we handle
- Insurance vs cash-pay revenue separation.
- Cash-pay packages as deferred revenue.
- Insurance A/R aging by carrier.
- Equipment and supply depreciation.
- Owner comp via S-corp where applicable.
A chiropractor selling 12-visit cash-pay packages was booking the full $1,200 at sale. Q1 always looked exceptional, Q2 always looked broken. Deferred revenue accounting smoothed the picture and made true monthly margin visible.
If you bill insurance, A/R aging by carrier matters.
If you sell packages, deferred revenue is required.
If you are an S-corp candidate (net $100K+), 199A SSTB analysis is part of the planning.
Real margin per visit type, insurance A/R clean, packages accounted right.
From $500/month.
Frequently asked questions
Software?
ChiroTouch, Genesis, Platinum System. Sync to QuickBooks.
199A on chiropractic?
Chiropractic falls under SSTB. The 20% deduction phases out at higher income. We model whether it applies.
S-corp benefit?
Material savings at $100K+. Reasonable comp setting matters.
Equipment depreciation?
Tables, X-ray, low-level laser typically Section 179 eligible.