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Healthcare
Financial management and accounting solutions for healthcare businesses
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.
CCRC Entrance Fee Accounting: Deferred Revenue, the Future Service Obligation, and the $190 Million Refund Problem
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.
Bookkeeping for Medical Device Reprocessors: When the FDA Calls You a Manufacturer
Third-party reprocessors of single-use medical devices are regulated as full manufacturers under the FDA's QMSR (effective February 2, 2026) — same 510(k), MDR, and UDI obligations as the OEM. That reshapes the books; a three-stage inventory split, per-device-family COGS, recurring validation expenses, and product liability reserves sized by risk class.
The FTC's Caremark Settlement: What Cost-Plus Reimbursement Means for Independent Pharmacy Books
The FTC's July 2026 settlement with CVS Caremark requires a cost-plus reimbursement option, point-of-sale rebate pass-through, and delinked PBM fees. Here is how independent pharmacies should model the switch, track DIR clawbacks, and keep reimbursement data auditable.
Medical Billing Company Bookkeeping: Why the Money in Your Bank Account Isn't Your Revenue
Medical billing companies are agents under ASC 606: revenue is the 4–8% fee on collections, not the gross payments passing through. How to book pass-through cash as a liability, build a chart of accounts around fee income, and track clean-claim rate, denial rate, and days in A/R as leading indicators.
Bookkeeping for Medical Billing Services: How Claim Denials Hit Your Own Cash Flow
Initial claim denial rates reached 11.8% in 2026, and billing services paid 4–10% of collections absorb every denial in their own books. A practical guide to recognizing fee revenue when claims actually pay, tracking denial rework as a separate cost, segregating client trust funds, and building a chart of accounts for a contingent-fee business.
DOL Opinion Letter FLSA2026-8: What Pre-Shift Work, De Minimis Time, and Clock Rounding Rules Mean for Hourly Employers
DOL Opinion Letter FLSA2026-8 holds that integral pre-shift work like patient handoffs is compensable, narrows the de minimis defense when timekeeping systems record punches to the minute, and requires rounding policies to be genuinely neutral — a compliance guide for any employer with hourly workers.
Is Unpaid 'Gap Time' Legal? The Third Circuit's FLSA Ruling and What It Means for Small-Business Payroll
On June 3, 2026, the Third Circuit ruled in Secretary of Labor v. Comprehensive Healthcare Management Services that the FLSA provides no federal remedy for "overtime gap time" — hours worked but paid at neither straight time nor the overtime premium — aligning with the Second Circuit and deepening a split with the Fourth. Here's what gap time is, why state wage laws still create exposure, and five payroll checks every small employer with hourly staff should run.