By Steve Schwartz, Concierge Medical Marketing

First, a quick but important disclaimer: I am not a financial advisor, CPA, or attorney. This post is not legal or financial advice. Always consult your licensed tax professional or accountant before making any decisions related to your taxes, deductions, or business structure.

Now that we got that out of the way…

April 15 is more than just a deadline—it is a wake-up call for many concierge physicians. Whether you file early or wait until the last minute, Tax Day tends to bring your business expenses, income, and profitability into sharp focus.

One of the most common themes I see in working with concierge medical practices across the country is this: doctors are not maximizing their legal, legitimate business deductions. And if you are not careful, you could be overpaying Uncle Sam—year after year.

Let’s talk about what you might be missing.

Your Practice Is a Business—So Treat It Like One

Many concierge physicians transition out of traditional insurance-based medicine because they want more time with patients, more autonomy, and better work-life balance. But with that freedom comes the responsibility of running a real business.

If you operate as a sole proprietor, S-Corp, or other business entity, you have the opportunity to deduct a wide range of business-related expenses. These write-offs reduce your taxable income and keep more money in your pocket—legally.

However, most concierge doctors I speak to are not tracking everything they could.

Commonly Overlooked Write-Offs for Concierge Physicians

Again, check with your CPA before claiming any deductions. But here is a list of expenses that are often missed or underutilized by concierge practices:

1. Home Office Deduction

Do you use a room in your house exclusively for admin, charting, or telemedicine? That space could qualify as a deductible expense. That includes a portion of your rent or mortgage, utilities, and even internet.

2. Marketing and Advertising

Whether you are running Facebook ads, sending direct mail, or paying for SEO services, your marketing spend is often fully deductible. This includes copywriting, design, photography, and even tools like HighLevel or Squarespace.

3. Technology and Software

CRM platforms, email marketing tools, AI assistants like Maddy, and even your **EMR system—such as Cerbo or Hint—**are considered business expenses. If it supports your practice’s daily operations, record-keeping, or patient communication, it likely qualifies as a write-off.

4. Travel and Mileage

Do you offer house calls? Attend medical conferences? Visit patients at their offices or homes? Those miles (and some travel costs) could be deductible—if properly tracked.

5. Professional Development

CME courses, webinars, conferences, books, and even certain coaching programs may qualify if they are directly tied to your medical practice.

6. Independent Contractors and Consultants

If you are paying for outside help—whether a virtual assistant, bookkeeper, marketing consultant, or AI tech specialist—those payments may be written off.

The Key: Documentation and Strategy

The biggest mistake you can make is not tracking these expenses throughout the year.

If you are still handing your accountant a shoebox full of receipts in April, you are likely missing thousands of dollars in legitimate deductions.

Instead, put systems in place to categorize your expenses monthly. Use software like QuickBooks, Xero, or whatever your accountant prefers—and be proactive.

You should also be asking your CPA regularly:

• “What else could I be deducting that I am not?”
• “How should I structure this expense to make it deductible?”
• “Are there smarter ways to pay myself for tax optimization?”

Most importantly, revisit your membership pricing, overhead, and growth strategy regularly. Tax Day is the perfect time to do a business check-in—not just a paperwork dump.

Build a More Profitable Practice (Without Working More)

Your patients chose concierge medicine because they want a better healthcare experience.

You chose this model to regain control of your time, your income, and your impact.

But if you are overpaying taxes because of poor expense tracking or missed deductions, you are not reaping the full benefits of your business.

You do not need to be a financial expert—but you do need to think like a business owner.

Final Thoughts (and a Friendly Push)

Again, I am not a tax advisor or accountant. This blog is for educational purposes only. Before acting on anything you read here, please consult your licensed tax professional.

That said, here is your next step:

👉 Take one hour this week to analyze your 2024 expenses so far.
What are you spending money on?
Are those expenses being categorized properly?
Could you be tracking more for tax season 2025?

The sooner you get ahead of it, the easier—and more profitable—next year will be.

If you need help exposing your practice to many more potential patients online, which leads to more ‘meet and greet’ appointments, I am happy to chat. My team at Concierge Medical Marketing works closely with practices like yours to build smarter systems that drive growth and efficiency. Schedule a time here:  www.cmmkg.com/schedule 

Let’s make next year’s tax season a celebration of profit—not just a deadline.

—
Steve Schwartz
Founder, Concierge Medical Marketing

📧 [email protected]

🌐 www.conciergemd.marketing