Accounting and tax for Richmond medical and professional practices

Sound familiar?

• More owners, more entities, more returns.

  As a practice adds partners or separate entities, the filings multiply. The practice’s returns are coordinated with each owner’s return.

• You need a clearer view of how the practice is performing.

  Monthly statements show what comes in, what it costs to run the practice, and what remains — explained in plain terms.

• A major decision is on the horizon.

  A new provider, new equipment, a second location. Talk it through with Brent before you commit, with the tax consequences in view.

Your situation isn’t on this list? Tell us about it — every engagement starts with a conversation.

How we help.

• Monthly accounting

  Current books and financial statements.

• Business and owner returns

  Prepared together.

Services and starting prices.

• 01

  Accounting + Tax + Planning

  From $900/mo

  Monthly accounting and reporting, business and owner tax returns, proactive tax planning and year-round CPA access.

  Founding Client Rate: $825/month for your first 12 months when you engage by March 31, 2027. Terms

• 02

  Monthly Accounting

  From $400/mo

  Transaction categorization, account reconciliations, financial statements and regular accounting support.

• 03

  Tax Preparation

  From $300

  Individual returns (federal and one state) from $300; business returns from $750.

Starting prices. Your scope and price are agreed in writing before work begins.

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Richmond at a glance

• 45

  physician offices with paid employees in the ZIP code 40475 that serve Richmond

  Source: U.S. Census Bureau, ZIP Code Business Patterns 2023

• 38%

  share of physician offices with 10+ employees (estimate)

  Source: estimate derived by Tucker from Census ZIP Code Business Patterns 2023; not a published figure

Tax offices for Richmond medical practices

• City of Richmond (Finance Department - business license / net profits)

  City business tax and licenses.

  239 West Main Street, Richmond, KY 40475

  Phone 859-623-1000

  Official website

• Madison County Sheriff's Office (property tax)

  County property tax collection.

  135 W. Irvine Street, Suite B01, Richmond, KY 40475

  Phone (859) 623-1511

  Official website

• Kentucky Department of Revenue

  State tax and revenue agency.

  501 High Street, Frankfort, KY 40601

  Phone (502) 564-4581

  Official website

• IRS Taxpayer Assistance Center - Lexington

  Federal tax help in person.

  1500 Leestown Rd., Lexington, KY 40511

  Phone (859) 244-2400

  Official website

In Richmond, Madison County, Kentucky, the Madison County Sheriff's Office (property tax) collects property tax. The City of Richmond (Finance Department - business license / net profits) looks after local taxes at city level.

The Kentucky Department of Revenue is the state listing, and the IRS Taxpayer Assistance Center - Lexington is the federal one.

Tucker CPA estimates that 38% of physician offices with paid employees in ZIP code 40475 have 10 or more employees. A larger practice with staff needs its reports to agree with its books.

For medical and professional practices in Richmond, Brent keeps the monthly books current, reconciles the accounts and prepares the practice's returns together with each owner's return.

Source: each office's official website, checked October 16, 2026.