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California Bookkeeping

Medical & Dental Practices Bookkeeping in California

Insurance deposits rarely match what you billed. The books have to explain the gap.

Call (310) 800-4494Book a Free Consultation

Remote bookkeeping — monthly close, cleanup, and books ready for your CPA.

California taxes through the California Department of Tax and Fee Administration (CDTFA) at a 7.25% statewide base rate, with local rates stacking on top and economic nexus for remote sellers at $500,000 in sales. Filing runs quarterly by default, with prepayments at higher volumes. California has no annual bracket, so even a small operation files at least quarterly and the liability account has to stay current year-round.

Employer registration runs through the California Employment Development Department (EDD), and the entity is registered with the California Secretary of State. Highest statewide base rate in the country, and district taxes stack on top. LLCs also owe the $800 annual franchise tax to the Franchise Tax Board regardless of income.

We handle your practice’s financial records only — never patient health information.

At a glance

Sales tax authority

California Department of Tax and Fee Administration (CDTFA) — 7.25% statewide base rate

Economic nexus

$500,000 in sales

Filing cadence

Quarterly by default, with prepayments at higher volumes

Employer registration

California Employment Development Department (EDD)

Entity registration

California Secretary of State

Registering to do business in California

Registering to do business in California runs through the California Secretary of State, with tax accounts through the California Department of Tax and Fee Administration (CDTFA) and employer accounts through the California Employment Development Department (EDD). California treats these as wholly independent, so being in good standing with one says nothing about the others — and the sales tax account is the one that accrues a real balance while you are not looking.

Entity-level obligations in California

Beyond sales tax, California entities carry their own obligations — registration with the California Secretary of State, and whatever annual entity-level tax or report the state imposes to stay in good standing. Highest statewide base rate in the country, and district taxes stack on top. LLCs also owe the $800 annual franchise tax to the Franchise Tax Board regardless of income. Losing good standing is not merely administrative: it can interrupt financing, a sale, or a licence renewal at the worst possible moment, which is why these are accrued and calendared rather than discovered.

Are your services taxable in California?

Whether medical and dental practices services are taxable in California is the question that catches people out — states differ enormously, and several have been broadening what counts. Highest statewide base rate in the country, and district taxes stack on top. LLCs also owe the $800 annual franchise tax to the Franchise Tax Board regardless of income. We code service revenue separately from any product revenue so the treatment is explicit rather than assumed.

We keep the books. You run the business.

Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.

Call (310) 800-4494Book a Free Consultation
View pricing

How It Works

1

Free review

We check where your medical and dental practices books stand and whether California activity has crossed $500,000 in sales.

2

Register what is needed

Accounts set up with the California Department of Tax and Fee Administration (CDTFA), plus the California Employment Development Department (EDD) if you have employees here.

3

Catch up

Back periods cleaned up at a fixed quoted price, including any California liability that was collected but never reconciled.

4

Close on cadence

Monthly close worked backward from your California due dates — quarterly by default, with prepayments at higher volumes.

Medical & Dental Practices Bookkeeping in California — Frequently Asked Questions

Do medical and dental practices need to register for sales tax in California?

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If you cross $500,000 in sales, California generally expects you to register with the California Department of Tax and Fee Administration (CDTFA) and begin collecting. Physical presence also creates an obligation. We track your California activity against the threshold and flag it as you approach — whether to register, and how to handle any prior period, is a decision to make with your CPA or a tax professional.

How often do medical and dental practices file in California?

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California sets it by liability — quarterly by default, with prepayments at higher volumes — and moves you between brackets as volume changes, so it is worth confirming each year rather than assuming. We close the month against the California Department of Tax and Fee Administration (CDTFA) calendar you are actually on.

Which California agencies do medical and dental practices deal with?

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Three: the California Department of Tax and Fee Administration (CDTFA) for sales tax, the California Employment Development Department (EDD) for employer registration and unemployment, and the California Secretary of State for the entity itself. Separate account numbers, separate portals, separate deadlines — and a notice from one tells you nothing about your standing with the other two.

Do medical and dental practices pay California state income tax?

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California does levy a state income tax, so there is a state return in addition to the federal one. We keep the books that those filings are built from and hand them to your CPA or tax preparer reconciled; we do not prepare or file income tax returns ourselves.

Do you prepare income tax returns for medical and dental practices?

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No. We are a bookkeeping firm, not a licensed CPA firm or a registered tax preparer, and we do not prepare or file income tax returns. We prepare and file sales and city tax returns and 1099 information returns, which are bookkeeping functions, and we hand off clean reconciled books to your CPA or tax preparer for anything income-tax related.

Related

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Medical & Dental Practices bookkeeping in California

Book a free consultation. We will check where your books stand and whether your California activity has crossed $500,000 in sales.

Book a Free ConsultationView Pricing
  • Done-for-you
  • Solo or group
  • Nationwide

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(310) 800-4494
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