Parkhurst Consulting is a dental-only CPA firm, working directly with independent practices since 2008.
No pitch. Just a clear read on where your practice stands. Flat fees start at $2,500/month.
We love startups! Ask about our special startup pricing!
Prefer to talk now? Call 512-582-7501.
Built for Idaho dental practice owners
You get a CPA who reads a dental P&L and KPIs the way you read an X-ray, spotting the overhead creep, the supply-cost drift, and the tax dollars left on the table. That is a different thing from a local generalist who treats your practice like any other small business. Distance isn't the variable that decides your bottom line. Specialization is.
Everything runs remotely, which means where your practice sits changes nothing about how we work. An owner in Coeur d'Alene, Idaho Falls, or Twin Falls gets the same monthly financials, the same benchmarks, and the same tax planning as one in Boise, Meridian, or Nampa.
What we handle
- Monthly bookkeeping and dentist-specific financial statements you can actually read.
- Proactive tax planning and S-corp strategy built around a practice, not a generic business.
- Startup and first-year accounting for owners buying or opening a practice.
- Overhead and profitability benchmarking against real dental norms.
- Entity selection advice and owner-compensation planning.
- Quarterly advisory: the two or three metrics that actually move your profit.
How working together starts
1. Start the conversation
Tell us where the practice is today. We come back with a read on what's working and what's leaking.
2. We map a plan
Bookkeeping cleanup, tax strategy, and the KPIs to watch.
3. You run the practice
A CPA on call, so you run the practice instead of the spreadsheet.
Idaho's flat tax changed the math for every practice owner
Idaho taxes individual and corporate income at a flat 5.3%, down from 5.695% under House Bill 40, signed in March 2025. A flat rate sounds like it takes the planning out of the equation. It does the opposite: it moves the decisions to owner compensation, retirement contributions, equipment timing, and quarterly estimates. If your plan predates the rate change, it was built for a law that no longer applies.
If your practice is an S-corp or a partnership, Idaho's Affected Business Entity election lets the entity pay Idaho income tax at the corporate rate and gives each owner a credit against their personal Idaho tax, a workaround for the federal SALT deduction cap. It has to be elected every year on the return, and it carries a trade-off worth understanding before you make it: an electing entity cannot claim the Idaho capital gains deduction on the sale of Idaho property and has to pass that deduction through to its owners instead, according to the Idaho State Tax Commission. That matters if a building sale or a practice transition is anywhere on your horizon.
Idaho is still an owner's market, too. About 12% of Idaho dentists are affiliated with a DSO, against roughly 16% nationally, according to the ADA Health Policy Institute's 2024 workforce data. The owners who run on real numbers are the ones who keep it that way.
Current as of the 2026 tax year.
Frequently asked questions
Why would I hire a Texas CPA for my Idaho practice?
Because dental accounting is a specialty, not a zip code. Everything runs remotely: secure cloud bookkeeping, e-signature, and video meetings. You get a CPA who works exclusively with dental practices instead of a generalist who sees one dental P&L a year.
What does it cost?
A flat monthly fee starting at $2,500/month, billed the same every month. Start-up and de novo practices have a separate pricing tier. Ask on the call.
I'm buying or starting a practice in Idaho. When should a CPA get involved?
Before you sign. We advise on entity selection, plan owner compensation, and build a first-year tax plan so the practice starts on clean books.
Let's talk about your practice's numbers.
Tell us what's going on with the practice and we'll come back with a straight answer.
Prefer to talk? Call 512-582-7501.
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Privacy Policy
CPAs, like all providers of personal financial services, are now required by law to inform their clients of their policies regarding privacy of client information. CPAs have been and continue to be bound by professional standards of confidentiality that are even more stringent than those required by law. Therefore, we have always protected your right to privacy.
We collect nonpublic personal information about you that is provided to us by you or obtained by us with your authorization. For current and former clients, we do not disclose any nonpublic personal information obtained in the course of our practice except as required or permitted by law. Permitted disclosures include, for instance, providing information to our employees, and in limited situations, to unrelated third parties who need to know that information to assist us in providing services to you. In all such situations, we stress the confidential nature of information being shared.