Parkhurst Consulting is a dental-only CPA firm, working remotely with independent practices across Iowa.
No pitch. Just a clear read on where your practice stands. Flat fees start at $2,500/month.
We love start-ups! Ask us about our special startup pricing today!
Built for Iowa 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.
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.
Iowa's tax overhaul changed the math for every practice owner
Iowa now taxes individual income at a flat 3.8%, down from a top rate of 8.53% just a few years ago. If your practice is an S-corp or partnership, Iowa also offers an elective pass-through entity tax with a refundable owner credit, a workaround for the federal SALT deduction cap. C-corp rates in Iowa run 5.5% to 7.1%, one more reason the pass-through question is worth an actual analysis rather than an inherited default.
A plan built under the old rates is quietly wrong now. Estimated payments, owner compensation, retirement contributions, entity choice: all of it deserves a re-run under the 3.8% math. If your tax plan hasn't changed since before 2023, it never met the current law.
Iowa is still an owner's state, too. About 8% of Iowa 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.
Frequently asked questions
Why would I hire a Texas CPA for my Iowa 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 a practice in Iowa. 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 now? 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.