Medical practices & clinics
Books and taxes for sports medicine clinics.
A season-long team contract paid as a retainer, per-game sideline coverage, baseline concussion testing for a whole roster at once, and regular insurance visits. Gus sorts all of it, an accountant checks every transaction, and you get one number a month.
- From $197 a month
- An accountant on every transaction
- Cancel whenever
August came in at $20,600. The high school's fall team contract paid out and baseline concussion testing ran for the whole roster, so I kept both apart from regular clinic visits.
- Riverdale High team contractTeam contract revenue
- Baseline concussion testing, varsity rosterBaseline testing revenue
- Availity batch depositInsurance visit reimbursements
- Athletic trainer game coverage payrollGame coverage staffing
- Testing software and equipmentConcussion testing equipment
Why your books are different
A sports medicine clinic's books go wrong around the team, not just the patient.
A chunk of your revenue doesn't come from a single patient visit at all, it comes from a team contract, a night of sideline coverage, or testing an entire roster at once before the season starts. A generalist has no category for any of that and blends it into regular visit revenue.
-
1
Team contracts pay as a retainer, not per visit
A school or club team contract often pays a flat seasonal or annual fee for ongoing coverage, completely different from billing a single patient for a single visit, and it's easy to lose track of what that retainer is actually worth against the coverage it requires.
What we doKeeps team contract revenue in its own line, tracked against the season it covers, so you can see whether a contract is worth renewing. -
2
Game coverage happens on nights and weekends
Sideline coverage fees and the staffing to provide them run on evenings and weekends, a scheduling pattern that doesn't match a typical office week, and the pay for that coverage easily gets lost in general clinical wages.
What we doKeeps game coverage staffing costs in their own line, tracked against coverage fee revenue, so the true cost of covering games is visible. -
3
Baseline testing spikes hard right before the season
Baseline concussion testing for an entire team roster often happens in one push before the season starts, which can make a single month look unusually strong compared to the rest of the year.
What we doKeeps baseline testing revenue in its own line, so a seasonal testing push reads as exactly that instead of unexplained growth. -
4
Regular injury visits get lost next to team and testing revenue
Standard insurance-billed injury visits are the steady core of the practice, but next to a big team contract payout or a testing season spike, that steady base can become hard to see.
What we doKeeps regular insurance visit revenue in its own line, separate from team contracts and testing, so the steady base of the practice stays visible.
Your categories
The categories Gus keeps for a sports medicine clinic.
Set up once for how team contracts, game coverage, and regular visits all get paid. You never pick a category. He does, and an accountant checks it.
Money in
- Insurance visit reimbursementsDeposits from payers for standard injury and rehab visits.
- Team contract revenueSeasonal or annual retainers for covering a school or club team.
- Game coverage feesPer-event sideline coverage fees, kept apart from team contracts.
- Baseline testing revenuePreseason concussion and readiness testing for an entire roster.
Money out
- Game coverage staffingAthletic trainers and providers covering evening and weekend games.
- Concussion testing equipmentSoftware and equipment used for baseline and post-injury testing.
- Clinical wagesRegular clinic staff, kept apart from game coverage pay.
- Rehab and treatment equipmentEquipment used for injury treatment and return-to-play programs.
- Malpractice insuranceAnnual or quarterly premiums for the practicing physicians and athletic trainers.
- Rent and utilitiesThe clinic and rehab space.
- Practice management softwareScheduling, charting, and billing tools.
What we watch for you
- Team contract value
What a team contract brings in against the coverage cost it requires over a season.
- Testing season revenue
How baseline testing revenue compares from one preseason to the next.
- Regular visit share
How much of each month is steady insurance visits versus team and testing revenue.
- The set-aside
What you will owe, tracked every month, so April is a number you already knew.
Ask Gus
Things sports medicine clinic owners ask Gus.
Text him like you would text anybody. He answers in plain English, and when a question is above his pay grade, an accountant looks and gets back to you.
I keep team contract revenue against game coverage staffing costs in separate lines, so you can compare that directly instead of guessing.
Probably not at that pace, baseline testing tends to spike once a season and taper off. I keep it in its own line so the pattern is clear instead of looking like ongoing growth.
If they work your clinic's schedule under your supervision, they're usually employees regardless of when the games happen. If they're independent and cover multiple clinics, that's a different call. I'd flag it for the accountant to confirm.
The tax side
The tax side of a sports medicine clinic.
Most of what matters here is timing team contract and testing revenue correctly and knowing where the pass-through deduction starts to phase out.
What your return has to get right
Your accountant signs it, so it gets done right the first time.
- The pass-through deduction phases outA sports medicine clinic can lose part or all of the 20 percent pass-through deduction once taxable income passes $201,750 single or $403,500 joint, since medical practices are a specified service trade.
- Team contract revenue timingA seasonal team retainer is income when received, but keeping it clearly labeled and tied to the season it covers helps the accountant match it to the right period.
- Testing and rehab equipmentConcussion testing equipment and rehab tools can usually be written off the year you buy them, with 100 percent bonus depreciation available for property acquired after January 19, 2025.
- Game coverage staff payAn athletic trainer or provider who covers games under your clinic's direction is usually an employee, even if the pay is per event rather than a regular salary.
Deductions sports medicine clinics miss
Your bookkeeper knows what to look for in your statements. You never have to.
- Concussion testing equipment
- Rehab and treatment equipment
- Malpractice premiums
- Game coverage supplies and travel
- CME courses and certifications
- License and board renewal fees
- Practice management software
- Scrubs and clinical apparel
- Marketing to schools and teams
- Athletic training supplies
General information about 2026 federal rules, not advice for your business. Your accountant looks at your actual numbers before anything gets filed.
All year, not just April
A sports medicine year, kept every month.
Team contracts, testing season, and regular visits each move on their own calendar. Your taxes come on a fixed schedule. Your team keeps you ahead of both. Every month in between, your bookkeeper closes the books and speaks up the moment something looks off.
- January
Plan the year
Last year's return gets started, and you get a monthly set-aside so April is already handled, even with winter team contracts still active.
- April
Filed. Done.
Your return is filed and signed. No surprise bill, because the set-aside has been running since January.
- July
Halfway check
Where you stand, what you will owe, and whether team contracts and testing season matched last year's pattern.
- October
Before year end
Gus looks at equipment worth buying and anything worth doing before December, as fall team contracts and coverage wind down.
What you get
What you pay depends on what your business needs, and it does not move after that, busy season or slow. No hourly bills, no surprise invoices, no setup fee.
Book a call- Monthly bookkeeping
Every transaction sorted into categories set up for sports medicine clinics. You never categorize a thing.
- An accountant checks every transaction
Real review, every month, before your books close. Not a spot check.
- Your business tax return, filed
Prepared, reviewed, and signed by that same accountant every year.
- The monthly number
What you made, what you spent, what to set aside for taxes.
- Your own bookkeeper
A real person assigned to your business, in the app whenever you need them. No hold music.
- On your books all year
Every month, not just in April. Your team speaks up whenever something is worth your attention.
- Cancel any time
No contract. No cancellation call. Your books are yours.
Straight answers
Questions sports medicine clinic owners ask first.
Do you bill insurance for visits or handle team contract negotiations?
No. Gus does not handle insurance billing, medical coding, claims, or contract negotiation. Your practice management software or billing service still does that. Gus works from what actually lands in your bank account.
How do you track whether a team contract is actually profitable?
Gus keeps team contract revenue and game coverage staffing costs in separate lines, so you can compare what the contract brings in against what covering it costs.
Preseason baseline testing makes one month look huge every year. Is that a problem?
No, it's a normal pattern for this specialty. Gus keeps testing revenue in its own line so the spike reads as expected rather than unexplained growth.
Our regular visit revenue feels small compared to team contracts. Does it matter?
It matters a lot. Gus keeps regular insurance visit revenue in its own line so the steady core of the practice stays visible next to bigger, less frequent numbers.
We're considering adding a second team contract. Can Gus help me decide?
He can show you what your current contract actually costs to cover against what it brings in. Whether to add another is a business decision for you.
Is a real accountant checking my books?
Yes. You get your own bookkeeper, Gus does the first pass on every transaction, and an accountant checks every one before your month closes. That same accountant prepares, signs, and files your business return. Goatkeeper is not a CPA firm, and we never pretend a person looked when they did not.
What does it cost, and can I cancel?
It starts at $197 a month, depending on what your business needs. No setup fee, no hourly bills, no contract. Cancel any time from the app, and your books go with you.
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What makes a bookkeeper worth paying for Every business we keep books for
Book a call
Pick a time. That's the whole signup.
Fifteen minutes with a real person on our team. They look at where your books are, tell you straight what it takes to get caught up, and get you set up on the spot if it fits.
- $197 a month to start
- An accountant on every transaction
- Cancel whenever