Financial Checkup for Dentists: What to Review Before Summer Slowdowns

Late spring often brings a familiar shift in the dental industry. School schedules change, families travel, and your patient base may pause routine visits. A seasonal dip does not have to create financial stress, but it does require preparation. Practices that stay steady through slower months consistently track the right numbers, protect cash, and make timely financial decisions.

This is where financial planning for dental practices becomes most valuable. Accurate financial reports and current data reduce surprises, maintain stability, and protect the practice’s financial health while ensuring strong patient care. Below is a practical checklist of what to review now, and how Dental Accounting Group’s dental accounting services can help so summer feels manageable instead of uncertain.

Start with clean, timely financial statements

Before forecasting a slowdown, confirm your financial statements reflect reality. Misclassified transactions or unreconciled accounts turn planning into guesswork and increase the risk of errors. Clean books help you evaluate finances, set goals, and act quickly if overhead costs creep up.

At minimum, review your monthly:

  • Profit and Loss (P&L) for trends in production, collections, and expenses
  • Balance Sheet for cash position, liabilities, and unusual account balances
  • A simple monthly snapshot highlighting top overhead categories and profitability trends

Dental-focused bookkeeping matters because dental revenue cycles, insurance claims, and vendor relationships differ from other industries. Consistent reporting allows accurate comparisons and reliable strategic planning based on your practice’s actual financial performance.

What should I be reviewing financially before summer slowdowns?

Review cash flow, collections trends, overhead costs, and upcoming obligations to maintain your safety net during lower-volume months. Focus on current financial reports, accounts receivable, payroll timing, and planned spending like new equipment. Align tax planning and staffing with projected cash flow needs.

Review cash flow and reserves, not just profitability

A profitable month on paper can still create cash pressure if collections lag or expenses hit early. Cash flow management deserves its own review before summer because timing matters more when the schedule is lighter. This is especially true if reimbursement rates or insurance claims processing slow down simultaneously.

Key items to review:

  • Monthly cash inflows vs. outflows, including owner distributions
  • Minimum cash reserve target for payroll, rent, and core expenses
  • Upcoming one-time expenditures, from repairs to supplies
  • Credit line terms and interest rates, even if you do not plan to use them

If you already have custom reporting or trend dashboards, use them to identify your normal seasonal pattern. If not, this is often the first step to improving financial management and reducing stress during predictable slowdowns.

Check your collections and insurance pipeline for bottlenecks

Many dental professionals focus on production, but collections drive day-to-day financial security. Before summer, examine how quickly revenue turns into cash and where claims are getting stuck. Even small delays can compound when schedule volume dips.

Review these indicators:

  • Accounts receivable aging (especially 60+ and 90+ day balances)
  • Trends in insurance claims submissions and denials
  • Write-offs and adjustments signaling process issues
  • Patient balances and follow-up cadence

Your practice management software holds operational details, while financial software and bookkeeping translate results into financial statements. When these data sources align, you gain clearer financial ratios and a better view of your practice’s finances.

Audit overhead costs line-by-line and reset “normal” spending

Overhead often rises quietly in spring and hurts margins more noticeably in summer. A proactive review protects financial health without cutting corners that impact patient experience. Use your P&L to compare the last 3–6 months to industry standards, then identify fixed, variable, and adjustable costs.

Common overhead costs to review:

  • Payroll and staffing levels relative to collections
  • Lab and supplies as a percentage of revenue
  • Marketing spend and membership plan performance
  • Facility costs, including rent and utilities
  • Subscription creep across practice management software and tools

Operational efficiency matters here. If spending is drifting, you can often correct it with better systems rather than broad cuts. Dental practice management and financial management should work together to ensure operational choices support financial stability.

Forecast the next 90 days using dental practice financial planning

A simple forecast helps you lead with confidence. You do not need a complex model, but you do need realistic assumptions based on recent financial reporting. This is one of the most practical uses of dental practice financial planning, as it turns historical financial reports into forward-looking decisions.

Build a 90-day view that includes:

  • Expected collections by month (based on prior summer trends)
  • Payroll timing, including bonuses, PTO, and hiring plans
  • Debt payments for loans, credit cards, or equipment financing
  • Planned purchases, including new equipment or technology
  • Owner compensation and distributions coordinated with cash needs

If your forecast shows a tight month, evaluate financing options early, adjust spending intentionally, or shift timing of discretionary projects. The goal is control and clarity, not perfection.

Align tax planning with summer projections to protect cash

Tax planning should connect to your forecast, especially if spring and summer straddle quarterly estimates or major filing deadlines. A slow collection month paired with a large tax payment can create avoidable stress. Proactive tax strategies are simpler when planned ahead, and tax efficiency improves when you see the full picture of practice ownership and personal finances.

Items to review with your CPA or financial advisor:

  • Year-to-date profit and expected annual taxable income
  • Timing of estimated payments and potential catch-up needs
  • Payroll structure and reasonable compensation strategy
  • Retirement account contributions and their impact on cash position
  • Major purchases and whether they create planning opportunities

Summer planning also supports long-term goals like retirement and estate planning. The best approach keeps your practice’s finances and your household plan aligned.

Evaluate major decisions: equipment, hiring, and expansion timing

Late spring is when many practice owners consider upgrades, additional operatories, or training investments. These can support growth, but timing matters. A summer slowdown can be a good operational window for implementation, but you still need the cash flow to carry the project.

Before committing, review:

  • Current debt capacity and lender terms in the context of interest rates
  • Practice valuation impacts if you are thinking long-term about an exit strategy
  • Whether the purchase improves operational efficiency or adds complexity
  • Cash reserve requirements after the down payment and installation costs

If planning a practice transition or succession in the next few years, these decisions tie into your desired smooth transition. Strategic planning works best when it accounts for both near-term cash flow and long-term ownership outcomes.

Reduce risk during slower months: controls, compliance, and coverage

When the schedule is lighter, it is a smart time to check internal controls and governance. Financial security includes protection from preventable issues like missed filings or unnoticed spending. Accurate bookkeeping supports compliance and helps avoid incorrect tax filings that lead to penalties and interest.

Consider reviewing:

  • Separation of duties and approval processes for payments
  • Unusual vendor patterns or expense spikes
  • Insurance policies, including business-related coverage and key protections
  • Local compliance and payroll-related processes to reduce last-minute surprises

For many successful dental practice owners, this type of review builds confidence ahead of larger life goals like real estate purchases, retirement planning, and practice transitions.

How Dental Accounting Group supports summer planning with clarity and responsiveness

Dental Accounting Group works exclusively with dental practice owners, so planning and reporting are tailored to how dentistry operates. Clean monthly bookkeeping and reconciliations support reliable financial statements, while custom reporting highlights trends in revenue, profitability, and overhead categories. That clarity supports proactive conversations about cash flow, tax planning, and financial goals.

If you want a calmer summer, use May and June to get your monthly financial pulse in order. Dental practice financial planning becomes significantly easier when your books are accurate, your financial reports are easy to interpret, and you have an advisor who responds quickly and follows through.

Plan now so summer feels predictable

If you are heading into summer with open questions about cash flow, overhead, or tax planning, schedule a call with Dental Accounting Group. We help dentists in Bellevue, Washington and across the region turn financial reporting into clear next steps, with strategic advisory support that stays practical and responsive.

Disclaimer: This article is intended for general informational purposes only and does not constitute legal, tax, or professional advice. Every situation is unique, and tax laws are subject to change. Consult with a qualified tax professional or CPA regarding your specific circumstances before making decisions based on this information. This content is provided in accordance with AICPA professional standards and does not create a client relationship with Dental Accounting Group.

Washington State Millionaires Tax: What Dental Practice Owners Need to Know (2026)

Senate Bill 6346, the Millionaires Tax, has now passed both chambers of the Washington State Legislature in the state of Washington, introducing a new state income tax on high earners. The bill passed the Senate on February 16, 2026 (27-22), and after a 25-hour marathon debate, passed the House on March 10, 2026 (51-46) with no Republican support and eight Democrats voting against. Because the House made significant amendments, the bill must return to the Senate for a concurrence vote before going to Governor Ferguson’s desk. The legislative session ends March 12, 2026. Senate concurrence is widely expected given the original 27-22 vote, and Governor Bob Ferguson has publicly committed to signing the revised bill into law, supporting the measure as part of broader Washington tax changes.

 

BREAKING: On March 10, 2026, after a record 25-hour floor debate, the Washington State House passed SB 6346 by a 51-46 vote. Governor Bob Ferguson has pledged to sign it. If enacted, this will be Washington’s first-ever personal income tax. If enacted, this will be Washington’s first-ever personal income tax, affecting high earners, business owners, and certain types of investment income.

Disclaimer: SB 6346 has passed both chambers and is expected to be signed into law imminently. This summary reflects the bill as passed by the House on March 10, 2026 and is subject to change pending Senate concurrence and Governor signature. Constitutional challenges are anticipated and could affect the law’s ultimate enforceability. This is not legal or tax advice. 

What Is the Washington Millionaires Tax?

SB 6346 imposes a 9.9% tax on household adjusted gross income (AGI) or taxable income above $1 million per year. It is projected to affect approximately 30,000 households statewide — less than 0.5% of Washington residents. The tax is scheduled to take effective January 1, 2028, with first payments due in 2029. We estimate that about 1% of our clients will be impacted. This introduces a form of new income tax in a state that has historically avoided a traditional state income tax structure.

Key Provisions at a Glance

Tax Ratetop rate of 9.9% on household adjusted gross income above $1 million per year
Who Is AffectedApproximately 30,000 households — less than 0.5% of Washington residents primarily high earners and certain business owners
Effective DateJanuary 1, 2028, with first tax payments due in 2029
Standard Deduction$1 million per household (inflation-adjusted after 2030)
Charitable DeductionUp to $100,000 for donations to Washington nonprofits similar in concept to a standard deduction structure
Tax CreditsCredits available for WA capital gains tax paid, B&O taxes paid, and income taxes paid to other states (nonrefundable, no carryforward)
Non-ResidentsTaxed only on Washington-sourced income; those working in WA fewer than 5 days are exempt
Long-Term Cap GainsMost long-term capital gains excluded from the tax base (unless already subject to WA capital gains tax)
Small Business ReliefB&O tax exemption for businesses grossing under $300,000 starting in 2029 — roughly 65% of all WA businesses applies to many small businesses across Washington businesses
Legal StatusIncludes a ‘necessity clause’ to shield from referendum — challenges expected in court and via ballot initiative
Pass-Through ImpactS-corp and PLLC owners with K-1 income pushing household income above $1 million will be directly affected

What This Means for Dental Practice Owners

This is no longer a proposal to monitor — it is on the verge of becoming law. Washington has been one of nine states with no personal income tax, making it a longstanding haven for high-earning professionals. Dental practice owners whose total household income exceeds $1 million annually need to factor this new tax into their financial planning starting in 2028. This change impacts how business income, wage income, and even rental income may be treated at the state level, especially when layered on top of federal income tax obligations. For many, this raises concerns around double taxation, particularly when income is already taxed at the federal level

Action Steps for High-Earning Practice Owners

  • If your household income is over $1m annually, we will take this new law into account during your 2028 tax projection. You can also schedule a meeting with your Client Advisor to model your potential tax exposure under this new law and stress-test different income scenarios.
  • Review the timing of income recognition — income recognized before January 1, 2028 is not subject to the new tax. This is especially relevant for practice sales, stock option exercises, bonus deferrals, and installment sale elections.
  • Evaluate available tax credits: B&O taxes paid and Washington capital gains taxes paid may be credited against your millionaires tax liability, potentially reducing your net exposure.
  • Understand how your entity structure (S-Corp vs Sole Proprietor) interacts with this new tax and whether any restructuring makes sense for your situation.
  • Be aware that constitutional challenges are anticipated — Republican lawmakers have signaled immediate court action — but do not rely on a legal reversal as a planning strategy.
  • Ongoing developments, including potential challenges at the ballot box, continued discussion during the legislative session, and positions from leaders like Senate Majority Leader Jamie Pedersen, may influence how this law is ultimately applied to Washington taxpayers.

Have questions about how this new tax could impact you? Reach out to our team for guidance tailored to your dental practice.

Disclaimer: SB 6346 has passed both chambers and is expected to be signed into law imminently. This summary reflects the bill as passed by the Washington State House on March 10, 2026, and is subject to change pending Senate concurrence and Governor signature. Constitutional challenges are anticipated. This article is for general informational purposes only and does not constitute legal, tax, or financial advice. Consult a qualified professional for guidance specific to your situation. © 2026 DG Accounting Professionals LLC.