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Blogs

  • By Scott E. Fleming
  • October 13, 2026

Do You Have to File a Tax Return in a State You’ve Never Lived In?

Reading Time: 6 minutes

The K-1 arrives in March. You have seen this form before and you know roughly what to do with it. Then you notice a state abbreviation you did not expect, attached to a schedule you do not remember requesting, for a state you have never lived in, worked in, or visited.

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  • By Scott E. Fleming
  • September 16, 2026

The Cash Reserve Number Most Business Owners Get Wrong

Reading Time: 8 minutes

The month closed fine. More came in than went out, and nothing on the statement suggested a problem. Then the first week of the next month arrived. Rent cleared. The equipment note cleared. Quarterly insurance posted.

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  • By Scott E. Fleming
  • May 23, 2026

The Cost of Being Right Later

Reading Time: 6 minutes

Stephanie Murrin signed her 1993 tax return in good faith. Her preparer, Duane Howell, placed false entries on it. She did not know, and the IRS later stipulated she had no intent to evade tax. She signed her returns through 1999 the same way.

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  • By Scott E. Fleming
  • May 22, 2026

The Risk on Your Books No Insurance Policy Covers

Reading Time: 3 minutes

Your second-highest-producing associate has been with your medical practice nine years. She joined the year you moved into the building, took her first call on a Tuesday in October, and within eighteen months had built a panel that ran three deep on the schedule by Wednesday morning.

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  • By Scott E. Fleming
  • May 15, 2026

An Intention Is Not a Goal

Reading Time: 3 minutes

Medical practice consultants charge tens of thousands to help you set goals. Make plans. Improve processes. Find your “why”. But successful practices, the ones that enable owners to live the lives they want, aren’t built that way.

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  • By Scott E. Fleming
  • May 12, 2026

Why a Profitable Medical Practice Runs Out of Cash?

Reading Time: 5 minutes

Your practice produced a profit last month. Your bank account does not agree. And yet payroll is tight, the credit line got touched again, and the financial pressure that was supposed to ease has not moved.

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