A CPA for physicians in Texas.
janss.cpa handles tax preparation and planning, household cash flow and the numbers behind ownership decisions for physicians across Texas, whether you're employed, a partner or an owner. Brent Janss is a licensed Certified Public Accountant (CPA) and a former hospital CFO and surgery center CEO.
Tax, financials and strategy, together
Tax prep + planning
- Individual returns with multiple K-1s and W-2s
- Quarterly estimates sized to K-1 income, including phantom income
- Retirement design, including cash-balance plans
Financials + KPIs
- Household cash flow against distributions
- Taxable income vs. cash received, by entity
- Personal balance sheet and net-worth tracking
Strategy + value creation
- Buy-in review before you sign
- After-tax view of PE recapitalizations and hospital JVs
- Modeling offers and compensation changes
Are we the right CPA for you?
- You own part of a surgery center, practice or facility, or receive K-1s
- You're weighing a buy-in, a PE offer or a hospital joint venture
- You want one CPA who sees your taxes and your ownership decisions together
- You need an audit or a review of financial statements; we don't perform attest work
- You're looking for investment management or insurance; we don't sell either
Common questions
Why is my surgery center K-1 taxable when I didn't get the cash?
Partnership income is taxed when the partnership earns it, not when it is distributed. When a center keeps cash for debt payments, equipment or reserves, your share of the income is still taxable to you. That gap is often called phantom income, and it can be forecast and funded through estimated payments.
Can you review a buy-in or a private equity offer before I sign?
Yes. We model what the deal means for you after tax: buy-in cost and financing, distributions, rollover equity and household cash flow. We are paid a fixed fee and take no success fee, so the answer doesn't depend on whether you sign.
Do you only work with physicians in Houston?
No. janss.cpa is based in Houston and works with physicians across Texas, with secure online document exchange and video meetings and in-person meetings in Houston.
Healthcare CPA overview · K-1 phantom income, explained · Everyone we serve
Thank you for considering us.
Send a text, an email or call. You’ll reach Brent directly.