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YEAR-ENDSeptember 30, 2026
YEAR-END
Year-End Prep Starts Now: A Q4 Bookkeeping Checklist for Practice Owners
911 BOOKKEEPERS
FINANCIAL FIRST RESPONDERS

September closes out with one last practical checklist, this time focused specifically on what needs to happen with your books before the calendar flips to a new year. Getting ahead of this now means January looks like a clean transition instead of a scramble.

Make sure every account is reconciled through September, with no backlog carrying forward into Q4. Starting the last quarter of the year with clean books makes everything from here forward easier, from tax planning to the scenario forecasting we've talked about this month.

Confirm your Q3 estimated tax payment was made and start calculating what Q4's payment, due in January, is likely to look like based on your actual year-to-date profit, not a rough guess.

Review your chart of accounts and tracking categories to make sure everything still reflects how the practice actually runs today, especially if you've added an associate, changed your payer mix, or opened a second location this year. A lot of practices grow and change during the year without ever revisiting whether their books are still structured to match.

Start collecting W-9 forms now for any independent contractors you've paid $600 or more this year, so 1099 preparation in January is a matter of confirming information you already have, not chasing down paperwork under deadline pressure.

Think through any year-end tax strategies that make sense given how the year has actually gone, whether that's an equipment purchase that makes clinical sense and also helps with depreciation, or increasing retirement contributions if profit has been strong.

Update your cash flow forecast through year-end and into Q1, since the slow season conversation we've had all month matters just as much heading into January as it does heading into November.

Finally, set a specific date on the calendar to sit down with your bookkeeper before year-end closes, rather than letting it happen reactively once your CPA starts asking for documents in February.

This is the last post in our September calendar, and if there's one thing we hope stuck from the whole month, it's this: the practices that handle their slow season and their tax season with the least stress are the ones whose books were already in order before either one arrived.

Call 911 Bookkeepers at (225) 274-6576 and let's get your Q4 started off clean.

Jeremy Brewer is the founder of 911 Bookkeepers LLC in Baton Rouge, Louisiana. 911 Bookkeepers partners with MBJA Accounting Service to give chiropractic and MDVIP practices clean, current financials. He is a Xero Certified Advisor.

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