Auxilium delivers institutional-grade tax planning to physicians and high-income business owners who refuse to overpay. We don't just file taxes - we engineer your financial future.
Auxilium was founded with a singular purpose: to ensure that America's highest-earning professionals keep what they've worked so hard for.

Practice owners, employed physicians, and specialists earning $400k+ face uniquely complex tax environments. Between practice income, real estate, and investment accounts - the opportunities are substantial and largely untapped by conventional CPA's.
PRIVATE PRACTICE OWNERS
EMPLOYED PHYSICIANS
SPECIALISTS
SURGEONS
DENTISTS
VETERINARIANS

From LLC Owners to S-Corp shareholders and partners in professional services firms, we design tax strategies that scale with your business - protecting wealth at every stage of growth and succession.
S-CORP OWNERS
LLC MEMBERS
REAL ESTATE INVESTORS
CONSULTANTS
LAW FIRMS
FINANCIAL ADVISORS
We offer a complete spectrum of tax strategy services - not just advice, but execution. Every strategy we recommend is one we stand behind and implement alongside you.

A comprehensive analysis of your current tax situation, identifying every legal strategy your current advisor may be missing. We quantify the dollar value of each opportunity before you commit to anything.
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A fully documented, multi-year tax strategy engineered to your specific income profile, entity structure, family situation, and financial goals. Presented in plain language you can act on immediately.
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Strategy without execution is just a document. Our team handles every aspect of implementation — entity formation, payroll restructuring, retirement plan filings, and ongoing compliance management.
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Cost segregation studies, bonus depreciation, REPS qualification, and 1031 exchange coordination — maximizing the tax shelter potential of your real property portfolio.
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Defined benefit plans, 401(k) design, Roth conversion strategies, and practice exit structuring — building wealth efficiently and ensuring you keep more when you sell.
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Tax law changes constantly. Our clients receive year-round monitoring, proactive strategy adjustments, and direct access to their senior advisor — not a call center.
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⎯⎯ OUR PROCESS
Our process is built on rigor, transparency, and execution. No surprises. No unanswered questions. Just a clear path from where you are to where you should be.

We analyze your prior returns, income structure, and entity setup to identify every missed strategy and quantify the savings opportunity — at no cost to you.

Our senior strategists build a custom, multi-year tax plan tailored precisely to your income, entity structure, family situation, and long-term financial goals.

We don't hand you a report and walk away. Our team executes every component — entity formation, filings, plan documents, and coordination with your other advisors.

Tax law evolves. We provide year-round advisory, proactive updates, and quarterly strategy reviews to ensure your plan remains optimal every year.
⎯⎯ CLIENT RESULTS
Real results from real clients. Names and details have been changed to protect privacy, but the savings are 100% accurate.
I'd been with the same CPA for eleven years and assumed I was in good shape. Auxilium found over $80,000 in annual savings within two weeks. The implementation was seamless and completely defensible. I wish I'd done this a decade ago.
I'd been with the same CPA for eleven years and assumed I was in good shape. Auxilium found over $80,000 in annual savings within two weeks. The implementation was seamless and completely defensible. I wish I'd done this a decade ago.
I'd been with the same CPA for eleven years and assumed I was in good shape. Auxilium found over $80,000 in annual savings within two weeks. The implementation was seamless and completely defensible. I wish I'd done this a decade ago.

CPA
ADVANCED TAX STRATEGIST
18+ YEARS
⎯⎯ LEADERSHIP
Year after year, I watched physicians, dentists, and business owners hand over six-figure sums that they were never legally required to pay. Not because the system was rigged against them, but because no one in their corner understood the rules well enough to use them. Most of the professionals I encountered had trusted advisors who were competent at compliance. What they lacked was a strategist.
I founded Auxilium with one belief: that the tax code, properly understood, is not a burden — it is a toolkit. Our job is to know every tool in that kit and put it to work for the people who've earned it most.
We are not the right firm for everyone. We are the right firm for the professional who has built something real, who is tired of reactive advice, and who is ready to treat tax strategy as the serious financial discipline it is.
⎯⎯
Natasha Dornbush, CPA
Founder & Chief Strategist, Auxilium
⎯⎯ ABOUT AUXILIUM
The word auxilium is Latin for "help" — specifically, the kind of help that turns the tide. That's precisely what we provide. While conventional accountants react to history, we engineer the future.
Auxilium was built on a foundational belief: that the tax code was designed to incentivize specific behaviors, and that sophisticated professionals deserve advisors who understand how to use every legal tool available. The difference between a great tax plan and a basic one is measured in tens of thousands of dollars annually — compounding for a lifetime.
Our team combines credentials across tax law, financial planning, and accounting — working together on every client engagement. We are not a volume shop. We deliberately limit our client roster to ensure every client receives senior-level attention.
"Most professionals overpay their taxes by $50,000 to $200,000 annually — not from fraud, but from a lack of proactive strategy."
⎯⎯ COMMON QUESTIONS
We believe in radical transparency. Here are honest answers to the questions every prospective client asks
Most CPAs are compliance professionals — their job is to accurately report what happened. We are strategy professionals. Our job is to architect what will happen so that your tax liability is minimized legally and substantially. A typical CPA might save you 2–5% on your effective rate. Our strategies routinely deliver 8–15% reductions. We don't replace your CPA — we enhance your entire advisory team.
Every strategy we implement is 100% grounded in the Internal Revenue Code, IRS regulations, and case law. We do not engage in aggressive positions that cross ethical or legal lines. In fact, because our documentation and compliance protocols are so thorough, our clients typically have lower audit risk than average. Every plan is reviewed by our in-house tax attorney before implementation.
The initial Tax Opportunity Assessment is completely free. We review your prior two years of tax returns, analyze your entity structure and income profile, and provide a written summary of every strategy available to you — including the projected dollar value of each. There is no obligation to engage us after the assessment. We want you to see the opportunity clearly before making any decision.
Our strategies typically create the most significant impact for individuals and businesses with $300,000+ in annual income, though we regularly work with clients earning $200,000+ when practice ownership, real estate, or complex entity structures are involved. The free assessment will tell you definitively whether advanced tax planning makes financial sense for your specific situation.
Not necessarily. Many clients retain their existing CPA for compliance work while engaging Auxilium exclusively for strategy and implementation. We are experienced at collaborating with other accounting professionals and view ourselves as an enhancement to your existing advisory team, not a replacement. If your situation calls for a full transition, we can discuss that as well — but it is never a requirement.
Many clients experience savings in the same tax year they engage us, often within 60–90 days of implementation. The assessment phase typically takes 1–2 weeks. Strategy development takes another 2–3 weeks. Full implementation timelines vary based on complexity, but we move with urgency — every day without your plan in place is a day of potential savings lost.
⎯⎯ RESOURCES & INSIGHTS
Practical, actionable insights on the tax strategies most likely to impact physicians and business owners this year.
NO COST. NO OBLIGATION ⎯⎯
Book your free Tax Opportunity Assessment. In 30 minutes, our senior strategists will
identify every strategy your current advisor is missing — and put a dollar figure on it.
Or call us directly: (800) 000-0000 · No obligation · Confidential · Senior advisor within 24 hrs

Elite tax strategy for physicians and high-income business owners who refuse to overpay. Institutional-grade planning. Full implementation. Real results.
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