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Industries / Healthcare & Pharmaceuticals

Financial care for the people who provide it.

Provider compensation models, PC/MSO structures, payer mix, and the tax profile of a high-income practice — healthcare finance is its own specialty. It's one of ours.

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Clinician reviewing charts in a medical practice
Healthcare & pharma

How we help.

Healthcare & Pharmaceuticals
TAX—110Practice Tax StrategyEntity structure, provider comp, and retirement plan design tuned for high-income practices.VIEW → BUS—310Practice AccountingBooks that map to your payer mix — so you see margin by provider, location, and service line.VIEW → BUS—320Clinical PayrollPhysicians, PAs, per-diem staff, and call pay — processed correctly across entities.VIEW → WLT—210Physician WealthLate-start, high-velocity wealth building: student debt strategy, backdoor Roths, asset protection.VIEW →

What we see in practice P&Ls.

Field notes

Owner compensation set by habit, not math. The S-corp salary/distribution split and retirement plan design are worth real money at practice income levels — and they're usually years out of date.

Corporate-practice-of-medicine structures done halfway. PC/MSO arrangements only deliver their tax and liability benefits when the management fees, contracts, and books actually match the structure on paper.

No visibility by service line. When the books don't split revenue by provider and location, unprofitable lines hide inside good months.

WHO WE SERVE

Across the care spectrum

  • Physician & dental practices
  • Urgent care and clinic groups
  • Behavioral & allied health
  • Pharmacies & pharma services
  • Med spas and specialty providers
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Where practice profit actually leaks.

Practice economics

Collections, not charges. Production is vanity; net collection rate is the number. A practice collecting 92% of expected reimbursement versus 97% is losing real money that no amount of new patient volume fixes.

Provider compensation models. Salary, production-based, or a hybrid — each drives different behavior and different tax exposure. Owner-physicians additionally have to reconcile reasonable compensation, entity structure, and retirement plan design as one decision, not three.

Overhead per provider and per square foot. Benchmarks vary widely by specialty, but the trend line within your own practice is what matters — and it should be reviewed against staffing ratios before a hire, not after.

The equipment and buildout question. Imaging, lasers, chairs, and tenant improvements are large purchases whose timing decides which year the deduction lands. When a practice buys its building, a cost segregation study frequently pays for itself many times over.

PRACTICE DASHBOARD

What we track

  • Net collection rate & days in A/R
  • Overhead per provider
  • Payer mix and reimbursement trend
  • Provider comp vs. production
  • Retirement plan contribution capacity
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FAQs.

Quick answers
Do you work with our billing company?Yes — we reconcile what billing reports to what actually lands in the bank, which is where discrepancies surface. We do not replace your biller; we hold the numbers accountable.
Should our practice own its building?Often yes, held in a separate entity with a documented lease — it converts rent into equity and opens cost segregation. The structure has real tax and liability consequences, so we model it with counsel before anything is signed.
Do you understand corporate practice of medicine rules?Yes — we work with PC/MSO structures regularly and keep the accounting and management fees consistent with what the lawyers drafted.
Can you handle a practice acquisition or sale?Yes — valuation, quality of earnings, and deal structuring through our transaction advisory practice, with healthcare-specific diligence.
We're behind on books while seeing 40 patients a day.That's the norm, not the exception. Catch-up bookkeeping brings you current, then the monthly rhythm runs without your time.

The strategy shelf.

Built for healthcare & pharma
Entity & compensation structurePractices and pharmacies often leave five figures on the table in owner comp design, retirement plans, and entity election.
Real estate & equipment strategyCost segregation on owned facilities and Section 179 on equipment — timed against reimbursement cycles.
R&D and employment creditsPharma compounding, clinical workflows, and hiring in credit-eligible categories frequently qualify — and go unclaimed.
Payer-mix aware bookkeepingBooks that separate payer streams so margin by service line is visible, not blended away.
Succession & buy-in planningValuations, partner buy-ins, and exit structures modeled after-tax before anyone signs.

EVERY STRATEGY IS MODELED AGAINST YOUR NUMBERS BEFORE WE RECOMMEND IT — THE FIRST CONSULTATION IS FREE.

Spend your attention on patients. We'll take the books.

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