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Bookkeeping, Tax, and CFO Services for Medical Practices
Smarter Financial Management for Modern Medical Clinics
Running a medical practice today means more than exceptional patient care. You’re navigating complex billing cycles, insurance reimbursements that move at a snail’s pace, rising payroll costs, diagnostic equipment investments, and the administrative weight that never stops.
At Profit Matters, we specialize in bookkeeping, tax planning, and CFO-level financial support for concierge medical practices, MDs, OB/GYNs, functional medicine providers, aesthetics practices, integrative medicine clinics, and other private medical offices.
We bring clarity, control, and strategy to your financials—so you can focus on patient outcomes, not accounting chaos.
The financial challenges Medical Practices face:
We understand the unique financial and operational pressures that medical practices deal with daily:
Insurance Reimbursements & Slow Collections
Delayed payments from carriers and patients can create constant cash-flow strain.
High Payroll & Staffing Costs
Nurses, MAs, billing staff, front desk, and clinical support quickly become your largest expense.
Large Equipment Investments
Ultrasounds, imaging, monitors, EKG machines, lasers, and diagnostic equipment require careful depreciation and strategic planning.
Multi-Provider & Multi-Location Complexity
Tracking profitability by provider, specialty, location, or service line is often unclear without the right system.
Compliance & Tax Requirements
Medical practices face strict compliance standards and miss valuable deductions without healthcare-focused accounting.
Whether you’re insurance-based, hybrid, or fully concierge, your numbers need to be accurate and actionable.
How Profit Matters helps Medical Practices:
We don’t just keep your books clean — we act as a trusted financial partner who understands healthcare.
Day-to-Day
Accuracy
- Categorize every transaction correctly
- Reconcile all bank accounts, credit cards, loans, and merchant processors
- Maintain clean, audit-ready books year-round
Payroll & Accounts Payable
- Process payroll for providers, clinical staff, admins, and support teams
- Track PTO, stipends, and provider compensation structures
- Automate vendor and lab payments
- Ensure payroll tax filings are accurate and on time
Monthly Close & Reporting
- Deliver accurate monthly financials: P&L, balance sheet, cash flow
- Tie out every balance sheet account for full transparency
- Provide medical-specific KPI dashboards including: Collections ratio, Provider productivity, Profit per visit, Overhead %, Reimbursements by payer
Tax Strategy for Medical Practices
- Identify high-value deductions (equipment, CME, licensing, subscriptions, mileage, uniforms, medical supplies)
- Mid-year reviews & quarterly estimated taxes
- Strategic planning for high-income MDs
- Entity structure guidance (LLC vs S-Corp vs hybrid structures)
Fractional
CFO Support
- Profitability analysis by provider or service line
- Financial modeling for growth, expansion, or new providers
- Cash-flow forecasting
- Budgeting & cost-control insights
- Monthly or quarterly CFO strategy calls
- For concierge and cash-based clinics, we also focus on optimizing recurring revenue, pricing tiers, and membership value metrics.
Medical Industry Benchmarks We Track
We help you compare your practice to top-performing clinics using metrics like:
- Overhead % (typically 60–75%, but lower for concierge)
- Provider productivity
- Collections ratio (target 98%+)
- Profit per patient visit
- Payer mix profitability
- Recurring revenue consistency (for concierge practices)
We don’t just send you numbers - we teach you what they mean and how to use them to run a stronger, more profitable practice.
Client Story
A concierge medicine practice came to us with incomplete financials and no understanding of membership profitability. After cleaning up the books and building a service-level dashboard, we discovered that certain visit types were consuming provider time without contributing to revenue. We restructured their membership tiers, analyzed provider load, and improved financial tracking. Within 12 months, their margins increased by 15% and cash flow stabilized—even with the same patient volume.
Why Medical Practices choose Profit Matters
We understand insurance cycles, provider compensation, payer complexity, and the realities of running a medical clinic.
Scalable for any size
From solo MDs to multi-provider, multi-location medical groups.
Transparent pricing
Flat monthly packages with no surprises.
Warm team, exceptional service
We’re friendly, proactive, and genuinely obsessed with helping healthcare practices thrive.
Get financial clarity for your Medical Practice.
Clean books. Smarter tax strategy. CFO-level guidance -without the full-time cost.
FAQs for Medical Practices
Do you handle insurance reimbursements and AR?
Yes. We track AR, post reimbursements correctly, and ensure everything matches payer reports.
Can you manage multi-provider compensation?
Absolutely — revenue share, salary plus bonus, productivity-based models, and hybrid structures.
Do you help with large medical equipment purchases?
Yes – we track depreciation, plan tax strategy, and advise on financial impact.
Do you provide bookkeeping and tax services?
Yes. We handle everything under one roof so nothing gets missed.