Medical
Accounting Services for Medical Practices & Physicians
Independent medical practices face uneven reimbursements, delayed collections, rising staffing and benefit costs, and competing demands for equipment, technology, and growth. You need a clear financial picture while staying focused on patient care.
Concierge CFO connects accounting, tax planning, payroll, cash flow, and practice performance with your goals. We help you evaluate profitability, owner compensation, financing, expansion, and succession so financial decisions support the future of your practice.
Keep more working for your practice. Concierge CFO clients averaged $43,600 in tax savings in 2026. Put proactive planning alongside the decisions that shape your staffing, equipment, and practice growth.
Practices may use athenaOne from athenahealth, eClinicalWorks, or Tebra for EHR, billing, and practice-management workflows. We focus on making your financial information useful through bookkeeping, reconciliation, budgets, and planning alongside your existing systems and billing team.
We currently serve clients in St. Petersburg, Tampa, across Florida, and in over 31 U.S. states. Explore support for the financial challenges below, then schedule a call to discuss your practice.
Our services include
Payroll & Compensation Management
Rising staffing costs and complicated compensation can strain practice margins.
Process payroll for physicians, nurses, and staff with clear records of wages and compensation.
Track employee benefits, bonuses, and withholdings so you can understand the full cost of your team.
Support federal and state employment-tax compliance while helping you evaluate staffing costs against practice performance.
Bookkeeping & Financial Reporting
Busy schedules can hide weak margins when financial information is scattered or outdated.
Record income, expenses, and reimbursements accurately to create a dependable financial foundation.
Prepare monthly, quarterly, and annual statements that connect collections, overhead, and profitability.
Use customized practice-performance reports to identify expense trends and support informed decisions.
Practice Budgeting & Forecasting
Reimbursement timing, equipment purchases, and fixed overhead can create cash-flow pressure even when the practice is busy.
Build budgets around your medical operations, recurring overhead, payroll, and planned investments.
Forecast cash needs and payment timing to help you prepare for leaner periods and growth.
Compare financial scenarios before hiring, purchasing equipment, expanding space, or taking on financing.
Regulatory & Compliance Support
Reporting demands and inconsistent documentation can make audits, accreditation, and financial reviews more difficult.
Organize financial documentation and support healthcare accounting standards, including GAAP and healthcare privacy considerations.
Assist with Medicare and Medicaid cost reporting within your agreed service scope.
Prepare financial records and reporting support for audits, accreditation, and practice reviews.
Business Advisory & Growth Services
Adding a provider, buying technology, or planning an ownership transition requires more than a revenue target.
Benchmark financial performance to help identify strengths, pressure points, and opportunities.
Evaluate technology investments, expansion, financing, and the financial impact of growth decisions.
Support practice valuation, mergers, partnerships, and succession planning with a clearer view of the numbers.
Accounts Receivable & Billing Support
Delayed reimbursements, aging receivables, and payer adjustments can separate reported revenue from cash in the bank.
Review billing and collection performance with your existing billing team to identify cash-flow pressure.
Analyze payer mix and reimbursement trends to understand how collections affect practice economics.
Reconcile insurance payments and adjustments so financial reports reflect what the practice actually receives.
Tax Planning & Preparation
Strong practice earnings can lead to tax surprises when business and personal planning are disconnected.
Use strategic multi-year tax planning to evaluate relevant deductions and planning opportunities.
Coordinate business and personal tax decisions, quarterly estimated payments, and owner financial priorities.
Support annual federal, state, and local tax compliance and prepare for year-end planning decisions.