Industry — Healthcare
Primary care, dental, surgery centers, surgeons, radiology, mobile imaging, wound care, med spas, pharmacy, clinics, and the MSOs and PE platforms rolling them up.
About the industry
Healthcare businesses have to track production by provider, model payer mix and contractual adjustments, manage MIPS/MACRA impact, reconcile EHR and PMS billing data to the general ledger, and handle 340B, Stark, and anti-kickback exposure — all while keeping HIPAA-sensitive workflows clean.
Add in MSO structures, DSO/PE roll-ups, ancillary income, ASC ownership, real estate held in separate entities, equipment leases, and partner buy-in/buy-out mechanics, and the accounting stops being a back-office function and becomes the deal.
We support primary care groups, dental practices and DSOs, ambulatory surgery centers, surgeons, radiologists and mobile imaging operators, wound care clinics, medical spas and aesthetics, independent and compounding pharmacies, urgent care, behavioral health, and emerging healthcare ventures — with audit-quality reporting and the operational insight clinical leaders actually use.
What we deliver
Primary care, dental, surgery centers, surgeons, radiology, mobile imaging, wound care, med spas, pharmacy, clinics, and the MSOs and PE platforms rolling them up.
Independent financial statement audits for physician and dental groups, MSOs/DSOs, ASCs, imaging centers, pharmacy operators, and healthcare entities that need credible reporting for partners, lenders, and PE counterparties. We address revenue recognition under contractual allowances, related-party transactions, and internal controls over cash collections and payroll.
Limited assurance reviews and professionally compiled monthly/annual financials that translate raw EHR, PMS, and pharmacy data into clear reports for partners, administrators, lenders, and acquirers — without paying for a full audit you don't need.
Entity stack design across PC/PLLC, MSO, ASC, real estate, and management co — paired with cost segregation on clinical real estate and equipment, R&D positioning for specialty pharmacy and biotech-adjacent ventures, and multi-state nexus work for mobile imaging, telehealth, and med spa chains.
Financial modeling for partner admissions and buy-outs, MSO/DSO formations, ASC joint ventures, dental and med spa roll-ups, pharmacy acquisitions, and physician/dentist compensation plans — grounded in RVU economics, production-to-collections, payer mix, and the deal mechanics healthcare actually runs on.
Stop overpaying. Start strategizing.
