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Medical BusinessSolutions

01Tax · Audit · Corporate filings

Full CPA functions for the business of medicine

Financial statements, audits, tax returns, valuations and transition consulting — delivered by accountants who already understand insurance contracts, managed care and provider compensation.

Core filings
Federal, state, corporate
Assurance
Statements and audit support
Advisory
Valuation and transition
Sector focus
Healthcare practices
CPA services at Medical Business Solutions

The profession changed; the accounting did not keep up

The healthcare professions are undergoing major changes: insurance contracts, managed care, compensation issues, the formation of new practice entities, Medicare regulations, continued financial and tax complexity, and a significant squeeze on profits.

Those changes land on the general ledger. A practice that adds a mid-level provider, joins an ACO, opens a second location or buys imaging equipment creates a set of tax, entity and reporting questions that a generalist preparer will answer correctly in the abstract and expensively in practice.

Traditional services, done properly

  • Preparation of financial statements
  • Audits and review engagements
  • Annual federal and state tax return preparation
  • Corporate formation, elections and filings
  • Quarterly estimated tax planning
  • Owner and provider compensation structuring

And the analysis that usually follows

Alongside the traditional work we provide financial analysis and benchmarking, practice valuations, transition consulting and compensation reviews, plus management consulting where the numbers raise a question the practice cannot answer alone.

With pay-for-performance arrangements and electronic record implementation, physicians face continued pressure for change. We provide workflow management and software implementation support through our consultant network, so the financial plan and the operational plan are not written in separate rooms.

What you get

  • Financial statements prepared to a consistent basis
  • Audit and review support
  • Annual tax return preparation and filing
  • Valuation reports for purchase, sale or partner buy-in
  • Compensation and benchmarking reviews
  • Entity structure and corporate filings
  • Transition and succession planning

How it is measured

Reported monthly, defined up front, with a name against every number.

Filing timeliness
Returns and elections filed ahead of every deadline.
Effective tax rate
Reviewed annually against entity structure.
Margin by service line
Which parts of the practice actually pay for themselves.

Questions

Reasonable things to ask before you sign.

Anything else, ask directly. You will get an answer from someone who runs this work, not a routing desk.

Are you a CPA firm?
We deliver full CPA functions through qualified accounting professionals and a consultant network. Where a jurisdiction requires a licensed attest opinion, the engagement is handled by the appropriately licensed professional and named in the engagement letter.
Can you help with a practice acquisition?
Yes — valuation, financial due diligence, entity structure, compensation modelling and post-close integration. Acquisitions go wrong on the numbers far more often than on the clinical fit.
Do you handle multi-entity groups?
Yes. Multi-entity practices, management service organisations and real-estate holding entities are routine for us, including intercompany accounting and consolidated reporting.