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

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?
Can you help with a practice acquisition?
Do you handle multi-entity groups?
→Next step
Ready to talk about cpa services?
A 30-minute operations review, no cost and no obligation. We will tell you where the leakage is and which of it you can fix without us.