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Outsourced Accounting and Fractional CFO for Healthcare Practices

Revenue at contracted rates, denials you can see, and profitability by provider and by location.

Who this covers
Physician groups, Dental, Behavioral health, Home health, Med spa and elective
Industry accounting and CFO services

Gross charges are not revenue. Without contractual allowances by payor, a practice's top line is a number nobody should make decisions on, and the AR behind it ages quietly.

We run the accounting and CFO function for physician groups, dental practices, and multi-site providers scaling past what a bookkeeper and a practice manager can carry.

Where it breaks

What usually goes wrong

Revenue recorded at gross charges

Without contractual allowances by payor, the top line overstates reality by a wide margin and every margin calculation built on it is wrong.

Denials nobody measures

Denied and underpaid claims age quietly. A denial rate that isn't reported is a margin problem that isn't managed.

Payor mix moving underneath you

A shift in mix changes realized rate per visit even with volume flat, and it shows up as unexplained margin compression.

No provider or site economics

Expansion and comp decisions get made without knowing which locations and which providers contribute.

Our approach

How we run this finance function

We record revenue net of contractual allowances by payor, build AR aging and denial reporting the billing team can act on, and report contribution by location and by provider. The close lands early enough in the month to matter.

Cherry Hill accounting and CFO support
What is in scope

Accounting and CFO scope

Net revenue and contractual allowances

Modeled by payor and reconciled to collections.

AR aging, denial, and collection reporting

Actionable detail, not a summary.

Payor mix and realized rate analysis

What each visit is actually worth.

Provider and location profitability

Consistent allocation of shared cost.

Expansion and de novo modeling

New site economics before the lease is signed.

Systems we work in
QuickBooks Online, Practice management and EHR systems, Gusto, Ramp
What we report on
Net collection rate, Days in AR, Denial rate, Realized rate per visit, Contribution margin by location
Tax and structure

Structure, depreciation, and cost segregation

Entity structure interacts with state corporate practice of medicine rules and drives both liability and tax outcomes. Equipment purchases carry accelerated depreciation opportunity. Cost segregation on owned real estate or significant build-out is frequently overlooked and often material. Practice acquisitions raise purchase price allocation and intangible amortization questions that are much cheaper to plan than to fix.

General information, not advice for your specific situation.
When companies bring us in
A second location is opening, Payor contracts are up for renegotiation, Days in AR past 45, Provider compensation model is changing, An acquisition or partnership is under discussion
Common questions

Questions we get asked

Do you work inside our practice management system?

We reconcile from it rather than replace it. Clinical and billing workflows stay where your staff already works.

Can you handle a group with several entities?

Yes — consolidated reporting with entity and location detail, including intercompany and management fee arrangements.

Is HIPAA a concern in working with you?

We work from financial and billing summary data, and we execute a business associate agreement where the engagement requires it.

Let us talk about your finance function

Tell us where you are today. We will follow up within one business day with a view on what is worth fixing first.

Get a free consultation