Provider compensation isn't simple — W-2 employees and 1099 independent contractors, per-exam or per-shift rate cards, multiple locations. We build the accounting and payroll infrastructure that keeps up with it.
Healthcare practice groups run on compensation structures and multi-site economics that off-the-shelf bookkeeping wasn't built for. Here's what we handle.
We structure and reconcile pay for a mixed workforce of W-2 employees and 1099 independent contractor providers, including rate-card and per-unit compensation models — per-exam, per-encounter, or per-shift pay that varies by provider or location.
Get started →We track revenue and expenses by location or facility, so you can see which sites are performing and which need attention — not just a single blended P&L.
Get started →We run payroll administration through Gusto for practices juggling W-2 employees and 1099 contractors side by side, keeping pay cycles, tax withholding, and contractor payments organized and on time.
Get started →Monthly close and KPI dashboards built around practice-group economics — payer mix, provider utilization, and the metrics that actually explain your numbers.
Get started →Cash flow forecasting that accounts for the realities of practice-group billing cycles and variable provider compensation, so you're never caught off guard.
Get started →Tax planning built around your practice-group entity structure, so the way you're organized supports your tax strategy — not fights it.
Get started →Practice-group finances have more moving parts than a typical small business. Here's how we approach them.
Every engagement is led by a CPA who understands how provider compensation models actually work — not a generic bookkeeping template stretched to fit.
Whether it's a handful of contractors or dozens of providers across multiple sites, we structure your books around how your practice actually pays people.
Multi-location practice groups get one consistent financial partner, regardless of how many states or facilities you operate in.
We flag reconciliation issues and compensation discrepancies before they become a January surprise.
Book a free 30-minute discovery call to walk through how your practice pays providers, tracks locations, and closes its books — and where we can help.