Multi-Site & Group Practices

Accounting and fractional CFO for group therapy practices

For multi-clinician and multi-location groups consolidating the back office across entities and partners, one team, one source of truth.

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CPA-led · Nationwide & fully remote · Flat monthly fees

The Problem

Growth fragments your back office; the MSO model fixes it

More clinicians, locations, and entities usually means more scattered vendors. An MSO keeps it one system.

Multi-entity consolidation

One set of clean, consolidated books across every location and entity, with combined and per-site views.

Partner buy-ins and transactions

Buy-ins, buy-outs, and acquisitions modeled and guided by a CFO who knows practice deals.

Real CFO strategy

KPI dashboards, benchmarking, and forecasting so you scale margin, not just headcount.

What You Get

Everything your group practice needs behind the front desk

One integrated, CPA-led team handles the entire business side, so your energy stays on care.

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✓ Monthly bookkeeping and reconciliations
✓ Clear monthly financial statements you actually read
✓ Proactive, year-round tax strategy
✓ S-corp and reasonable-compensation analysis
✓ Full-service payroll and 1099 filings
✓ Clinician classification handled defensibly
✓ KPI dashboards and specialty benchmarking
✓ A dedicated CPA-led team, never a call center

How It Works

From messy books to a real financial partner

A proven path, built around your clinical calendar. Most practices are fully live in 30–45 days.

Assess

A free deep-dive into your books, entity, comp, and pain points.

Build

We clean up the books, set your chart of accounts, and stand up the compliance calendar.

Run

Monthly financials, payroll, and tax filings delivered like clockwork.

Grow

Quarterly strategy, benchmarking, and proactive tax planning.

The economics

What we watch in a group practice

Every specialty has a handful of numbers that decide the year. These are the ones we put in front of you monthly, with the planning ranges we work against.

Group practice scorecardPlanning ranges

Provider cost as a share of revenue50–60%

Revenue per providerTrack by provider

Contribution margin per providerThe number that matters

Days in accounts receivable28–40

Admin cost per providerFalls as you scale, or should

Net collection rate95%+

Operating margin15–25%

Why these three matter most

Averages hide everythingA group with healthy blended margin routinely has providers running at a loss. Contribution margin per provider is the only view that surfaces it.
Compensation design is a margin decisionPercentage splits, salary plus bonus, and productivity models produce very different economics at scale. Changing it later is painful.
What we watch monthlyPer-provider revenue and contribution, admin cost per provider, and the blended figures last.

These are planning ranges we work against in engagements, not published survey data. Healthy figures vary by payer mix, geography, entity structure and stage — a practice outside a range is not necessarily unhealthy, it is a question worth asking. We benchmark you against your own trend first.

Questions

Group Practices practice FAQs

Yes. We produce one set of consolidated books with inter-company allocations and per-site plus combined views.

Yes. We model buy-ins, buy-outs, and acquisitions, and guide the financial side of the deal.

One accountable CPA-led team owns your books, tax, payroll, and CFO strategy, instead of four disconnected vendors.

Get Started

Ready to unify your group back office?

Book a free, no-pressure practice assessment. We will review your books, entity structure, and tax posture and show you exactly where we would add value. You will speak with a CPA, never a call center.

Book Your Free Assessment →See How It Works