Financial clarity.
For growing
medical groups.

Outsourced accounting, controller and CFO support for physician-owned practices and multi-location healthcare organizations.

Book a consultationExplore servicesComplimentary 30-minute consultation

Your practice. In focus.

Scroll to bring the layers into focus

  1. Records
  2. Reporting
  3. Decisions
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Reliable records.

Organized accounts and a consistent monthly close establish your foundation.

Useful reporting.

Understand what changed and which financial questions need attention.

Informed decisions.

Bring cash flow, hiring and growth into a clearer financial picture.

Alfred Hatmal, founder of QonsultFirm

A finance partner. A personal working relationship.

Led by Alfred Hatmal, BA, CMA, MBA, EA

Founder of QonsultFirm since 2017, with more than 21 years of experience across accounting, finance, tax planning and business advisory.

Meet Alfred

The right support.
At the right stage.

Start with dependable accounting. Add oversight and financial guidance as your practice grows.

MONTHLY CLOSEReconcileReviewClose

Healthcare Accounting

Dependable records and a consistent monthly close.

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REPORTING REVIEWActualPlanCompare. Explain. Follow up.

Controller Services

Financial review, reporting oversight and controls.

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LOOKING AHEADCash flow → decisions

Fractional CFO

Cash-flow, budgeting and growth decisions.

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BRING RECORDS TOGETHER

Cleanup & Catch-Up

Overdue books and unresolved historical balances.

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ONE REPORTING VIEWABCCombined

Multi-Location Accounting

Consistent reporting across locations.

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QuickBooks support and revenue reconciliation are included according to your agreed scope. Explore supporting services.

A report should
answer a question.

Where did the cash go?

Connect the records, the explanation and the next question to investigate.

Preview a financial reviewIllustrative example only. Not client results or benchmarks.

From $120K to $95K

A simplified monthly cash movement

Opening cash
$120K
Operating cash
+$40K
Equipment
−$30K
Loan principal
−$10K
Owner distributions
−$25K
Closing cash
$95K

Next question: which upcoming payments should your forecast allow for?

A clear path from
conversation to clarity.

  1. Discover

    Discuss your practice, current accounting and priorities.

  2. Setup

    Agree the scope, organize the workflow and establish the foundation.

  3. Manage

    Complete the agreed accounting, reconciliations and monthly reporting.

  4. Advise

    Review performance and the implications of your next decisions.

See how the engagement works

Start with your next
financial question.

MONTH-END CHECKLISTReconcile accountsBank and ledger agreeReview open itemsResolve unexplained balancesClose & reportPrepare the monthly picture

What belongs in a monthly close?

A practical checklist for your records and unresolved items.

Read the guide →
PROJECTED CASHIllustrative • not client dataLowest balanceWeek 1Week 13

When could cash become tight?

Weekly receipts, payments and the lowest projected cash balance.

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WHERE REVENUE GOESIllustrative share of revenueABCDirect costsShared costsRemainder

How do your locations compare?

Separate direct costs from shared overhead before comparing results.

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Before we
get started.

A few things you may be wondering about working together.

Can you work alongside our medical billing team?

Yes. Revenue reconciliation connects billing information, bank activity and accounting records. The engagement complements your billing team’s work; medical billing services are separate.

Which level of support do we need?

Accounting establishes reliable financials. Controller support adds oversight and reporting. CFO support focuses on forecasting and planning. We agree the scope around your practice.

Can you help if our books are behind?

Cleanup and catch-up work can establish the foundation for ongoing reporting. We assess the scope after reviewing the current records.

How is pricing determined?

Pricing reflects your providers, locations, entities, accounting complexity and reporting needs. We agree the engagement before work begins.

Talk through your practice’s next step.

Discuss the accounting, reporting or financial planning support your medical group needs next.

30MINUTES
A conversation
about your practice.
Complimentary · Microsoft Teams
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