ACCOUNTING • CONTROLLER • FRACTIONAL CFO

Financial Guidance for Medical Group Leaders.

Practical articles on accounting, reporting, cash flow, provider economics and the financial side of practice growth.

Browse practical guidance on medical-group KPIs, revenue reconciliation and choosing the right level of financial support.

YOUR PRACTICE. IN FOCUS.

Practice performance

Monthly collections
$487K
Operating margin
18.7%
Days in A/R
34
Provider payroll
31%

COLLECTIONS TREND

Jan
Feb
Mar
Apr
May
Jun

Illustrative reporting example. Figures are sample data, not client results or benchmarks.

HEALTHCARE ACCOUNTING / CONTROLLER / CFO

BUILT AROUND YOUR PRACTICE

Your medical practice deserves more than bookkeeping.

Growing practices need a clear view of collections, cash flow and provider economics. Reconciled transactions are the starting point.

01 / VISIBILITY

Know what you are keeping.

Connect financial reporting to collections, expenses and operating performance.

02 / CONTROL

Understand every location.

Bring provider and location reporting into one consistent financial picture.

03 / DIRECTION

Plan your next move.

Evaluate hiring, equipment and expansion with cash-flow forecasts and financial models.

ONE FINANCE TEAM. ROOM TO GROW.

The right support for each stage of your practice.

Start with reliable accounting. Add controller oversight and CFO guidance as your needs become more complex.

01 / ACCOUNTING

Healthcare Accounting

Accurate books are only the beginning.

Monthly close, bank and credit-card reconciliation, payroll reconciliation, financial statements and chart-of-accounts management.

Discuss accounting support
02 / CONTROLLER

Controller Services

Put financial controls around a growing practice.

Close management, financial review, multi-location consolidation, provider reporting, budget versus actual and accounting-process oversight.

Discuss controller support
03 / CFO

Fractional CFO

Turn financial information into a plan.

Cash-flow forecasting, budgeting, provider and location profitability, hiring models and expansion planning.

Discuss CFO support
A FRESH START

Cleanup & Catch-Up

Resolve historical reconciliation issues, incorrect balances and uncategorized transactions so your reporting has a dependable foundation.

CONNECTED WORKFLOWS

QuickBooks Services

Setup, chart-of-accounts organization, cleanup and reporting aligned with the way your medical group operates.

REVENUE RECONCILIATION

One financial story, from billing to the bank.

Your billing system and bank account should tell a consistent story.

We work alongside your billing team to reconcile the financial side: what was billed, what was collected, what remains outstanding and how it appears in the accounting records.

Connect the information that matters.

01 Billing and practice-management reports
02 Payer activity and patient payments
03 Bank deposits and accounting records
04 Reconciled management reporting

The scope of reconciliation is agreed around your systems and available information. Medical billing services are separate.

Measure what matters to your medical group.

Reporting your physicians, administrators and leadership team can actually use.

COLLECTIONS

Revenue visibility

Net collection rate • Days in A/R • A/R over 90 days • Payer mix

PERFORMANCE

Provider economics

Revenue per provider • Collections per provider • Provider compensation • Staff cost

RESILIENCE

Cash and profitability

Operating margin • Cash on hand • Revenue by location • Budget versus actual

The reporting package is tailored to your engagement and available source data.

PROVIDER & LOCATION PERFORMANCE

See the economics behind your growth.

What does each provider contribute?

Understand collections, direct costs and allocated overhead before making compensation or hiring decisions.

Provider A | $185K collections | $56K contribution
Provider B | $142K collections | $30K contribution
Provider C | $204K collections | $58K contribution

Illustrative monthly example. Contribution is collections less direct costs and allocated overhead.

One group. Multiple locations. One picture.

Compare location performance using consistent reporting, then review the consolidated group.

Location A | $325K revenue | 21% margin
Location B | $244K revenue | 14% margin
Location C | $291K revenue | 18% margin

Illustrative example only. These figures do not represent QonsultFirm clients.

HOW IT WORKS

A clear process, from the first conversation.

01

Discover

We discuss your medical group, current accounting, reporting needs and priorities.

02

Setup

We agree the scope, organize the accounting workflow and establish a reporting foundation.

03

Manage

We handle the agreed accounting, reconciliation and monthly reporting process.

04

Advise

We review performance and help leadership understand the financial implications of what comes next.

YOUR MONTHLY FINANCIAL PICTURE

Know where your practice stands.

RECORD & RECONCILE

Reliable financials

Financial statements, reconciliations and an organized monthly close.

REVIEW & UNDERSTAND

Useful reporting

Management reports and agreed KPIs, with attention to what changed and why.

FORECAST & PLAN

Decision support

Cash-flow insights and financial guidance, according to your service scope.

ABOUT QONSULTFIRM

Modern accounting. A personal working relationship.

QonsultFirm brings accounting, controller support and financial guidance together around the needs of a growing medical group.

Our approach connects the day-to-day accounting with the questions practice leaders need answered: where performance is changing, what is driving cash flow and how to plan the next stage.

Success simplified.

COMMON QUESTIONS

Before we get started.

Can you work alongside our medical billing team?

Yes. Revenue reconciliation focuses on connecting billing information, bank activity and accounting records. The engagement is designed to complement the billing team’s work.

Which level of support do we need?

Accounting establishes reliable financials. Controller support adds oversight and management reporting. CFO support focuses on forecasting, analysis and planning. The right scope depends on your group’s complexity and priorities.

Can you help if our books are behind?

Cleanup and catch-up work can establish the foundation for ongoing reporting. The scope is assessed after reviewing the current records.

How is pricing determined?

Pricing is scoped to the work involved, including providers, locations, entities, accounting complexity and reporting needs. We agree the engagement before work begins.

Know exactly where your practice stands.

Let’s talk about the financial support your medical group needs next.

Choose a convenient time for a complimentary 30-minute consultation.