Healthcare providers
Run a healthier practice.
Financial expertise built for the business of healthcare
Healthcare practices don’t run like other businesses. Revenue comes from multiple payers, insurance contracts drive write-offs, and collections lag weeks or months behind services rendered. On top of that, regulatory requirements, compliance obligations, and the complexity of provider compensation add layers that most general accountants aren’t prepared to handle.
RWM & Company works with medical and dental practices, specialty providers, and group practices. We understand how healthcare revenue cycles work, how to structure a practice for long-term tax efficiency, and what it takes to build a financially sound operation alongside a clinical one.
THE CHALLENGE
Running a practice is a business—a complex one
Between caring for patients and managing a practice, the financial side often gets pushed to the back burner. That’s when these problems tend to surface:
- Inconsistent cash flow from claim denials, underpayments, and slow insurance follow-up
- Financials that mix personal and practice expenses or don’t reflect true production versus collections
- Tax strategies that don’t account for provider compensation, distributions, or retirement plan options
- Entity structures that create unnecessary tax burden or don’t align with the practice’s long-term goals
- Limited visibility into which payers, providers, or service lines are actually driving profitability
- Exposure during payer audits, CMS reviews, or IRS exams due to disorganized records and weak controls
Without the right financial support, it’s hard to know where the practice truly stands.
THE SOLUTION
Clear financials so you can focus on patient care
RWM & Company helps healthcare providers build the financial infrastructure their practice needs to run well. Here’s what we bring to the table:
- Practice-specific financial reporting that separates clinical results from administrative overhead
- Revenue cycle review and AR reporting by payer, so you know where money is slipping through the cracks
- Cash flow forecasting that accounts for reimbursement timing, payer behavior, and seasonal patterns
- Tax planning for both the practice and individual providers, including retirement plan design
- Entity structure guidance to reduce your effective tax burden and support compensation goals
- Organized records and controls that hold up under audit and keep financial workflows compliant
The result is a practice that’s financially sound, well-organized, and positioned to grow.
A full suite of services, built around your needs
From outsourced accounting and payroll to tax planning and business advisory, our complete range of services is available to healthcare providers and medical practices.
Outsourced Accounting
Accurate, timely bookkeeping and financial reporting tailored to how a medical or dental practice operates.
Business Foundation Services
From entity setup to internal controls, we help you build a financially sound practice from the ground up.
Business Management Services
Strategic advisory and CFO-level guidance to support practice growth, profitability, and long-term planning.
Payroll
Accurate, compliant payroll for providers, clinical staff, and administrative employees.
Tax Preparation
Practice and personal tax filing for healthcare providers, with an eye toward minimizing liability and staying compliant.
Tax Planning
Proactive strategies that reduce your overall tax burden and align with your compensation structure and retirement goals.
Specialized services for healthcare providers
Beyond our core offerings, we go deeper into the financial complexities specific to medical and dental practices. These services are designed around the way healthcare businesses operate.
Revenue Cycle & AR Reporting
We help practices review billing and collections workflows, design AR aging reports by payer, and identify where claim denials or collection gaps are affecting cash flow. Better visibility into your revenue cycle means fewer surprises and stronger collections.
Cash Flow Forecasting
Healthcare cash flow is shaped by reimbursement lags, payer behavior, and seasonal fluctuations that don’t follow a standard business pattern. We build forecasts specific to your practice so you can plan confidently, manage payroll, and avoid shortfalls.
Entity Structure & Provider Compensation
The right entity structure can make a significant difference in your tax liability and how you compensate providers. We advise on practice structures (PCs, PLLCs, partnerships, and S elections, where applicable) and help design compensation and distribution arrangements that work for owners and associates alike.
Practice Benchmarking & Overhead Analysis
How does your practice compare to industry peers? We analyze overhead ratios, staffing costs, and key productivity metrics to help you understand where you’re running efficiently and where there’s room to improve.
Practice Transitions & Valuations
Whether you’re bringing on a partner, merging with another group, or planning for an eventual sale, we provide practice valuations, deal support, and financial modeling to help you navigate the transition with clarity.
Why healthcare providers work with RWM
Managing a practice is already a full-time job. The last thing you need is an accountant who treats your practice like a generic small business.
Our clients choose RWM because we understand the financial realities of healthcare, show up year-round as a true partner, and help them make better decisions about growth, taxes, and the long-term health of their practice.
FAQs
What types of healthcare providers does RWM & Company work with?
We work with a broad range of healthcare providers, including physicians, dentists, specialists, and other clinical professionals in solo, group, and multi-location practice settings. If you’re running a healthcare practice with the financial complexity that comes with it, we’re built to help.
How can a CPA help with medical practice cash flow?
Cash flow in healthcare is shaped by reimbursement timing, payer mix, claim denials, and collections patterns that don’t behave like a typical business. We help practices understand their revenue cycle, build cash flow forecasts tied to reimbursement timelines, and identify where money is being left on the table through unpaid or underpaid claims.
What entity structure is best for a medical practice?
The right entity structure depends on your state, your practice size, your compensation goals, and your plans for the future. Common options include professional corporations (PCs), professional limited liability companies (PLLCs), and partnerships, each with different tax and liability implications. We help you evaluate the options and choose the structure that fits your situation.
Can RWM help with both my practice taxes and my personal taxes?
Yes. We work with healthcare providers on both the practice side and the personal side, including individual tax planning, retirement plan contributions, and compensation strategy. Coordinating both gives us a fuller picture and leads to better outcomes overall.
How does RWM approach compliance and audit preparedness for healthcare clients?
We help practices maintain organized financial records, clearly separated accounts, and documented internal controls. If a payer audit, CMS review, or IRS exam does arise, having clean, reconciled financials and well-documented processes makes a significant difference in how smoothly things go.
Does RWM help with practice transitions, buy-ins, or sales?
Yes. We support providers through partner buy-ins, mergers, and practice sales by providing valuations, financial due diligence, and deal support. Whether you’re growing your practice or planning your exit, we help you understand what the practice is worth and navigate the transaction with confidence.
Give your practice the financial care it deserves
Your patients count on you. Count on RWM & Company to keep the financial side of your practice running just as well. Let’s connect and talk through what you need.