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    Medical Practice Bookkeeping Built for Doctors & Practice Owners

    Accurate books. Monthly financial reporting. Clear visibility into cash flow, provider performance and practice profitability.

    Schedule My Free Practice Financial Review Learn More
    Medical Practice
    What you get

    Financial reporting built for how medical practices operate

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    Monthly books and reconciliation

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    Provider and location-level P&L reporting

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    Cash flow and profitability reporting

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    Healthcare Focus

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    Security First

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    Cash Flow Insight

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    Account Manager

    Practice-specific insight

    Clean books are the starting point. Useful visibility is the goal.

    PGA organizes the monthly numbers around the decisions practice owners actually make, with reporting that can be reviewed with your team and advisor.

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    Books are technically current, but the reports do not explain cash flow or profitability.

    visibility

    Provider, location, payroll, and supply costs are blended together.

    visibility

    Decisions about hiring, compensation, or expansion rely on incomplete information.

    Scope of Work

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    Monthly reconciliation of bank, credit card, and merchant deposits

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    Medical office payroll services and A/P reconciliation across multiple providers and locations

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    Monthly P&L broken out by provider or service line for physician practice financial management

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    Cash flow forecasting around staffing and facility costs

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    Tax strategy coordination for practice entity structure (S-corp, PLLC, etc.), including CFO support for multi-location medical practices

    Pricing

    Schedule a call for pricing

    We scope each engagement to your team size, transaction volume, and service complexity, then give you a clear monthly quote on the first call.

    Schedule My Free Practice Financial Review
    An expansion service

    When your practice needs more than bookkeeping

    Once the books and monthly reporting are dependable, CFO advisory can help you use the numbers for larger decisions. This is an optional next layer, not a replacement for the bookkeeping foundation.

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    Provider and location performance reviews

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    Staffing and compensation decision support

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    Cash flow planning for growth or expansion

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    Multi-location reporting and operating insight

    Client Testimonials

    Trusted by growing businesses

    Hear how we helped others like you

    I chose Premium Growth Advisor for bookkeeping services for my two businesses, and I highly recommend them. I have known Ricky for a few years, and he is extremely knowledgeable when it comes to accounting, bookkeeping, and finance. He is someone I know I can trust that will have my business's best interests at heart, and the work he does is stellar. If you want to grow and/or scale and ensure the financial side of your business is well taken care of, you need to use Premium Growth Advisor.

    — Jon T

    Our business was growing quickly, and we needed help managing the finances and the accounting. Premium Growth Advisor has helped us tremendously, saving money on taxes, organizing our books properly, and advising our company on what we can be doing from a financial perspective to grow the value of our business. I highly recommend the Premium Growth Advisor if you need bookkeeping services, CFO services, or Tax Planning. I am grateful we found them.

    — Eldad D

    Your review

    A practical first step for your practice finances

    Bring your current questions about books, cash flow, providers, or locations. We will use the review to identify where better reporting can give you more control.

    01

    Understand your current reporting

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    Identify the visibility gaps

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    Map the right next steps

    Free practice financial review

    Schedule My Free Practice Financial Review

    Tell us a little about your practice so the conversation can start with the right context. No generic sales script, just a focused review of your financial visibility.

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    Frequently Asked Questions

    Questions from Medical Practices owners

    How much does a medical practice bookkeeper cost? expand_more
    Pricing depends on scope, transaction volume, and complexity. We quote a flat monthly rate after a short scoping call.
    Do I need a medical practice accountant near me? expand_more
    No. We deliver medical practice bookkeeping services and healthcare CFO services remotely. Expertise matters more than geography.
    What does your outsourced accounting include? expand_more
    Monthly reconciliation, medical office payroll services, and reporting by provider or service line.
    Can you help with provider profitability reporting? expand_more
    Yes. That specialty is built into the service, so the reporting is designed around the numbers that matter most for your business.
    Do you handle payroll and accounts payable? expand_more
    Yes. medical office payroll services and accounts payable are part of the standard scope.
    Can you coordinate with our CPA or advisor? expand_more
    Yes. We keep the books clean and ready for your CPA or advisor, with year-round reporting they can actually use.
    How do you report profitability? expand_more
    We focus on real collected revenue and service-line P&L so you can make decisions from real margins instead of guesswork.
    Do you work with our existing software? expand_more
    Yes. We integrate with your practice management and billing software and fit into the systems you already use.
    Can you support growth or multi-location operations? expand_more
    Yes. We support multi-location medical practices with reporting that stays organized as you grow.
    How do we get started? expand_more
    Book a call, we scope the work, clean up prior periods if needed, and set up a reporting cadence that fits your business.

    Ready for clearer practice financials?

    Schedule your free Practice Financial Review and identify the next best step.

    Schedule My Free Practice Financial Review