ACCOUNTS
INTERNATIONAL

Running a successful medical practice means navigating one of the most complex business environments in healthcare—managing cash flow against reimbursement cycles, negotiating payer contracts, structuring associate partnerships, and building equity value while planning your own wealth strategy.

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Most accountants understand debits and credits. Few understand the strategic decisions that determine whether your practice becomes a valuable asset or just a job you own.

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We work with physician-owners who've built practices worth protecting and growing. Our approach addresses the interconnected challenges of practice operations and personal wealth — because a decision about associate compensation or equipment investment isn't just a business choice, it's a wealth-building choice.

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Strategic Advisory for Medical Practice Owners

• Practice valuation and succession planning that maximizes exit value

• Payer contract analysis and reimbursement optimization

• Associate partnership structuring and compensation models

• Equipment acquisition strategy — purchase, lease, or operating decisions

• Cash flow management against reimbursement timing

• Tax strategy that coordinates practice structure with personal wealth goals

• Wealth planning that recognizes your practice as your primary asset

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The practices we work with share certain characteristics: they've moved beyond survival mode into strategic growth, their owners think about equity value and exit strategy, and they recognize that maximizing practice income isn't the same as maximizing long-term wealth. If you're still focused purely on patient volume and collections, we're probably not the right fit. If you're thinking about how to build something valuable and eventually transition it on your terms, let's talk.