A medical practice accountant for clinics and physician groups
Sorso is an accountant for the practice itself. We keep its books, close each month within 15 business days and explain the numbers to the owners, for physician practices and outpatient clinics doing $0.5M to $10M a year. We do not prepare tax returns, for the practice or for the doctors personally. That stays with your CPA.
- For practices
- $0.5M–$10M
- Price
- From $2,000/mo
- Books closed
- 15 business days
- Guarantee
- 45-day money back
What does a medical practice accountant do?
A medical practice accountant keeps the practice's books, matches insurance and patient deposits to what the billing system says was collected, closes each month and turns the result into a P&L the owners can act on. Many firms advertised as accountants for doctors mostly prepare physicians' personal tax returns. That is a different job, done by a CPA or tax preparer. Sorso does the practice's accounting only.
What a practice accountant handles
The practice's books, not your personal return
A lot of people searching for an accountant for doctors want help with a physician's own taxes: W-2 income, side income, retirement accounts. We don't do that, and we don't file the practice's return either. We keep the practice's books every month and hand your CPA tax-ready books at year end, so the tax work starts from numbers that are already right.
Billing reports checked against the bank
The billing system says what the practice charged and expects to collect; the bank says what arrived. We reconcile the two every month, so denials nobody worked, underpayments and payments that never came show up within weeks instead of at year end.
Provider pay and profit by provider
Provider compensation is usually the largest cost and is often tied to production or collections. We book it by provider and location, apart from staff payroll, so the P&L shows what each provider and each location brings in after their costs.
Reports you can make decisions from
Each month you get a P&L, balance sheet and cash flow statement, your numbers compared with similar clinics, a short list of three to five things to fix, and a call to go through it. If the questions get bigger, such as a new location, a new provider or a sale, our fractional CFO service builds on the same books.
What we do every month
- Every bank, card and loan account reconciled
- Insurance and patient deposits matched to the billing system
- Provider pay booked by provider and location
- Books closed within 15 business days of month end
- P&L, balance sheet and cash flow statement, with a note on what changed
- Three to five priorities for the month, and a call to review them
Who it is for
- Physician practices and outpatient clinics doing $0.5M to $10M a year
- Groups with several providers or locations who want each one's numbers on its own
- Owners whose CPA only sees the books at tax time
- Practices that have outgrown a part-time bookkeeper but don't need a full-time controller
If what you need is your own tax return as a physician, or planning for your personal taxes, you need a CPA or tax adviser, not us. And if the practice is a single provider below about half a million dollars a year, a general bookkeeper will cost less than we do.
Questions owners ask
How much does a medical practice accountant cost?+
Sorso's healthcare accounting, which includes the monthly bookkeeping, starts at $2,000 a month, plus a one-time onboarding fee that depends on how much cleanup your books need. After onboarding it runs month to month, and the first 45 days carry a money-back guarantee on the monthly fee.
Do you prepare doctors' personal tax returns?+
No. Sorso does not prepare or file tax returns, personal or business. We keep the practice's books and hand your CPA tax-ready books at year end. For a physician's own return, keep the CPA you have; they get the same clean year-end numbers.
Is Sorso a CPA firm?+
No. Sorso is not a CPA firm and does not file tax returns. We keep the books, close each month and report on it, and hand your CPA tax-ready books at year end. Most owners keep the CPA they already have; the CPA's work gets faster because the books arrive clean.
Does a practice need an accountant, a CPA or a fractional CFO?+
Most practices need a CPA for tax and someone keeping the books every month. A fractional CFO comes in when the decisions get bigger: another location, another provider, a sale. Sorso's accounting starts at $2,000 a month and fractional CFO work at $4,000 a month; the CPA stays yours.
Which accounting software do you work in?+
QuickBooks Online and Xero. We also pull reports from your EHR, billing system and payroll to check them against the books. If you use something else, we'll talk through what makes sense on the first call.
Do I have to sign a long contract?+
No. After onboarding the service runs month to month, and the first 45 days carry a money-back guarantee on the monthly fee.
Related
Healthcare CPA vs healthcare accountant →
Who files the taxes, who keeps the books, and when you need both.
Medical practice bookkeeping →
The monthly bookkeeping in detail: deposits, remittances and the bank.
Fractional CFO for clinics →
Forecasts, location-level P&L and exit prep, from $4,000/mo.
Case study: $180K found in one quarter →
A physical therapy clinic where nobody reconciled billing to the bank.
Talk it through
Want Stan to look at this for your clinic?
Stan Sukhinin, CFA, founded Sorso in 2020: a fractional CFO and accounting firm for outpatient clinics across the US, with accounting from $2,000 a month and fractional CFO from $4,000. Book a free 30-minute call, bring the question and, if you have it, last month's P&L, and he will tell you what he would check first.
Founder of Sorso and a CFA charterholder. Before Sorso, Stan spent 19 years in corporate finance at institutions including UniCredit and Société Générale — managing a $450M loan portfolio and making senior partner at a major mezzanine lender by 29 — then built a fractional CFO firm exclusively for outpatient healthcare clinics.