Physicians & Group Practices
Solo physicians, partner groups, and multi-provider practices in primary care and specialty medicine.
Healthcare Practice CPA
CPA, Tax Planning & CFO Advisory for Medical and Dental Practices
HW & Associates helps physicians, dentists, and healthcare practice owners improve cash flow, strengthen profitability, organize financial reporting, manage payroll costs, and plan taxes proactively.
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Who We Help
We work with healthcare practice owners who want clear financial reporting and a CPA team that understands how a practice actually earns and spends money.
Dentists & Dental Groups
General dentistry, orthodontics, oral surgery, periodontics, and multi-location dental organizations.
Therapy & Specialty Clinics
Physical therapy, behavioral health, chiropractic, imaging, and other outpatient specialty clinics.
Healthcare Business Owners
Owners of home health agencies, labs, med spas, and other healthcare service businesses.
Financial Challenges We Help Solve
These are the issues practice owners raise most often when they bring us their financials.
Profit that does not match production
Collections look strong, but the operating margin does not reflect it. We break down overhead by category so the gap is visible.
Late or unreliable financial reporting
Decisions get made on stale numbers. A consistent monthly close gives you current statements you can act on.
Rising payroll and provider compensation cost
Provider pay, clinical staffing, and benefits are usually the largest cost line. We model the full loaded cost before you hire.
Cash flow gaps during slow collection periods
Credentialing delays, seasonality, and slow payers create cash pressure. We plan a working-capital reserve target.
Surprise tax bills at filing time
Without a plan, the number appears in April. Proactive planning reviews estimates and options during the year.
Growth decisions made without a financial model
New locations, operatories, equipment, and service lines all carry ramp-up costs worth modeling first.
Healthcare Practice Services
Each service can be engaged on its own or combined into an ongoing monthly relationship.
Medical Practice Accounting & Bookkeeping
Monthly close, clean financial statements, and practice reporting built around provider production and overhead.
Learn moreMedical Practice Tax Planning
Proactive, multi-year planning for practice entities and physician owners, reviewed before year end.
Learn moreMedical Practice CFO Advisory
Budgets, forecasts, KPI dashboards, and decision support for practice owners and partner groups.
Learn moreMedical Practice Payroll
Payroll processing and compensation cost planning for providers, clinical staff, and administrators.
Learn morePractice Startup & Expansion
Entity setup, capital planning, and ramp-up modeling for new practices, locations, and service lines.
Learn moreDental Practice Accounting
Bookkeeping and reporting tuned to operatories, hygiene production, lab costs, and associate pay.
Learn moreDental Practice Tax Planning
Tax planning for dentists, including equipment purchases, entity structure, and owner compensation.
Learn moreMedical Practice Financial Review
A structured review of profitability, overhead, payroll cost, cash flow, and tax planning opportunities.
Learn moreMedical and Dental Practice Financial Tools
Free educational calculators for practice owners. All math runs in your browser, with no account and no data collection.
Practice Profitability and Performance
Understand margin, overhead, collections, and payer mix using aggregate practice figures only.
Hiring, Payroll, and Growth Planning
Estimate the cost of adding providers, staff, equipment, operatories, or a new location.
Cash Flow and Tax Planning
Plan reserves, forecast operating cash, and estimate owner tax exposure during the year.
Healthcare Practice Insights
Short, practical explanations of the numbers that move a practice, each paired with a free tool you can run yourself.
How to read your practice overhead ratio
Overhead as a percentage of collections is one of the fastest ways to see whether a practice is structurally profitable or simply busy.
Analyze your overheadWhat drives practice cash flow more than revenue
Net collection rate, denial rework, and days in A/R often move cash more than adding visits to the schedule.
Model your revenue cycleBefore you hire another provider
A new provider carries salary, benefits, payroll tax, space, and ramp-up time. Break-even usually arrives later than expected.
Run a hiring scenarioWritten and reviewed by the CPA team at HW & Associates CPA, PLLC in Orlando, Florida. General educational information only, not tax, legal, clinical, or compliance advice. Contact our team to discuss your practice.
Frequently Asked Questions
What types of healthcare practices do you work with?
We work with solo physicians, group medical practices, dentists and dental groups, specialty clinics, therapy and rehabilitation practices, imaging centers, and other healthcare business owners across the United States.
Do you replace our medical billing company?
No. We are a CPA firm. We handle accounting, financial reporting, payroll, tax planning, and CFO advisory. Medical billing, coding, and reimbursement work stays with your billing team or vendor, and we use the aggregate results in your financial reporting.
Can you work with our existing practice management or accounting software?
In most cases, yes. We work with common accounting platforms and can use aggregate export data from your practice management system for revenue and collection reporting.
Do we have to be located in Florida?
No. Our office is in Orlando, Florida, and we serve medical and dental practices throughout the United States. Most work is handled remotely with scheduled review meetings.
Are the calculators on this site safe to use?
The calculators run entirely in your browser. Inputs and results are not collected, stored, transmitted, or logged. They are intended for aggregate practice figures only, never patient or claim information.
What happens during a medical practice financial review?
We review your practice financial statements, overhead structure, payroll and provider compensation costs, cash flow patterns, and tax planning opportunities, then summarize what we see and the options available to you.
Schedule a Medical Practice Financial Review
Bring your practice financials and we will walk through profitability, overhead, payroll cost, cash flow, and tax planning opportunities with you.
We provide accounting, tax, payroll, and CFO advisory services. We do not provide medical billing, coding, reimbursement, clinical, legal, or HIPAA compliance advice.
HW & Associates CPA, PLLC
Certified Public Accountants serving medical and dental practices nationwide from Orlando, Florida.
7362 Futures Dr, Suite 16
Orlando, FL 32819, USA
Orlando, FL 32819, USA
Service area: United States. Reviewed by the CPA team at HW & Associates CPA, PLLC. Privacy Policy