Accounting, Tax & MSO Advisory for Healthcare

We work with physician practices, dental offices, veterinary clinics, MedSpas, and physical therapy practices. We also work with pharmaceutical and biotechnology companies, telehealth providers, healthcare startups, and Management Service Organizations (MSOs). All of them come to us for the same reason: general accounting doesn’t fit how healthcare revenue actually works. So, we tailor our approach to your practice type, reimbursement models, and organizational structure.

An MSO manages the business side of a practice while the clinical side stays separately owned. As a result, money and services are constantly moving between the two entities. When that intercompany activity goes untracked, it’s usually the first thing a lender, investor, or regulator scrutinizes. So we build the fee tracking, reconciliation, and revenue recognition structure to hold up under that scrutiny.

Yes, and the timing matters more than most owners realize. Many tax-efficient structuring options are gone by the time owners have verbally agreed to a deal. That’s why it’s worth reviewing your ownership structure before negotiations begin, not after. So we get involved early, building a genuinely tax-efficient transition from buy-sell agreements through valuation coordination. Email us at info@fusiontaxes.com.

Expanding through telehealth or additional offices often creates filing obligations before practice owners expect them. In fact, income tax, payroll tax, and registration requirements tend to build quietly in the background. So we help identify those obligations early, before growth turns into unexpected tax exposure.