Clinic and Group-Practice Bookkeeping, by Location and by Provider
Booxmax is a bookkeeping, payroll, and advisory firm.
Per-location and per-provider books with overhead allocated and a consolidated view, reconciled to your billing. So you know which location, which provider, and which service line actually makes money.
[ Book a 20-minute by-location books review ]
Busy across three locations is not the same as profitable at any of them
A group practice runs on multiple providers, multiple payers, shared overhead, and often multiple locations. Firm-wide totals hide which provider, location, or service line is carrying the others. The books have to roll up by location and by provider, or you are making decisions on averages that describe none of your sites accurately.
Where group-practice books fall apart
Shared expenses that never get allocated, deposits that do not tie back to the billing system across locations, and physician compensation that grows informally (base, production bonus, collections-based incentive) until no one can fully explain it. At scale, those gaps compound. We keep the structure straight so the rollup actually means something.
At scale, the leak hides in the average
Billed is not collected; payer contractual adjustments and denials sit between them. At one location, a few points of net collection rate is noise. Across four, it is one location quietly subsidizing the others, and a firm-wide total will never show you which. We keep your books reconciled to your billing by location and by provider, so the gap is visible where it actually lives. For the mechanics of that gap, see our medical practice bookkeeping page.
What we keep, every month
- Per-location and per-provider profit and loss, with overhead allocated.
- A consolidated view across the group, so the whole and the parts both make sense.
- Books reconciled to your practice-management or billing system and your bank, across locations.
- Service-line profitability (labs, imaging, and other ancillary services).
- Multi-location payroll and physician compensation tracking.
- Monthly reports in QuickBooks Online by Certified ProAdvisors.
We reconcile to each location’s totals, not to a chart
Bookkeeping works from financial data: each location’s billing totals and bank, not the clinical record. Your patients’ health information stays in your clinical systems, and we do not take it.
What we do, and what we don’t
We are a bookkeeping, payroll, and advisory firm. We are not your medical biller. We do not code claims, prepare tax returns, or give legal advice. We consolidate your books for reporting; the legal structure of your entities and any related terms route to your counsel. Billing and coding route to your revenue-cycle team. Income tax routes to your tax preparer. Clinical records and PHI stay in your EHR.
Local, secure, QuickBooks-based
Certified ProAdvisors, a secure 256-bit SSL/TLS client portal, based in Burbank and serving the LA metro.
[ Book a 20-minute by-location books review ]
FAQ
Can you split our books by location and by provider? Yes. That rollup is the point: it shows which site and which provider actually makes money, instead of a single average that hides both.
Do you do our medical billing? No. Your billing team codes and submits claims. We keep the financial books and reconcile them to that system across your locations.
Can you consolidate multiple entities? Yes, for reporting. How your entities are legally structured is a question for your counsel, not us.
Do you handle our patients’ health information? No. Bookkeeping works from financial data only. PHI stays in your clinical systems.
Are you local? Yes. Booxmax, Inc., Burbank, CA, serving the LA metro.
This page explains general bookkeeping mechanics. It is not legal or tax advice, and it is not medical billing or coding. Entity structure routes to your counsel; billing routes to your revenue-cycle team; tax matters route to your tax preparer; clinical records stay in your EHR.
Booxmax, Inc. · 224 E Olive Ave, Ste 217, Burbank, CA 91502 · (818) 485-2669 · Info@booxmax.com · booxmax.com