Tailored Financial Leadership for Every Stage of Your Practice

Surgical & Specialty Groups

​Complex Revenue Oversight

For practices with complex revenue cycles that require MD/MBA-level clinical oversight to protect margins.

Growing Clinical Practices

Executive-Level Data

For owners too busy with patient care to manage spreadsheets, but who need strategic financial data to scale.

Practices Preparing for Sale

Maximum Valuation Strategy

We professionalize your books to ensure you secure the highest valuation from private equity or hospital buyers.

Why Specialized Medical Bookkeeping is Critical

Healthcare-Specific Chart of Accounts

We categorize expenses by clinical vs. admin costs and provider-specific overhead.

Insurance Reconciliation

We track the gap between billed charges and payouts to ensure A/R accuracy

HIPAA-Compliant Management

All bookkeeping is performed using encrypted, medical-grade software.

Monthly Financial Reporting

Receive clear P&L and Cash Flow summaries every month—not just at tax time.

Service Offerings

Medical Bookkeeping

 Fractional CFO Services

Tax Strategy & Compliance

Frequently Asked Questions

How can a Fractional CFO help grow a medical practice?

A Fractional CFO from COMS provides high-level financial forecasting and break-even analysis that helps doctors decide when to expand or hire.

What is the best way to prepare a medical practice for sale or merger?

Preparation requires professionalized, "clean" financial records; COMS specializes in exit-strategy bookkeeping to help physicians achieve maximum valuation.

How do I identify "Revenue Leakage" in my medical clinic?

Leakage is found through deep-dive financial reconciliations; COMS performs remote audits to uncover hidden overhead and vendor overcharges.

How can I manage physician compensation and bonus models?

Specialized bookkeeping is required for complex partner splits; COMS designs transparent compensation models that align with practice growth goals.

Does COMS provide HIPAA-compliant medical bookkeeping?

Absolutely. COMS uses encrypted, medical-grade accounting platforms to ensure all practice financial data is 100% secure and compliant.