Provider Profitability
Provider-level production, collections, and contribution, not just a practice-wide P&L.
Industries · Healthcare Practices
CPA and CFO support for the business side of the practice.
Practice tax, accounting oversight, and financial leadership for physician and specialty practices, medical groups, dental, therapy, and veterinary practices, from a CPA firm whose principal has run a multi-location physician-owned practice.
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Practice Focus
Where practice finance actually gets decided.
Compensation & Partner Economics
Provider compensation models, partner economics, ownership economics, and overhead allocation.
Revenue Cycle Visibility
A/R trends, collection performance, and where revenue is leaking.
Payer & Fee Schedule Review
Payer performance and fee schedule review against actual collections.
Multi-Entity & Multi-Location Reporting
Practice, real estate, and ancillary entities reported together, and locations compared on the same basis.
Practice Transactions
Acquisitions, partner buy-ins and buy-outs, practice value, and post-close integration.
Common Challenges
The problems that land on a practice owner's desk.
Provider compensation that nobody can explain
Formulas that grew by exception, partner economics argued from memory, and no model to test a change before it is made.
Revenue cycle you see only in arrears
Billing reports that arrive late, A/R that drifts, and no month-to-month view of collections against production.
Budgets and forecasts that do not exist
Growth decisions, hiring, and new locations made without a forecast the partners trust.
Books that lag the practice
Accounting that closes weeks late, so KPIs and profitability by provider or location are never current.
Ownership changes and acquisitions
Buy-ins, buy-outs, and practice acquisitions that need modeling, cutoff, integration, and a clean set of books on both sides.
Banking and financing
Lenders that want practice-level financial statements, projections, and a CFO on the call.
Why It Is Different
Operator experience, not just practice tax.
Dansby CFO+ is led by Justin Dansby, CPA, who served from 2023 to 2026 as CEO and de facto CFO of a multi-site, physician-owned nephrology practice. In that role he led an acquisition and its integration, grew the provider group from about eight to fifteen, and built the provider compensation frameworks the practice operated on. Practice questions get answered from the inside, not from a textbook.
For a practice, that means accounting oversight and KPI reporting built around providers and locations, budgeting and forecasting the partners can act on, compensation and ownership economics modeled before they are changed, revenue cycle visibility every month, support through acquisitions and integration, and fractional CFO leadership when the practice needs it, alongside the entity and owner tax work.
About the firmRelevant Services
What a practice engages us for.
Practice Tax Preparation
Entity returns and the associated owner or partner returns, coordinated with the practice accounting, plus tax planning around compensation and distributions.
Tax preparation and starting feesMonthly Accounting & Bookkeeping
CPA-led monthly bookkeeping, reconciliations, month-end close, and financial statements, starting at $300/month.
Monthly accountingFractional CFO Advisory
Ongoing financial leadership: cash flow, forecasting, KPIs, banking, and the decisions that shape the company.
Fractional CFO advisoryBusiness Advisory & Projects
Defined projects with a written scope and price: cleanup, systems, modeling, transactions, and special projects.
Business advisory projectsCommon Questions
Healthcare practice advisory.
What kinds of practices do you work with?
Physician and specialty practices, medical groups, multi-provider and multi-location practices, physician-owned groups, dental practices, therapy practices, veterinary hospitals, and specialty practices.
Can you work with a practice that already has a biller and an accountant?
Yes. Most do. Dansby CFO+ adds financial oversight and practice-level reporting above the billing and bookkeeping already in place.
Do you prepare practice tax returns?
Yes. Entity returns and the associated owner or partner returns, coordinated with the practice's accounting.
Have you actually run a practice?
Yes. Our principal served as CEO and de facto CFO of a multi-site, physician-owned nephrology practice from 2023 to 2026, led an acquisition and its integration, grew the provider group from about eight to fifteen, and built the provider compensation frameworks the practice operated on.
More Industries
Support shaped to other industries.
Next Step
Bring the practice into focus.
A consultation on provider economics, reporting, and the practice's tax and accounting structure.
Individual tax prep online: 850 Tax (opens in a new tab). 850 CFO Online (coming soon).