Radiology, pathology, anesthesia — the contract-and-subscription groups we serve are excellent clinically and flying blind financially. ASO is the outsourced CFO function that makes every contract, every physician, and every dollar of cash legible.
Owner-physicians inherit a finance stack built for a solo practice and a business that has long since outgrown it. Four gaps show up in nearly every group we onboard.
Subscription, per-exam, STAT fees, after-hours retainers — blended into one P&L. Legacy rate cards quietly run below break-even after physician pay and true overhead, and nobody catches it until renewal.
Contracts ramp on their own timeline; payroll doesn't. Without a rolling forecast, a profitable group still hits a cash trough between a new site going live and its first collections — and reacts instead of plans.
Partner draws and productivity comp get set by habit, not by clean wRVU-to-billing reconciliation. When a partner asks "is my split fair?", the answer is a shrug instead of a benchmark.
SBA loans, LOCs, merchant advances, and a d/b/a stacked over years. The interest is real money and the structure is rarely optimized — because no one owns the whole picture.
The same financial read we build for our clients — yours to use, free. Explore a live sample group, or switch to My practice and enter your own contracts, comp, and cash for an instant read across all four views.
Three layers, one team. CPA-led, AI-accelerated, and built around how specialty groups actually make money.
Accrual-basis bookkeeping reconciled to billing, closed on a calendar you can set a watch by. The foundation everything else stands on.
The part a year-end CPA never does: contract economics, 13-week cash, comp models, debt strategy, and the budget you actually steer by.
Proactive planning, entity and debt structure, and filings — coordinated with the books so nothing is a March surprise.
"It's been a tremendous benefit to our group — from providing strategy around your finances to really dig into the metrics of your organization. If you need clarity around your numbers, ASO Financial is highly recommended."
Bring one contract and a recent P&L. A senior ASO advisor builds a live Practice Vitals read on your numbers — you leave with at least one decision-changing metric. No pitch.
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