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Case Study: Cash Flow for a Medical Practice

October 5, 2022 by Kevin Kearney CPA

doctor with healthcare team

At CironeFriedberg, we have extensive experience advising and working with physicians. We understand the changing landscape of the practice of medicine. Physicians want to provide optimal service to their patients within the context of challenging and declining reimbursements and increased paperwork.

Our goal is to provide physicians with timely financial statements, advisory services, and tax information to help them manage their practices efficiently and profitably.

Here is a Case Study that illustrates how we work with a medical practice.

SITUATION

A busy medical practice needed a cash flow analysis to determine how PPP funding would be used and establish a cash position in 12 months.  With significant declines in revenue and a corresponding increase in expenses to be compliant with new safety regulations, the practice needed to ensure they had a handle on future cash flows. They needed to be able to understand how various growth models would impact their decisions.

SOLUTION

CironeFriedberg provided an Outsourced Financial Director who created a cash projection template spanning 12 months. She developed the template to be driven by assumptions that can be changed allowing for impact of those changes to flow through the projections. The result was a template that the client can maintain and update with a few assumptions to see the overall impact on the projections of various possible decisions or events.

BENEFIT

The ongoing critical data regarding cash flow position allow the owner to make sound, necessary decisions regarding the operation and growth of the medical practice. The flexibility of the projection model enables him to maintain optimum oversight of his business and anticipate how various scenarios might affect the business situation (e.g., COVID-19 disruptions).

Learn more about our Outsourced CFO/Controller services.

If you need assistance or have any questions on the information in this article, please call your CironeFriedberg professional. You can reach us by phone at (203) 798-2721 (Bethel), (203) 366-5876 (Shelton), or (203) 359-1100 (Stamford) or email us at info@cironefriedberg.com.

Filed Under: Medical practice, Outsourced Financial Services Tagged With: cash flow, cashflow, controller, medical practice, Outsourced cfo

Retirement Plans for Medical Offices

July 24, 2022 by Sandra Callanan CPA

doctor and office manager

Planning for your future is paramount, regardless of what career path you’ve chosen. For doctors, it seems like retirement should be an easy path, but many medical professionals are not aware of the plans available to them. Before you make a decision that can impact your and your employees’ lives forever, it is important to understand the details. Here are some things you should know about choosing the right retirement plan for yourself or for your practice as a whole.  

  • W-2 and 1099 employees – what do you have? Options for retirement are partially dependent on the classification of work. When you receive a W-2 from an employer, you are considered a permanent employee. An employer may provide benefits, and your options are more diverse than your contractor counterparts’. An independent contractor, or someone who files taxes with 1099 forms, is considered self-employed, and so will not have the luxury of a retirement package through an employer. But there are plenty of self-funded retirement plans available. It helps to talk with an accountant or financial planner, both for your sake and your employees’.
  • One of the most common retirement funds is a 401(k). Many employers will offer this type of account, and some may even match contributions. For independent contractors, there are Solo 401(k) accounts that can be a great way to save for the future in a more traditional and comfortable way.
  • SEP and SIMPLE IRAs. Another option for doctors managing a staff is to offer a SEP or a SIMPLE IRA. IRAs are individual retirement accounts that are easy to set up and maintain. Offering a SEP, or Simplified Employee Plan, will allow you to make contributions to the staff’s retirement funds. This is particularly good when you’re in an office with high turnover or if only a few of the employees qualify. A SIMPLE IRA, or Savings Incentive Match Plan for Employees IRA, allows a minimum contribution time of two years, compared with SEP’s one. The eligibility is more restrictive overall.
  • Profit sharing. It may seem like profit sharing isn’t appropriate in the realm of a medical office, but it can be a great way to encourage individual savings, growth and participation. This can be tied to individual production or, if you want everyone to be eligible for the program, it can be divided equally among your employees. It can also be calculated based on the employee’s individual pay. This is an affordable way to provide additional money that can be saved or used immediately, and it promotes a shared sense of ownership and increased productivity.

What retirement plans can you create for your practice to ensure your financial future? Careful planning now can help you create a retirement program good for you and your medical staff.  

If you need assistance or have any questions on the information in this article, please call your CironeFriedberg professional. You can reach us by phone at (203) 798-2721 (Bethel), (203) 366-5876 (Shelton), or (203) 359-1100 (Stamford) or email us at info@cironefriedberg.com.

Filed Under: Medical practice Tagged With: 401(k), medical, medical office, medical practice, Retirement, retirement plans

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