Focus on Patients. We'll Focus on Your Numbers.
CFO-level financial strategy for medical practices, allied health clinics and healthcare groups. We handle the financial complexity — Medicare billing analysis, practitioner profitability, multi-location reporting and growth planning — so you can focus on what matters.
Your Practice Is Thriving. Your Financial Visibility Isn't.
Revenue up, profit stagnant
Patient numbers are growing, but rising costs — rent, wages, consumables, indemnity insurance — are eroding your margin. Nobody is tracking profitability at the practitioner or service level.
Medicare billing is a black box
Are your practitioners billing optimally? What's your bulk-billing ratio doing to margins? Which MBS item numbers generate the best return on consultation time? Without analysis, you're leaving money on the table.
Practitioner profitability is guesswork
You know who's busy, but not who's profitable after room costs, nursing support, consumables and admin overhead. Some high-billing providers may actually be costing you.
Multi-location, multiple headaches
Each clinic runs slightly differently. You need consolidated reporting with a clear view of each location's performance, overhead allocation, and contribution to the group.
Growth decisions with no financial model
Adding a practitioner, opening a new location, investing in equipment — these are six-figure decisions being made on gut feel. You need scenario models and break-even analysis.
Compliance and reporting burden
AHPRA, Medicare audits, payroll tax, superannuation complexities for contractor vs employee practitioners — the regulatory landscape for medical practices is uniquely complex.
If any of these resonate, you need a CFO who understands healthcare — not just accounting.
CFO Services Built for Medical Practices
We don't just reconcile your accounts. We build the financial intelligence layer that turns your practice data into a strategic advantage.
Practitioner Profitability Analysis
True profit contribution per provider after room costs, nursing support, consumables, admin overhead and billing splits. Know who's generating value and where the gaps are.
Medicare & Billing Optimisation
Analysis of MBS item utilisation, bulk-billing ratios, gap fee structures, and revenue per consultation. Identify opportunities to improve billing without compromising patient care.
Multi-Location Consolidated Reporting
Location-by-location P&Ls with proper overhead allocation, combined group dashboards, and benchmarking across your clinic network.
Cash Flow & Capacity Forecasting
Patient volume projections, chair/room utilisation modelling, staffing cost scenarios, and cash flow forecasts that account for Medicare payment cycles.
Management Reporting & KPI Dashboards
Monthly reports with the metrics that matter for healthcare: revenue per consult, practitioner utilisation, patient retention, overhead ratios, and more.
Growth & Acquisition Advisory
Financial modelling for new locations, practitioner recruitment ROI, equipment investment analysis, and due diligence support for practice acquisitions or sales.
The Metrics That Actually Matter
We build custom dashboards around the KPIs that drive practice growth — not generic accounting reports.
Sample Medical Practice KPI Dashboard
Updated monthly with your real data. Accessible anytime.
We Speak Your Tech Stack
We integrate with the practice management and accounting platforms you already use — pulling data into a single financial view.
Real Practice, Real Impact
How a multi-GP practice could uncover $120K in lost revenue through billing analysis
A six-GP practice with healthy patient numbers but declining profitability. The bookkeeper is processing payroll and BAS, but nobody has analysed billing patterns, practitioner economics, or the financial impact of the bulk-billing policy.
Our methodology: Build a practitioner profitability model accounting for consultation revenue, bulk-billing ratios, room costs, nursing allocation and consumables. Analyse MBS item utilisation patterns. Create a monthly dashboard with per-provider and per-location KPIs.
The potential result: Identify providers who are significantly under-billing relative to consultation complexity. Adjust the bulk-billing threshold and implement gap fees for appropriate patients. Revenue per consultation could increase 18% with no decline in patient satisfaction scores.
“We had no idea how much revenue we were leaving on the table until Ascend built our practitioner profitability dashboard. The financial clarity transformed how we run the practice — and the team loves having actual data to work with.”
Nicholas Love
CPA, MAcc, BCom (ANU) — Healthcare Financial Strategist
“Medical practices generate enormous amounts of data — consultation volumes, billing patterns, patient demographics — but most have no financial intelligence layer to turn that data into strategy. That's where I come in.”
Nicholas understands the unique financial complexities of healthcare — Medicare billing structures, practitioner remuneration models (contractor vs. employee), AHPRA compliance requirements, and the operational challenges of running multi-provider, multi-location practices.
Nicholas works with single-GP practices through to multi-location groups with 20+ practitioners, across general practice, allied health, dental, physiotherapy, and specialist clinics.
Learn More About Nicholas →Frequently Asked Questions
How is this different from our regular practice accountant?
Your accountant handles tax returns and compliance. We build forward-looking financial models — practitioner profitability analysis, billing optimisation, capacity forecasts and growth scenarios. We work alongside your accountant, providing the strategic layer they typically don't.
What practice management systems do you work with?
We work with Best Practice, Medical Director, Cliniko, Halaxy, Tyro, HotDoc, and most major PMS platforms. On the accounting side, we integrate with Xero, MYOB, QuickBooks and NetSuite.
Do you understand Medicare and MBS billing?
Yes. We analyse MBS item utilisation, bulk-billing ratios, gap fee structures, and revenue per consultation. We help practices understand the financial impact of their billing policies and identify optimisation opportunities — always within compliance guidelines.
What size practices do you work with?
From single-practitioner practices up to multi-location groups with 20+ providers. The financial complexity usually warrants CFO-level engagement once a practice has 3+ practitioners or annual revenue above $1M.
Can you help with practice acquisitions or sales?
Absolutely. We provide financial due diligence, valuation analysis, and deal structuring support for practice acquisitions. For sellers, we help present clean financials and growth narratives that maximise practice value.
Do you handle bookkeeping and payroll as well?
Yes. Many of our medical clients use our team for the day-to-day bookkeeping, payroll (including STP), and BAS/IAS compliance. This works particularly well because when we control the data quality, the advisory analysis on top is more accurate and timely.
Ready for Financial Clarity in Your Practice?
Schedule a confidential strategy session to discuss how a healthcare-specialist CFO can transform your practice's financial visibility. We'll review your current setup, identify quick wins, and outline what an engagement could look like. No obligation.