Cardiology Practice Bookkeeping & Accounting
Fairlight CPA runs the books, payroll, and tax for cardiology practices — where in-office diagnostics, hospital work, and device clinics each carry their own economics and the equipment on the floor represents serious capital. We report each lane's real contribution monthly.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems cardiology practices actually have
Testing revenue rides on utilization
Echo, nuclear, and vascular lab economics depend on throughput against fixed equipment and tech cost — utilization reporting is the difference between an asset and an expensive room.
Hospital and office work blur in one ledger
Professional fees from hospital rounds and cath work versus office E&M and testing are different margins with different costs; a single revenue line hides the split.
Equipment capital needs a depreciation strategy
Echo machines and nuclear cameras are six-figure decisions where Section 179, bonus, and financing interact — worth modeling before the purchase, not after.
Device and anticoagulation clinics bill small and often
High-frequency, low-dollar monitoring claims demand clean recurring reconciliation or they leak quietly.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how cardiology practices actually make and spend money.
- Revenue lanes: office E&M, in-office testing, hospital professional fees, and device clinic tracked separately
- Equipment utilization and depreciation reporting per modality
- EOB reconciliation with your billing team, including recurring monitoring claims
- Monthly close by the 15th; payroll for physicians, techs, and clinic staff
- Business and personal tax prep with equipment-purchase planning
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
Testing contribution per modality
echo, nuclear, vascular — margin after tech and equipment cost
Hospital vs. office revenue mix
where the practice's time actually earns
Equipment utilization
studies performed against capacity, per machine
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile professional-fee remittances, in-office testing payments, and recurring device-clinic claims to the schedule monthly, so each service lane carries its own realized rate.
Tax & entity
Six-figure equipment cycles make depreciation elections and financing structure genuinely material here; we model the after-tax cost of each purchase path before you sign.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Cardiology accounting FAQs
Should we add another echo room?
The books answer it: current utilization, contribution per study, and the after-tax equipment cost produce a payback estimate grounded in your own numbers rather than a vendor's brochure.
Can you separate our hospital income from office income?
Yes — professional fees from hospital work run in their own lane against their own costs (call, travel, billing), so office economics stop subsidizing or masking them.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $800/month. Exact fee fixed in writing after a short call.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for cardiology practices.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.