Imaging & Radiology Center Accounting
Fairlight Accounting runs the books, payroll, and tax for imaging and radiology centers — capital-intensive facilities whose margin is throughput against machines, financing, and read fees. We report per-scan economics by modality every month.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ cross-border tax team
The numbers problems imaging centers actually have
Machines cost money whether they scan or not
MRI and CT financing payments run 24/7; margin exists only above a utilization breakeven that many centers have never computed per modality.
Global vs. technical/professional splits confuse revenue
Whether you bill globally or split with reading radiologists changes what a scan is worth; the books must reflect your actual arrangements per payer.
Read fees scale with volume, machines don't
Radiologist per-read costs are variable against fixed equipment cost — contribution per scan needs both in one view.
Referral mix decides the schedule
Ortho, PI, and primary-care referral streams carry different modalities, payer mixes, and no-show behavior; knowing which referrers fill which machines is operational gold.
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 imaging centers actually make and spend money.
- Per-scan revenue and contribution by modality (MRI, CT, US, X-ray)
- Equipment financing, depreciation, and utilization-breakeven reporting
- Radiologist read-fee reconciliation against studies performed
- Monthly close by the 15th with referral-source reporting where your RIS provides it
- Payroll, business and personal tax prep, and CFO reporting for machine additions
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.
Scans per machine-day
utilization against each modality's breakeven
Contribution per scan
realized revenue minus read fees and variable cost, by modality
Days in AR by payer
imaging's long-tail receivables kept visible
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile ERAs and patient payments to the study log by modality, keep PI-lien studies in their own aging, and match read-fee invoices to the same volume — one scan, one economic record.
Tax & entity
Seven-figure equipment cycles make depreciation strategy (179 vs. bonus vs. straight-line against financing) a first-order tax decision; we model each acquisition's after-tax path before purchase.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $1,955/mo. Every fee is quoted and fixed in writing before any work begins.
Imaging & Radiology accounting FAQs
Can you tell us if a second MRI pays?
Yes — current utilization, contribution per scan, financing cost, and referral pipeline produce a defensible payback model from your own operating data.
We split technical and professional fees — is that handled?
Yes — the books mirror your actual billing arrangement per payer, so technical-component economics stand alone and read fees match the professional side.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $1,955/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 imaging centers.
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.