OB/GYN & Midwifery Practice Accounting
Fairlight CPA handles the books, payroll, and tax for OB/GYN practices and midwifery groups — where a global maternity fee covers months of care and the revenue cycle is longer than almost anywhere in outpatient medicine. We keep that long cycle, and the costs riding on it, in clear view.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems OB/GYN & midwifery practices actually have
Global billing compresses months into one payment
Prenatal visits, delivery, and postpartum care settle as one global fee at the end. Months of work show as no revenue, then one lump — books must smooth what billing compresses.
Malpractice premiums are a structural cost
OB coverage is among the highest-premium lines in medicine; financing, timing, and allocating it across providers is a real accounting decision, not a footnote.
Call coverage and delivery timing cost real money
Call stipends, locum coverage, and unpredictable delivery hours create staffing costs that need visibility against the deliveries they support.
GYN office and OB global lanes differ
Office GYN visits and procedures bill normally while OB runs global — two revenue rhythms that shouldn't share one undifferentiated line.
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 OB/GYN & midwifery practices actually make and spend money.
- Global-fee tracking — care delivered against fees pending, so mid-cycle months read true
- OB and GYN revenue lanes reported separately
- Malpractice premium planning, financing, and allocation across providers
- Monthly close by the 15th; payroll including call arrangements
- Business and personal tax prep, quarterly estimates, and CFO reporting
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.
Deliveries and global fees in pipeline
care underway against fees not yet settled — the OB cash horizon
Net revenue per delivery
global fee realized against the episode's cost, including call
GYN office contribution
the steadier lane's margin, keeping the practice liquid between global settlements
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile global-fee settlements, office-visit remittances, and patient payments against the care log, so the months of unpaid prenatal work are visible as pipeline rather than invisible as nothing.
Tax & entity
Premium financing, provider comp against lumpy global settlements, and estimates that anticipate settlement timing keep the tax side aligned with OB's odd cash rhythm.
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.
OB/GYN & Midwifery accounting FAQs
Why do our profitable months look broke?
Global billing: the work happens for months before the fee settles. We carry the pipeline view alongside the cash view so both the bank and the workload are visible at once.
Can midwifery practices use this too?
Yes — home-birth and birth-center midwifery has the same global-fee shape plus more self-pay; we track package payments and payment plans with the same pipeline discipline.
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 OB/GYN & midwifery 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.