Concierge Medicine Practice Accounting
Fairlight CPA does the bookkeeping, tax, and reporting for concierge and membership-medicine practices — subscription businesses wearing a stethoscope. We track membership revenue properly, watch panel churn like a SaaS company would, and keep any hybrid fee-for-service lane cleanly separated.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems concierge medicine practices actually have
Annual memberships are deferred revenue
A year paid up front is twelve months of obligation. Recognizing it monthly is what makes mid-year profitability and refund exposure honest.
Churn quietly reprices the panel
Members who leave rarely announce it loudly. Net panel change and revenue-per-member need monthly measurement, or renewals get discovered as a cash dip.
Hybrid models double the ledger
Many concierge practices still bill insurance for visits alongside the fee. Membership economics and FFS economics must be reported apart to know if the model works.
Panel caps make pricing the whole game
With panel size capped by design, revenue grows only through pricing and tiering — decisions that deserve real per-member cost data underneath.
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 concierge medicine practices actually make and spend money.
- Membership revenue recognition — monthly earning of annual and quarterly fees, tier by tier
- Panel metrics: member count, churn, and revenue per member reported monthly
- Hybrid FFS lane reconciled separately where insurance billing continues
- Monthly close by the 15th; payroll and owner-comp design
- Business and personal tax prep with estimates matched to membership cash timing
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.
Net member change
joins minus departures — the health of the panel
Revenue per member
across tiers, against the cost to serve each member
Deferred membership balance
prepaid fees not yet earned — obligation and cash-planning number
Revenue cycle & tax notes
Revenue & reconciliation
Membership autopays, annual prepays, and any residual insurance remittances each reconcile to their own schedule; failed autopays and card expirations get surfaced monthly, since they're the churn early-warning.
Tax & entity
Prepaid annual fees create income-timing questions, and strong owner margins make S-corp comp and retirement-plan layering especially productive; both are year-round planning items here.
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.
Concierge Medicine accounting FAQs
How is this different from regular practice bookkeeping?
The core is subscription accounting: earning fees monthly, watching churn, and pricing from per-member cost — closer to a software company's books than a clinic's, and we run it that way.
We're converting from insurance-based practice — what should we expect?
A transition year with both engines running: membership deferrals building while FFS winds down. We keep both lanes clean so you can see the conversion's real pace and cash shape.
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 concierge medicine 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.