Financials for practices that get paid when the case settles.
Letters of protection, liens, negotiated reductions, 18-month collection cycles — your revenue doesn't behave like a normal medical practice's, and your accounting shouldn't either. We've served PI providers for over 20 years.
Book a Free ConsultationLien Book Snapshot — Sample
Your P&L lies to you unless someone adjusts for reductions.
Bill $10,000 on a LOP, collect $5,400 after settlement negotiation two years later — a generic bookkeeper shows either fantasy revenue or chaos. We show you the truth.
LOP & Lien Tracking
Every letter of protection and lien tracked by patient, attorney, and case status — so nothing settles without you collecting.
Reduction-Adjusted Revenue
Historical collection rates by referring firm and case type, applied to your receivables for a realistic picture of what your book is worth.
Attorney Relationship Data
Which referring firms actually pay, how fast, and at what reduction — data that changes who you take LOPs from.
What your practice gets every month.
Financials & Bookkeeping
- Monthly close: P&L, balance sheet, cash flow
- Lien book aging & expected-value reporting
- Cash vs. lien revenue mix analysis
- Payroll, associate comp, and multi-location rollups
Strategy & Tax
- Cash-flow forecasting for long collection cycles
- Quarterly tax projections & entity optimization
- Equipment & expansion financing analysis
- Marketing ROI: cost per new PI patient
Built for the whole PI treatment chain.
Chiropractors
High-volume LOP practices with heavy attorney referral flow — the original PI provider, and half of our provider client base.
MDs & Ortho / Pain
Orthopedists, pain management, and PM&R practices balancing insurance, cash, and lien revenue streams.
Imaging & Ancillary
MRI centers, surgery centers, and PT clinics living on lien-based receivables and settlement timing.
Frequently asked questions.
How do chiropractors account for letters of protection?
A LOP is a receivable with uncertain value — not guaranteed revenue. We track each LOP by patient, attorney, and case status, then apply your historical collection rates to produce a realistic, reduction-adjusted picture of what the book is worth.
What collection rate should a PI practice expect on liens?
It varies widely by market, case type, and referring firm — which is exactly why we track your actual rates by source instead of using an industry guess. Many practices discover a 20+ point spread between their best and worst referral relationships.
Should my PI practice be on cash or accrual accounting?
It depends on your size, entity type, and lien book — and the tax difference can be enormous. This deserves a real analysis, which we perform during onboarding.
Can you track which attorneys actually pay?
Yes — referring-firm scorecards are a core part of our monthly reporting: average reduction, time to payment, and write-off rate per firm.
Do you work with MDs and imaging centers or just chiros?
Both, plus ortho, pain management, PT, and surgery centers — the entire PI treatment chain.
Can you help my practice get financing?
Yes. We produce credible, reduction-adjusted lien-book valuations lenders accept, prepare complete financing packages, and represent you in lender conversations. Our clients have raised millions to expand their practices.
Is my financial data kept confidential from the attorneys you serve?
Absolutely. We maintain strict internal information walls between engagements. Serving both sides of the PI world for 20+ years only works because confidentiality is non-negotiable.
What does the monthly package cost?
Packages are flat monthly fees scoped to your practice size and lien volume — see the Monthly Packages page and book a free consultation for an exact quote.