Payroll and Books That Match How the Entity Is Actually Structured
A clinic split across a PC and an MSO needs payroll and bookkeeping that respect that split — not one shared account that blurs which entity is paying for what. We stand up the platform, get worker classification checked, and keep the books separated the way a board, or an acquirer, expects to see them.
Why Payroll Isn't a Generic Back-Office Task Here
In a CPOM structure, clinical staff are typically employed by the PC while non-clinical staff sit with the MSO — mixing that up on a single payroll run is exactly the kind of detail that blurs the line the rest of your structure is built to hold. Worker classification carries its own exposure too: a contractor treated like an employee, or the reverse, is a different problem than a compliance one, but it lands in the same file.
We stand up the payroll platform, point each employee at the correct entity, and set up bookkeeping that keeps the PC's clinical account and the MSO's operating account genuinely separate — not just labeled differently inside the same ledger.
What Accounting & Payroll Covers
Payroll Platform, Entity-Correct
Staff onboarded to the right entity from day one — clinical headcount under the PC, non-clinical under the MSO — so payroll itself does not blur the line the rest of your structure holds.
Worker Classification Reviewed
Employee versus contractor confirmed per role, before misclassification becomes the finding instead of a footnote.
Bookkeeping Kept Genuinely Separate
The PC's clinical account and the MSO's operating account tracked as what they are — two entities, not two labels on one ledger.
From Setup to a Running Payroll
We Confirm the Entity Split
Which roles sit under the PC and which sit under the MSO, based on the structure your state already requires.
The Platform Goes Live
Payroll stood up and running, with each employee pointed at the correct entity.
Classification Gets Checked
Employee versus contractor confirmed per role before the first pay run, not after a question comes up.
Books Stay Separated, Ongoing
Bookkeeping tracked by entity on a real cadence, not reconciled once a year under deadline pressure.
One Platform. Every Workflow.
Tied to the Rest of Your Structure
Payroll and books sit next to the same management agreement and entity filings covered elsewhere — not run by a separate vendor who has never seen either.
Same fileClassification Checked Early
Worker classification reviewed at setup, not discovered during an audit.
Before it's a findingSeparation That Actually Holds
The PC and MSO accounts stay distinguishable on paper, which is what protects both sides if either is ever questioned.
Two ledgers, on purposeFrequently Asked Questions
Still not sure? Twenty minutes on the phone answers what a page can't.
Does MedGrid run payroll directly?
We stand up the platform and point it at the correct entity structure — payroll runs through that platform, matched to your PC/MSO split, rather than through a shared account that blurs the two.
What's the difference between the PC's account and the MSO's account?
The PC holds clinical revenue and pays for clinical staff and oversight; the MSO holds the management fee and pays for everything non-clinical. Keeping them separate is what protects the physician's license and your investment if either side is ever questioned.
How do you decide if someone is an employee or a contractor?
Based on the role and how it is actually performed, checked against your state's classification rules — not a blanket assumption either way.
Does this cost extra on top of the management fee?
Accounting and payroll setup is part of onboarding for members who need it. Ask on your first call for specifics on how it applies to your structure.
General information about how these workflows are structured, not legal advice. Requirements vary by state; your medical director and counsel confirm the specifics for your clinic.