Payer mix you can't see
Reimbursements arrive from many payers, and it's hard to tell which services and payers actually drive your margin.
For Medical Practices
The back office your medical practice deserves
Independent physicians, specialty groups, and multi-provider clinics get one team for accounting, payroll, HR, and CFO guidance — with books reconciled to your practice management system, so income and receivables are accurate and you can keep your focus on patients.
Read the video transcript
At Tribus, we help Texas medical practices pair real-world experience with modern technology to run their finances with confidence. We reconcile your books to your practice management system so your income and receivables are always accurate and reliable. Physicians choose us as the backbone of their finances for our reliability, business continuity, constant communication, and one predictable flat fee. Have questions? Ask Tally, our AI assistant, on our website, or book a consultation. Your business. Our resources. One team.
Sound Familiar?
What we hear from practice owners
Books that don't match your system
Your practice management system says one thing and your books say another, so income and receivables are hard to trust.
A thin administrative bench
When the one person who handles the books or payroll is out, the close stops and questions pile up.
Clinical and front-office HR
Onboarding, handbooks, benefits, and compliance paperwork compete with patient care for your time.
What We Do
What we do for medical practices
Fractional Controller / CFO
Cash flow forecasting, budgets, and a monthly financial review with an advisor who knows your practice by name.
Bookkeeping & Monthly Close
Books reconciled to your practice management system on a committed schedule, so income and receivables are accurate and reliable.
Payroll
Accurate, on-time payroll for physicians, clinical staff, and front office, with associates and contractors tracked through year-end.
Human Resources
Onboarding, handbooks, job descriptions, and benefits administration — without a full-time HR hire.
Analytics & Advanced Reporting
Dashboards and benchmarks on payer mix, collections, and profitability by service line.
Tax Strategy Coordination
Year-round planning alongside your CPA — or one from our network — including entity and owner compensation planning.
Why Tribus
Built by business owners for business owners
Deep experience
Advisors who have closed the books, run payroll, and sat in the owner's seat across Texas practices and small businesses.
Business continuity
Every account is staffed with redundancy, so vacations, turnover, and surprises never stall your close or your payroll.
Cutting-edge technology
Modern accounting, payroll, and reporting platforms keep your data automated, accurate, and available when you need it.
Constant communication
Planned reviews plus a team that answers. Calling your advisor never costs extra.
Predictable flat fees
One flat monthly fee scoped up front. No hourly meters, no surprise invoices.
One accountable team
Accounting, payroll, HR, and advisory work under one roof — so nothing falls between providers.
Get Started
Let's talk about your practice
Book a free 30-minute consultation, or start the Financial Business Needs Assessment for a same-day estimate.
Or call (210) 516-1603 · Questions? Ask Tally in the corner of this page.