Your Practice Deserves a Financial Foundation That Lasts
Physicians across Florida trust James Moore to get their practices built right.
50+ Years Serving Healthcare
Florida-Based,
Multi-Office Firm
AICPA & FICPA
Member
Top 25 Florida
CPA Firms
You Trained to Practice Medicine. Not to Build a Business from Scratch.
A hastily chosen entity structure locks you into a bad tax position before revenue starts. A billing setup built from vendor recommendations leaves money on the table from day one. A compensation model that seemed reasonable at year one becomes a compliance problem by year three.
Most physicians trace these problems back to the same root cause: the right advisors weren't in the room early enough. That's the conversation we have with physicians every day. It doesn't have to be yours.
Built for the Physician Who Wants to Get It Right the First Time
James Moore works with physicians at the earliest stage of practice formation, before entity documents are signed, before a lease is executed, before the first hire is made. That's the moment when the decisions with the longest financial tail are made. It's also the moment when having the right advisor matters most.
This is the right fit if:
- You are a solo practitioner or founding group launching a new practice in Florida
- You are transitioning out of employment with a hospital, health system, or group practice
- You are a newly independent physician who has already launched but knows the financial foundation needs attention
- You need an advisor who can coordinate entity structure, tax planning, billing strategy, and personal financial planning in one engagement, without being passed between departments
- You want a relationship with a firm that will still be your advisor when it's time to value and sell your practice, not just a vendor for the launch
If you are looking for healthcare-specific advisors who understand the financial complexity of building a practice and who will tell you what you need to hear before it becomes an expensive problem, that is what we do.
Our Experts
Jay Hutto, CPA, ABV, CFF, CVA
Partner
The Start-Up Guide for New Practice Owners
You trained to practice medicine. Nobody trained you to set up payroll, navigate tax requirements, or choose a business structure that won’t cost you later. We put this guide together so new practice owners have a solid foundation to build from.
What You Gain When You Start with the Right Foundation
LLC, S corporation, professional corporation, multi-entity: there is no universal right answer. We analyze your situation before making any recommendations. The savings from getting this right in year one routinely exceed the cost of the engagement.
Experience Across Healthcare, Not Just a General Practice
"I have been extremely impressed with the service and expertise provided by James Moore. Anytime we have a question or need assistance, we know we can count on their team for prompt, knowledgeable support. They are proactive in scheduling meetings throughout the year to discuss our account, and they come well-prepared with insightful questions and industry-specific advice. It's clear they have a wealth of experience working with medical practices like ours."
Lambert Vaes, CFO
SIMEDHealth
"In addition to routine accounting matters, we have relied on the James Moore team for guidance on strategic business decisions. As we explore potential growth opportunities, such as bringing on another physician, their team has been a valuable sounding board, offering insights to help us navigate the financial implications."
Melissa Steed, Office Administrator
Walden Primary Care
"One of the key ways James Moore adds value to our practice is through regular meetings, typically on a quarterly or semi-annual basis. They take the time to understand our challenges and goals and provide expert guidance on the decisions we need to make. Their ability to analyze our data and offer objective insights helps keep us on track and moving in the right direction."
Jaime Barnes, Practice Manager
Gainesville Skin Cancer Center
“We have relied on James Moore for years, initially for tax services and then expanding into outsourced accounting support as our pain clinic grew. Beyond day-to-day accounting, they have been a trusted advisor for key business decisions. Their deep understanding of the healthcare industry gives us confidence that we are making sound choices for our practice.”
Max Shokat, D.O., Physician/Medical Director
Southern Interventional Pain Center
“[James Moore] is the best. Thank you again for helping me so much in different scenarios. I know I am “small” financially in your world but I feel like you treat me the same as the “big guys” and I appreciate that! Us MD's – we need business help and I truly appreciate what you have done for me!”
Jennifer Alderman
Gainesville Gynecology Group
“When I opened my medical practice in 2006, I had no idea on how to set up my internal accounting. I was referred to James Moore & Co. and the relationship with them has been great. They have guided me all the way and connected me to financial advisors and banks who have help my business grow. I am grateful to their team who has been with me all the way. Thank you James Moore.”
Lawrence Adu, M.D. CEO
Cedar Healthcare
"I have used James Moore and Co. as my accountants for a number of years and as a busy practicing physician, I have been impressed on how quickly they respond to any and all of my inquiries, either by email, or by phone. It has always been within the same day, and often within the same hour. It is reassuring to know that they are knowledgeable about the tax laws, and capable of looking into any and all of my questions. They are extremely helpful and professional."
Nicholas J. Cassisi, D.D.S., M.D.
How a Practice Startup Engagement Works
We Listen Before We Plan
One working session before anything else. We ask the hard questions, tell you what we see, and tell you what we would do differently. No agenda.
We Build the Architecture Before You Open
Chart of accounts, accounting software, retirement plan strategy and tax elections before your first patient visit.
We Connect the Pieces Others Leave Disconnected
Tax, payroll, HIPAA-compliant accounting, billing guidance, compensation modeling and more.
We Build Your Revenue Cycle Infrastructure
Support with the billing platform, setup, and processes, designed to prevent leakage from day one.
We Close Your First Year Right
Financial statements, tax position, retirement plan funding and documentation. Year-end clarity, not surprises.
We Grow With You
Startup is where the relationship begins. Partnership changes, acquisitions, transition planning: the same advisors, the whole way through.
The Financial Startup Checklist for New Physician Practices
Ready to get your financials in order before launch? James Moore's Practice Launch Financial Checklist breaks down 12 critical factors, from credentialing timelines to hidden occupancy costs, so you can open with confidence.
Serving Physician Practices Across Florida and Nationwide
James Moore works with physicians launching practices in Gainesville, Daytona Beach, Orlando, Tampa, and across Florida.
Florida's specific conditions, no state personal income tax, a corporate tax structure that affects entity elections and a consolidating healthcare market, make local expertise matter.
Our healthcare CPAs know these markets because they work in them.