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  Clinics & Medical Practices

We support private practices, urgent care centers, and behavioral health providers with CAS services tailored for revenue cycle complexity, payer mix, and physician comp models.

Key CAS Services:

1. Bank reconciliations and accounts receivable aging

2. Monthly close and financial dashboards

3. Cash flow and overhead analysis

4. Payroll and provider compensation tracking

Nursing Homes

Our audit team provides specialized financial audits for long-term care facilities, focusing on Medicaid/Medicare compliance, cost reporting, and internal controls.

Financial Reporting Services:

1. Annual financial statement audits (Florida & New York, California coming For Year End 2026)

2. Annual & Quarterly Reviews (Florida & New York, California coming For Year End 2026)

3. Compilations

4. Internal control assessments & implementation 

1. Resident Trust Fund Controls & Reconciliations

We implement processes for managing resident trust accounts in accordance with 42 CFR § 483.10, ensuring timely reconciliations, authorized disbursements, and audit-ready reporting.

2. HIPAA-Compliant Access & Data Security
We establish financial data workflows that meet HIPAA Security Rule standards—limiting access to ePHI, enforcing user role permissions, and maintaining audit trails for financial transactions tied to patient data.

3. Medicaid Billing Oversight & Revenue Cycle Segregation
We separate duties between coding, billing, payment posting, and collections—reducing the risk of duplicate billing, unauthorized write-offs, and violations under CMS guidelines.

4. Cost Report Accuracy & Expense Allocation Controls
We implement tracking for direct vs. indirect costs, payroll allocation across departments, and reconciliations with general ledger accounts—ensuring accuracy for Medicare and Medicaid cost reports.

Tax Services:

1. Annual Tax Return Filing 

2. Cost Segregation Studies

  We support prime and subcontractors engaged with the Department of Defense, NASA, and federal agencies. Our team understands the nuances of cost-plus and fixed-price contracts, government compliance, and the accounting systems required for audit readiness under FAR and DFARS guidelines. We also conduct R&D tax credit studies and assist with DCAA audit preparedness and indirect rate modeling.

Key Services:

1. Financial statement audits and indirect cost rate assurance

2. R&D tax credit documentation and substantiation

3. CAS-compliant accounting system setup and oversight

4. Budgeting, forecasting, and project-level cost tracking

5. DCAA audit support and incurred cost submission assistance

At SPO CPA, we support emerging and established brands, co-packers, and distributors navigating the rigorous demands of the Food & Beverage industry. Our team understands the nuances of perishable inventory accounting, trade spend optimization, and the complex margin structures required to maintain profitability across wholesale, D2C, and retail channels. We ensure your financial systems are built for scale and audit readiness, maintaining strict compliance with FSMA (Food Safety Modernization Act) reporting requirements and international trade regulations. We also conduct specialized R&D tax credit studies for product formulation and assist with tariff impact modeling and landed cost precision to protect your bottom line from global supply chain volatility.

Key Services:

1. Annual financial statement audits (Florida & New York, California coming For Year End 2026)

2. Annual & Quarterly Reviews (Florida & New York, California coming For Year End 2026)

3. Compilations

4. Internal control assessments & implementation