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Reed Tinsley, CPA

CPA Firm | 1 CPA | Licensed in Texas
Verified Firm Online Booking

Specialties

Physician Accounting & Tax
Reed Tinsley, CPA delivers accounting and tax services built specifically for physicians and medical practices... Read more
Medical Practice Management Consulting
Medical practice management consulting is the core of what separates Reed Tinsley, CPA from a traditional acco... Read more
Medical Practice & Healthcare Entity Valuation
Reed Tinsley is a Certified Valuation Analyst who literally wrote the book on this subject — "Valuation of a M... Read more
Physician Compensation Model Design
A poorly designed compensation formula is one of the most common sources of conflict inside group medical prac... Read more
Medical Practice Merger Facilitation
Reed Tinsley, CPA facilitates medical practice mergers end to end, drawing on more than 30 years of experience... Read more
Healthcare Litigation Support & Expert Testimony
When disagreements and disputes arise among physicians or healthcare entities, Reed Tinsley, CPA provides liti... Read more
Physician Financial & Retirement Planning
As a Certified Financial Planner in addition to his CPA and CVA credentials, Reed Tinsley provides personal fi... Read more
Medical Practice Brokerage & Sales
Reed Tinsley, CPA brokers medical practice sales nationwide — one of the few CPA-led brokerage services focuse... Read more
Medical Practice Receivership & Closure
For medical practices in serious financial distress, Reed Tinsley, CPA provides receivership services aimed at... Read more
Managed Care Contracting & Revenue Cycle
Reed Tinsley wrote "Managed Care Contracting: Successful Negotiation Strategies" for the American Medical Asso... Read more

Industry Expertise

Healthcare
Healthcare is not one of many industries served by Reed Tinsley, CPA — it is the only one. For more than 30 ye... Read more
Medical Practice and Healthcare Provider Accounting
The day-to-day accounting Reed Tinsley, CPA delivers to medical practices goes beyond bookkeeping and financia... Read more
Dermatology Practices
Dermatology practices blend insurance-reimbursed medical dermatology with cash-pay cosmetic services, and Reed... Read more
Family Medicine Practices
Family medicine runs on high patient volume and thin margins, which makes overhead discipline and revenue cycl... Read more
Gastroenterology Practices
Gastroenterology economics are driven by procedures — and increasingly by ownership interests in endoscopy and... Read more
Internal Medicine Practices
Internal medicine practices carry heavy Medicare exposure, chronic-care patient panels, and constant pressure... Read more
Cardiology Practices
Interventional and general cardiology practices manage some of the most capital-intensive economics in medicin... Read more
Neurosurgery Practices
Neurosurgery practices combine high-dollar procedures, substantial call coverage arrangements, and significant... Read more
OB/GYN Practices
OB/GYN practices juggle global maternity billing, some of the highest malpractice premiums in medicine, and a... Read more
Oncology Practices
Oncology practice economics are dominated by drug revenue — buy-and-bill purchasing, drug margin management, a... Read more
Orthopedic Practices
Orthopedic groups typically layer ancillary businesses — ambulatory surgery center interests, physical therapy... Read more
Plastic Surgery Practices
Plastic surgery practices run two businesses at once: insurance-reimbursed reconstructive work and elective ca... Read more
Pediatric Practices
Pediatric practices operate on high visit volume, vaccine economics, and payer mixes that often lean heavily o... Read more
Rheumatology Practices
Rheumatology practices increasingly depend on in-office infusion services and specialty drug economics, layere... Read more
Urology Practices
Urology groups commonly hold interests in ambulatory surgery centers, lithotripsy ventures, in-office patholog... Read more

Languages Spoken

English

About Reed Tinsley, CPA

Reed Tinsley, CPA is a Houston-based accounting and consulting firm that works exclusively with physicians, medical practices, and other healthcare entities. The firm is led by Reed Tinsley — a Certified Public Accountant, Certified Valuation Analyst, and Certified Financial Planner with more than 30 years of healthcare experience — who works directly with every client as a sole practitioner, backed by a network of more than 200 healthcare-focused professionals.

Core services:
Physician accounting & tax — tax preparation, proactive tax planning and projections, financial statement preparation and review, and representation before taxing authorities
Medical practice management — practice assessments, ongoing practice oversight, physician compensation model design, revenue cycle and managed care contract analysis
Practice transitions — medical practice and healthcare entity valuation, merger facilitation, and nationwide medical practice brokerage and sales
Dispute & distress — healthcare litigation support and expert testimony, practice receivership, and orderly practice closure
Physician wealth — personal financial planning oversight and retirement planning for physicians

Medical specialties served: dermatology, family medicine, gastroenterology, internal medicine, cardiology, neurosurgery, OB/GYN, oncology, orthopedics, plastic surgery, pediatrics, rheumatology, and urology.

Reed Tinsley is a past president of the National Society of Certified Healthcare Business Consultants, the author of six books on medical practice management and valuation, and a frequent national speaker on healthcare finance topics.

Frequently Asked Questions

The firm works exclusively with healthcare clients — physicians, medical practices, and other healthcare entities. Specialties served include dermatology, family medicine, gastroenterology, internal medicine, cardiology, neurosurgery, OB/GYN, oncology, orthopedics, plastic surgery, pediatrics, rheumatology, and urology. If you are a physician or run a medical practice, this firm was built for you.
Services fall into nine broad areas: accounting and tax services, medical practice management consulting, medical practice and healthcare entity valuation, practice merger facilitation, litigation support, personal financial planning oversight, medical practice brokerage, practice receivership, and assistance closing down a medical practice. Within those areas the firm handles everything from monthly financial statements and tax projections to physician compensation model design and managed care plan profitability analysis.
Medical practices have economics that general accountants rarely see: RVU-based physician compensation, payer contract profitability, reimbursement lag, ancillary service lines, and specialty-specific overhead norms. Reed Tinsley has spent more than 30 years working only with healthcare clients, has written six books on medical practice management and valuation, and is a past president of the National Society of Certified Healthcare Business Consultants. Clients describe his understanding of practice business as "way past the understanding of business that most CPAs would have."
Yes. Reed Tinsley is a Certified Valuation Analyst (CVA) and literally wrote the book on the subject — "Valuation of a Medical Practice," published by John Wiley & Sons. The firm values practices and healthcare entities for sales, mergers, physician buy-ins and buy-outs, divorce proceedings, and partnership disputes. As the firm puts it, what a practice is worth "depends on who wants to know and why," and the valuation approach is matched to the purpose.
Yes. Medical practice merger facilitation is a dedicated service line, drawing on more than 30 years of experience to guide physicians through practice combinations — from initial feasibility and valuation through deal structure, tax analysis, and integration of compensation models. Reed Tinsley authored "Physician Practice Mergers" for the American Medical Association.
Group practices engage the firm to design or redesign how physicians are paid — balancing productivity incentives, expense allocation, ancillary revenue distribution, and fairness across senior and junior physicians. A poorly designed compensation formula is one of the most common sources of group practice conflict, and Reed Tinsley brings decades of experience and dozens of implemented models to the problem.
Yes. The firm provides medical practice brokerage services nationwide, handling valuation, buyer identification, negotiation, and transaction support through closing. Because the same advisor handles valuation, tax analysis, and deal facilitation, sellers get a coordinated exit rather than fragmented advice from multiple parties.
Receivership is for practices in serious financial distress. The firm steps in to stabilize operations, manage finances, and work toward recovery with the goal of preventing bankruptcy. When recovery is not realistic, the firm also manages the orderly closure of a medical practice — final billing, medical records custody, staff transitions, and final tax filings.
Yes. When disagreements and disputes arise among physicians or healthcare entities, the firm provides expert testimony, damage calculations, and practice valuations for litigation. Typical matters include partnership and shareholder disputes, physician compensation disagreements, and divorce cases involving medical practice interests.
Federal and state tax preparation for physicians and their practices, proactive tax planning and analysis, tax projections to forecast obligations, representation before taxing authorities, and tax guidance on practice transactions such as acquisitions, buy-ins, buy-outs, and mergers. The firm's philosophy is ongoing communication to avoid surprises — no unexpected tax bills at year-end.
Both. As a Certified Financial Planner, Reed Tinsley provides personal financial planning oversight for physicians — reviewing investments, coordinating retirement strategy with practice-level plans, and making sure personal financial decisions are tax-smart. Retirement planning for physicians is a dedicated service that integrates the eventual sale or transition of the practice into the personal retirement picture.
Reed Tinsley personally. He is a sole practitioner by design, which means clients communicate directly with him rather than being handed to junior staff. Behind him sits a network of more than 200 healthcare-focused professionals — attorneys, consultants, and specialists — who can be brought in when an engagement needs them.
The office is at 21175 Tomball Parkway, Suite 194, Houston, TX 77070. While the firm is Houston-based, its brokerage service operates nationwide and consulting, valuation, and litigation support engagements are regularly handled for practices outside Texas.
Reed Tinsley is a Certified Public Accountant (CPA), Certified Valuation Analyst (CVA), and Certified Financial Planner (CFP). He is a past president of the National Society of Certified Healthcare Business Consultants and a member of the AICPA, Texas Society of CPAs, Houston CPA Society, Medical Group Management Association, American Health Lawyers Association, Health Care Compliance Association, American Academy of Professional Coders, Association of Certified Fraud Examiners, National Association of Certified Valuation Analysts, and National Association of Tax Professionals.
Call (281) 379-5988 or email [email protected]. In Reed Tinsley's own words: "Please contact me if you have any questions, need assistance, or would just like someone to bounce an idea off of."

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