Medical clinics, laboratories, and healthcare professionals face a challenging combination: high tax burden, complex technical payroll, regimes that change with volume, and growth that demands structure. At OSP, we deliver validated accounting, intelligent tax planning, and support for those leading operations. Whether you're a clinic partner, laboratory manager, or independent professional, we provide security and clarity to grow healthily.
Healthcare profiles we accelerate
Healthcare profiles we accelerate
We work with different healthcare business models, adjusting regime, payroll and governance for each reality.
Main Healthcare Sector Challenges
| Challenge | Business Impact |
|---|---|
Complex management of receipts from multiple insurers and SUS | Cash flow delays and difficulty reconciling payments |
Deficient cost control per procedure and specialty | Inability to identify real profitability of each service |
Compliance with ANS, health surveillance, and professional boards | Risk of fines, closures, and loss of accreditation |
High tax burden without utilizing specific incentives | Excessive tax payments and reduced operational margin |
Complex labor management (shifts, night differential, health hazards) | Labor liabilities and difficulty sizing payroll |
“With OSP, we managed to organize all insurance management and reduced monthly closing time by 35%. This gave us more time to focus on patient care.
How We Work in Healthcare
Sector expertise focused on clinical and financial results
| Our Approach | Value Delivery |
|---|---|
Specialized management of insurance receipts and denials | Automated reconciliation and payment control per operator |
Costing per procedure, specialty, and cost center | Real profitability of each service and margin-based decisions |
Full compliance with ANS, health surveillance, and regulatory bodies | Regulatory security and sanction prevention |
Tax planning with sector-specific incentive utilization | Legal tax reduction and maximization of tax benefits |
Specialized labor management for healthcare professionals | Correct calculation of shifts, bonuses, and liability prevention |
BI with integrated healthcare and financial indicators | Dashboards with occupancy rate, average length of stay, margin per insurance |
“OSP understands healthcare sector particularities. They helped us structure denial management and today we have total control over each insurer.
Recommended Solutions for Healthcare
Success Story: Specialized Clinic Network
Cenário
Accelerated growth, but fragile accounting and tax structure. Inadequate Simples regime, payroll with RPA without control, distribution based on estimate. Partners wanted to open new unit.
Desafios
- •Inadequate Simples regime for revenue volume
- •Payroll with RPA without proper control
- •Distribution based on estimate without accounting basis
- •Lack of structure for expansion
Soluções Aplicadas
- ✔️Diagnosis via TRIBUTA360 with simulation and regime adjustment
- ✔️Technical payroll restructuring with pro-labore and validated cooperative model
- ✔️BI with MANAGEMENT360 implemented by unit, service and professional
- ✔️Corporate structure adjusted with new partner entry
Resultados
- •18% reduction in effective tax burden
- •New unit opened with defined legal and accounting structure
- •Regularity in distribution and tax compliance
- •Management dashboards implemented and used in monthly meetings
“OSP transformed our management. Today we know exactly which specialties and insurers are profitable, and this allowed us to grow with financial security.
Atendimento consultivo especializado para saúde
Clínicas médicas, laboratórios e profissionais da saúde enfrentam desafios únicos: carga tributária elevada, folha técnica complexa e regimes que mudam conforme o volume.
Na OSP, atuamos com contabilidade validada, planejamento tributário inteligente e apoio para quem lidera a operação. Seja você sócio de clínica, gestor de laboratório ou profissional liberal, entregamos segurança e clareza para crescer com saúde.
- Regime tributário ideal (Simples, Lucro Presumido ou Lucro Real)
- Folha técnica ajustada (CLT, RPA, PJ, cooperado)
- BI por unidade, especialidade e profissional
- Retenções fiscais (ISS, INSS, IRRF) sob controle
- Estrutura societária para expansão
Estrutura contábil que acompanha o crescimento
Do consultório individual à rede de unidades
Com quase 50 anos de experiência, estruturamos clínicas e laboratórios com técnica, previsibilidade e governança. Dominamos as particularidades do setor de saúde e entregamos compliance fiscal aliado à inteligência gerencial.
- Holding médica e planejamento sucessório
- Entrada/saída de sócios com segurança jurídica
- Abertura de novas unidades ou franquias
- Conciliação com ERPs e sistemas de faturamento
- Auditoria de retenções e documentação fiscal
Why healthcare businesses choose OSP
We structure clinics and laboratories with technique, predictability and governance — from the office to the network of units.
Healthcare experts under Lucro Real
Mastery of regimes (Simples/LP/LR), withholdings (ISS/INSS/IRRF), and sector particularities, including SCP where applicable.
Technical payroll adjusted to the model
Balance between CLT, PJ, RPA, and cooperative with labor and social security compliance, per unit and specialty.
BI by unit, specialty, and professional
Dashboards with margin per service, room/equipment productivity, and profitability per insurance or payer source.
Corporate governance and expansion
Medical holding, partner entry/exit, distribution rules, and structure for new units or franchises.
Billing and withholding compliance
Reconciliation with ERPs and billing systems, withholding audits, and documentation for inspections.
Professionalize your healthcare operation management
Talk to our team specialized in healthcare accounting and discover how we can help your clinic or hospital grow with financial sustainability.