Pricing
We charge flat fees instead of hourly rates, giving your practice predictable budgeting, upfront pricing, and year-round support.
Monthly Bookkeeping
Your practice's books closed every month for one fixed fee.
What's included
Each month we reconcile your bank and credit card accounts, categorize every transaction in QuickBooks Online, and close the books. You get a one-page summary of how the practice did. If you bill insurance, we also compare what your billing system says was collected against what actually reached the bank, and we flag any gap so it can be tracked down.
How pricing works
The monthly fee ranges from $500 to $1,500. Where your practice lands depends on how much activity runs through the books each month, including the number of accounts and transactions. We will review your accounts and quote a fixed monthly fee.
Starting at
Up to $1,500/mo based on your practice's activity
$500/mo
Monthly close in QuickBooks Online
One-page monthly summary
Insurance collections checked against deposits
Catch-up for months behind
Tax-ready books
Fixed monthly fee
Packages
Bookkeeping, payroll, and tax returns together for one monthly fee, priced by the size of your practice.
Solo Practice
For a practice with one provider and a small staff. We close your books every month, run payroll, and prepare the practice and owner tax returns, so one team handles all of it.
$750–1,200/mo
2–6 Providers
For group practices with more providers, more payroll, and more insurance payments to track. Monthly bookkeeping, payroll for providers and staff, and tax returns for the practice and its owners.
$1,500–2,750/mo
Larger or Multi-Entity Practice
For larger groups and practices split across more than one company, such as a practice and the LLC that owns its building. Every entity gets its own books, plus payroll and tax returns for all of them.
$3,000–5,000+/mo
Additional Services
Add what your practice needs, from payroll and tax returns to clinician pay for behavioral health groups.
Payroll
Payroll for your front desk, clinical staff, and providers, run through Gusto and set up correctly in every state where your people work.
From $150/mo
Tax Returns
Returns for the practice and its owner, quarterly estimates, and IRS or state notices handled by enrolled agents.
From $2,500/yr
Tax Planning
A plan made each year to lower your tax bill. We look at how the practice is structured, how you are paid, your retirement contributions, and when to buy equipment.
From $2,500/yr
Bill Pay
Vendor, rent, supply, and malpractice invoices paid on schedule. You approve each payment from your phone and we handle the rest.
From $250/mo
New Practice Setup
Business structure, books, payroll, and software set up before your practice opens, so the financial side works from the first patient.
$500 to $5,000 one-time
Advisory
Regular meetings about forecasts, hiring, and big purchases, built on your own books, so decisions about the future of your practice aren't based on guesswork.
$1,000–2,500/mo
Hiring & HR Support
Help finding, hiring, and onboarding staff for independent medical practices. Job descriptions, pay benchmarks, offer letters, onboarding paperwork, and an employee handbook, with a 90-day replacement guarantee.
20% of first-year salary
Provider Pay Calculations
We calculate partner and provider pay each month from your production reports, following the compensation agreements you already have. The results go straight into payroll. Nobody has to do it by hand or argue over the math.
From $250/mo
Clinician Pay
Session-based clinician pay calculated every pay run, following the practice's existing compensation agreements, so clinicians are paid correctly and on time.
$250–600/mo
Treatment Profitability
See what each treatment actually earns after product cost and commissions, and keep prepaid packages and memberships from inflating your revenue.
From $300/mo
Multi-Entity Bookkeeping
Separate, accurate books for your practice, the building it operates in, or a med spa's management company and medical entity.
From $300/mo per additional entity
Sales Tax Filing
Sales tax on the skincare, supplements, and eyewear your practice sells is tracked and filed on time. We file in every state where you sell. The tax you collect from patients reaches the state correctly, and your books show how it got there.
$100–250/mo
Side-Income Package for Employed Physicians
Bookkeeping and tax for doctors with income outside their main job, such as locums, expert witness work, or medical directorships. Your side income is tracked, your quarterly estimates are calculated, and your return is prepared by enrolled agents.
$3,000–4,800/yr
What Good Books Do for a Practice
You did not open a practice to do bookkeeping after the last patient leaves. Here is what you get when it is done right every month.
Catch Insurance Payments That Never Arrived
The amount your billing system reports as collected does not always match what reached the bank. Small gaps add up quietly over a year. We compare the two every month, so you can follow up on missing payments while they are still recent.
Lower Taxes Start With Current Numbers
An S-corp election, your own salary, retirement contributions, and the timing of an equipment purchase all depend on knowing how the year is going. When your books close every month, there is still time to act before December 31. Books caught up in April can only tell you what you owe.
Make Big Decisions With Real Numbers
Adding a provider, buying equipment, or signing a longer lease are big commitments. Your monthly summary shows what the practice actually earns after expenses. That way those decisions start from facts instead of a glance at the bank balance.
A Family-Run Firm Since 1995
Let's Talk About
Your Practice
Tell us about your practice and where you could use some help.
