Your Invisible Back-Office Team
We take on the 70% that's technical execution, so your team can spend its time on the 30% that actually needs partner judgment.
View all services →·Not sure where to start? Talk to a CPA →
Build Your Dedicated Team
CPA-Supervised Talent, On Demand
Every hire is CPA-supervised with a 5-day onboarding guarantee.
Need a custom role? Talk to us, we'll find the right fit →
Industries We Serve
Specialized Teams for Your Industry
Our CPAs understand industry-specific regulations, compliance requirements, and best practices for your sector.
Don't see your industry? Talk to a CPA, we'll customize →
HIPAA-Aware Accounting for Modern Healthcare Practices
We run the back-office accounting for medical and dental practices: insurance AR reconciliation, RVU and partner compensation, and multi-location P&Ls, with workflows built to keep PHI out of the financial data.
120+
Practices Supported
HIPAA
Aware Workflows
48h
Insurance Reconciliation
92%
Client Retention
The Financial Complexity of Healthcare Operations
A practice has to juggle insurance receivables, productivity-based pay, and strict privacy rules all at once. That combination creates accounting problems a general bookkeeper rarely handles well.
Insurance & Patient AR
Aging buckets, payer mixes, write-offs, and contractual adjustments demand specialized reconciliation.
HIPAA-Aware Workflows
Even financial data can carry PHI exposure, so every workflow is built around safeguards.
Provider Compensation Models
Productivity-based, RVU-driven, or partnership splits each need their own calculation every cycle.
Multi-Location & Multi-Entity
DSOs, MSOs, and group practices need clean inter-entity reporting and management fee tracking.
Inventory & Drug Costs
Pharmacy items, vaccines, and clinical supplies require careful tracking against utilization.
Stark & Anti-Kickback Awareness
Compensation arrangements must be documented to support compliance with federal physician self-referral rules.
Practice-Aware Accounting for Providers & Groups
We work alongside billing teams, practice managers, and CPAs to deliver clean financials without compromising patient privacy. We also keep payroll and accounts payable and receivable moving for multi-provider groups.
Insurance & Patient AR Reconciliation
We tie EOBs, ERAs, and patient payments back to the practice management system every period, without ever touching PHI.
Provider Compensation Calculations
Run physician and partner comp formulas every month (RVU, productivity, profit share) with full audit trail.
Multi-Location P&L Reporting
Location-level performance with allocated overhead so operators can identify which clinics drive contribution margin.
HIPAA-Aware Bookkeeping
We design workflows so that financial data flows cleanly without ever requiring PHI to leave the practice management system.
Drug & Supply Inventory Control
Track vaccine, biologic, and clinical supply inventories against utilization to maintain accurate COGS.
Insurance & Patient AR Reconciliation
We tie EOBs, ERAs, and patient payments back to the practice management system every period, without ever touching PHI.
Why Healthcare Practices Choose Our Team
We bring privacy-aware processes, real fluency with the revenue cycle, and the discipline healthcare finance needs.
Privacy by Design
Workflows built to avoid PHI exposure entirely. BAA coverage available where engagement requires.
Revenue Cycle Literacy
We read EOBs and ERAs fluently. Insurance AR doesn't sit at month end because we don't understand it.
Cost-Effective Scaling
A full back-office for the cost of a single in-house bookkeeper.
Practice-Aware Team
Our team has supported solo physicians, dental groups, surgical centers, and DSO platforms.
We Work Inside the Tools Your Practice Already Trusts.
From PM systems to clearinghouses, we plug into the platforms healthcare teams already operate.
Practice Mgmt
- Athenahealth
- Epic
- eClinicalWorks
- Dentrix
- Open Dental
Accounting
- QuickBooks Online
- Sage Intacct
- Xero
Payroll & HR
- Gusto
- Paychex
- ADP
- Paycom
Reporting
- Excel Dashboards
- Sage Intacct Dashboards
- Power BI
Questions About Healthcare Accounting
Common questions from practice managers, group operators, and the CPAs who serve them.
Still have questions? Contact usLet Providers Focus on Patients. We'll Handle the Books.
Schedule a call with our healthcare leads. We'll review your practice mix and show you how to industrialize the financial back-office without compromising privacy.
Healthcare Sector Inquiry
Reply within one business day