Better Books, Better Practice

We’ve modernized medical practice bookkeeping.
Your books stay up to date, and you get a simple dashboard to check cash flow, expenses, and profit—any time you need it.

If your medical practice is...

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Constantly playing catch up

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Flying blind with financial decisions

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Rushing to get your books in order for tax time

What We Do

We help you get more out of
your medical practice bookkeeping

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Hands-Off Monthly Bookkeeping

We handle the day-to-day tracking, categorizing, and reconciling—so you don’t have to.

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Monthly Balance Sheet, P&L, and Cash Flow Reports

Stay in the loop with real-time updates and monthly financial reports—Balance Sheet, P&L, and Cash Flow included.

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Complimentary Quickbooks Online & Gusto Software

You’ll get QuickBooks Online and Gusto included—because good tools shouldn’t be extra.

medical practice bookkeeping

Don't use QuickBooks Online? Not a problem.

We’ll migrate your financials from whatever you’re using now—start to finish, fully handled by our team. You won’t have to lift a finger. We’ll also stick around to make sure you’re comfortable with the new setup, ongoing support and training included.

How it works

what to expect with our medical practice bookkeeping services

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KICK-OFF CALL

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ONGOING BOOKKEEPING

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IMPLEMENTATION

pricing

Medical Practice Bookkeeping Packages

Annual Lite
Write Up

For entities with truly minimal activity

$750
/yr

Annual Standard
Write-Up

For simple rentals/holdcos (incl. K-1 holding LLCs)

$950
/yr

Most Popular

Strategic Books SupportTM

For operational entities

$245
/mo

Full-Service Bookkeeping

Geared for monthly insight

$650
/mo
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Annual Lite
Write-Up

Annual Standard
Write-Up

Most Popular

Strategic Books Support

Full-Service Bookkeeping

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Full-Service Bookkeeping
1
Annual‑Lite
Very light Annual entities (tiny Schedule C/E, no separate tax return)
Annual‑Standard
Most Annual entities (simple, predictable rentals & holdcos, including K-1 holding LLCs)
Strategic Books Support
Operational entities (entities with 3 or more accounts, more than 150 transactions per year, payroll, or sales tax,)
Full-Service Bookkeeping
Monthly close for planning accuracy; included in Elite
Investment
Annual‑Lite
$750/yr
Annual‑Standard
$950/yr
Strategic Books Support
$245/mo Included in Pro tier
Full-Service Bookkeeping
$650/mo
Included in Elite tier
Bookkeeping
Categorize & Reconcile Accounts
Annual‑Lite
Annually
Annual‑Standard
Annually
Strategic Books Support
Every 4 months
Full-Service Bookkeeping
Monthly
Accounts Included

We count reconcilable accounts. This means bank, credit cards, and notes (mortgages / car loans).

Annual‑Lite
1 account
Annual‑Standard
≤ 3 accounts
Strategic Books Support
3 accounts
Full-Service Bookkeeping
3 accounts
Additional Accounts
Annual‑Lite
Annual Standard Write-Up required
Annual‑Standard
Strategic Books Support required
Strategic Books Support
+ $55/mo
Full-Service Bookkeeping
+ $85/mo
Connectors / Data Wrangling

Platforms like Stripe, Paypal, Shopify, AirBnB, etc. require us to access the platforms, download reports, and reconcile clearing accounts.

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Annual‑Lite
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Annual‑Standard
Strategic Books Support
+ $85/mo
Full-Service Bookkeeping
+ $105/mo
Transaction Volume
Annual‑Lite
Up to 50 tansactions per year
Annual‑Standard
Up to 150 tansactions per year
Strategic Books Support
Up to 200 tansactions per month
Full-Service Bookkeeping
Up to 200 tansactions per month
Additional Transactions

If transactions exceed 500/mo, separate quote required.

Annual‑Lite
Annual Write-Up required
Annual‑Standard
Strategic Books Support required
Strategic Books Support
+ $75/mo
Full-Service Bookkeeping
+ $95/mo
State(s)
Annual‑Lite
1 state
Annual‑Standard
1 state
Strategic Books Support
≥ 1 state
Full-Service Bookkeeping
≥ 1 state
Subscription to QuickBooks Online

QBO Ledger included by default; upgrade to Simple Start/Plus if invoicing or Class tracking is needed (for SBS and FSB subscribers only)

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Annual‑Lite
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Annual‑Standard
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Strategic Books Support
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Full-Service Bookkeeping
Clean-up & Backwork
Annual‑Lite
$175/hr
Annual‑Standard
$175/hr
Strategic Books Support
$175/hr
Full-Service Bookkeeping
$175/hr
Management Reports
Annual‑Lite
Annually
Annual‑Standard
Annually
Strategic Books Support
Every 4 months
Full-Service Bookkeeping
Monthly
Categorization by Class

Up to 5 classes

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Annual‑Lite
fi 14090273
Annual‑Standard
Strategic Books Support
$75/mo
Full-Service Bookkeeping
$95/mo
Payroll
Subscription to Gusto

Gusto subscription is included with Full-Service Bookkeeping. Strategic Books Support clients maintain their own subscription (we manage payroll for all plans).

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Annual‑Lite
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Annual‑Standard
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Strategic Books Support
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Full-Service Bookkeeping
W-2 (for Owner)
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Annual‑Lite
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Annual‑Standard
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Strategic Books Support
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Full-Service Bookkeeping
2–10 employees
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Annual‑Lite
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Annual‑Standard
Strategic Books Support
+ $150/mo
Full-Service Bookkeeping
+ $150/mo
1099 Form Filing
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Annual‑Lite
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Annual‑Standard
Strategic Books Support
5 forms included (additional forms $85 each)
Full-Service Bookkeeping
10 forms included (additional forms $85 each)
Adjust Payroll Settings as Necessary For New Information
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Annual‑Lite
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Annual‑Standard
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Strategic Books Support
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Full-Service Bookkeeping
Employer Payroll State Tax Registration
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Annual‑Lite
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Annual‑Standard
Strategic Books Support
Up to 2 states included; $350 per additional state + state fees
Full-Service Bookkeeping
Up to 6 states included; $350 per additional state + state fees
CFO Services
Budgeting and Cash Flow Forecasting

Includes semi-annual budget creation and cash flow reviews, aligned with your Tax Strategy Sessions.

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Annual‑Lite
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Annual‑Standard
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Strategic Books Support
Full-Service Bookkeeping
starting at $300/mo
KPI Metrics/Benchmarking

Monthly or quarterly performance tracking and reporting of your key business metrics.

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Annual‑Lite
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Annual‑Standard
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Strategic Books Support
Full-Service Bookkeeping
starting at $200/mo

Better bookkeeping leads to a better business

When your books are accurate and on time, everything else gets easier. With our real-time dashboard, you can see what you’re spending, what you’re earning, and what’s changing month to month. So, what’s next?

200% ROI on Your Tax Savings

With accurate books, we can build a tax plan that actually works—and saves you real money. And when we say guaranteed, we mean it. You’ll get at least double your money back in tax savings, or we’ll refund the difference.

Set Clear Financial Goals With CFO Services

Once your books are in order, we can help you make sense of the bigger picture. With our CFO services, we’ll work with you to set financial goals, map out a plan, and track your progress along the way.

Get a clearer view of your practice With MedTax

If you’re tired of messy books and late reports, we can help. Reach out to see how quickly we can get your finances on track.
medical practice bookkeeping services