Professional practices
You did not train for years to spend Sunday night in a spreadsheet.
Accounting and tax for doctors, dentists, and attorneys: practices where the revenue arrives in ways that generic bookkeeping handles badly.
Medical & dental
Practices get paid strangely.
Between what you bill, what the payer allows, and what actually arrives, a practice can look healthy on paper and tight in the bank. Fixing that starts with recording it properly.
Insurance receivables
Billed against allowed against actually collected. The gap between those three is where practice profitability quietly hides.
Cash vs. accrual
Accrual books for running the practice, cash basis for the return, without keeping two sets of records by hand.
Merchant and processor fees
Card processing, patient payment plans, and the fees that come out before the deposit lands.
Owner compensation
Partner draws, distributions, and reasonable compensation set deliberately rather than by whatever is in the account.
Equipment and depreciation
Chairs, imaging, and build-outs, financed or bought outright, with the depreciation treated to your advantage.
Provider and location reporting
Profitability by provider or by location, so growth decisions are made on numbers instead of instinct.
Law firms
Trust accounting, done properly.
Client trust money is the part of a firm’s books with the least room for error and the fewest people willing to take it on.
Client trust (IOLTA) reconciliation
Three-way reconciliation across the bank, the books, and individual client ledgers. The one most bookkeepers will not touch.
Retainers as unearned revenue
Retainers earned down as work is performed, rather than booked as income the day they arrive.
Cost advances and reimbursements
Client costs advanced by the firm, tracked through to recovery instead of disappearing into expenses.
Contingency fee timing
Revenue recognized on settlement, so a long case does not make the intervening years look like losses.
FAQ
Practice owner questions.
Do you work with practice management software?
Reconciling your practice or case management system into the accounting is part of the job. Which system you run is one of the first things we cover on the discovery call.
We already have a CPA for the tax return. Can you just do the books?
Yes. Plenty of practices keep their existing tax relationship and bring in help for the monthly work. We can coordinate directly with your CPA so nobody is duplicating effort.
Is our financial information kept confidential?
Yes. Client financial data is handled confidentially as a matter of course, and everything is exchanged through secure channels rather than email attachments.
How much of our time will this take?
Little, after setup. The first few weeks involve some back and forth to get access and understand how the practice runs. After that it is a monthly report and a short conversation.
Let's talk about your practice.
A free call about how your practice bills, what your books look like now, and where the time is going.