Bookkeeping, tax, and advisory for healthcare practices

You should never have to wonder whether your numbers are right.

We keep your books clean, your taxes handled, and your decisions backed by real numbers. Built for clinician-owned practices, from solo to multi-location.

What we do

See our services

Monthly

Bookkeeping and Compliance

Clean, reconciled books every month, plus payroll oversight and the filings that come with running a practice.

  • Monthly bookkeeping
  • Bank and processor reconciliations
  • Payroll oversight
  • 1099s and routine filings
  • Insurance reconciliation Included in Partner

We review the books, not just enter them.

Annual or monthly

Tax

Business and owner returns, and planning all year so April holds no surprises.

Included in Partner

Advisory

Quarterly reviews of what your numbers are saying, and help with the big decisions.

Project fee

Systems Implementation

For any business whose tools and processes are working against it. We set them up to work together, then hand off a system that lasts.

The problem

  • Money that does not tie out.

    Insurance payments, patient payments, card and point-of-sale processors all land in the bank as lump sums. Nobody checks them against what was earned.

  • Tools that do not talk.

    Practice management, point of sale, payroll, and banking each hold part of the picture. No one owns the whole thing.

  • Tax as a surprise.

    Planning happens in April, when it is too late to change anything.

By the numbers

21 hours
The IRS estimates business filers spend about 21 hours and $610 a year on their tax return. Recordkeeping is the biggest piece, about 10 of those hours.Source: IRS, Instructions for Form 1040 (2025)
54%
of small employer firms in a 2025 Federal Reserve survey reported trouble paying operating expenses such as payroll, rent, and inventory.Source: Federal Reserve Banks, Small Business Credit Survey, 2026 report
50%
of the same firms reported uneven cash flow, including collecting on receivables.Source: Federal Reserve Banks, Small Business Credit Survey, 2026 report

Systems Implementation

When your tools work against you, we fix the system.

Point of sale, scheduling, payroll, billing, inventory, banking. Most businesses run on a stack of tools set up at different times by different people, and the books end up catching every mistake. We map how money moves through your business, set your tools up to work together, and document it so it keeps working. Available to any business, not just healthcare.

Zero judgment. High accountability.

Behind on your books, or have not filed in a while? That is fine. We start from where you are and take responsibility for getting you where you need to be.

How healthy are your practice's finances?

Answer a few questions and get an honest read on where your practice stands. About two minutes, no cost.

Take the scorecard
Jakerion Ales, EA

Who you work with

You work directly with Jakerion Ales, EA. No account managers and no handoffs between people who have never met you.

EA
Enrolled Agent, the highest credential the IRS awards, with unlimited rights to represent taxpayers before the IRSSource: IRS, Enrolled agent information
14 years
In public and private accounting

Meet the firm

Frequently asked questions

My books are a mess, or I am behind on filing. Is that okay?

Yes. No judgment about where your books are today. Full accountability for where they go from here. We start from where you are and take responsibility for getting you where you need to be.

Do you only work with healthcare practices?

Our accounting work specializes in healthcare, and we take on other businesses when the fit is right. Systems Implementation is built for any industry.

How quickly will I hear back?

Within one business day.

Do you work with practices outside Florida?

Yes. We are based in Jacksonville and serve practices nationwide.

How does pricing work?

Flat fees, no hourly billing for ongoing work. Scope is spelled out in your engagement letter, so you know exactly what is included. If something comes up outside that scope, we quote it before doing the work.

See our services

Start with a 30-minute conversation.

We will talk through your practice, where things stand, and what you need. You get a clear, written price before anything is signed.