Our specialty
Behavioral health and therapy
- Counseling
- Psychology
- Psychiatry
- Group therapy
What we know well:
- Insurance and self-pay deposits
- W-2 and 1099 clinicians
- S corp elections
- Adding clinicians and locations
Who we serve
Built for practices owned by the people who provide the care.
When the owner is also the clinician, time is the scarcest thing in the business. We work with healthcare practices of every size, from a solo practitioner to a multi-location group.
Healthcare practices
- Chiropractic
- Dental
- Optometry
- Physical therapy
- Occupational therapy
- Speech therapy
- Med spas
- Other practitioner-owned practices
Each runs on its own mix of billing, point of sale, and payroll, and we work with all of it.
Why deposits and payroll get a second look
- 19%
- of in-network claims were denied by HealthCare.gov insurers in 2024, and fewer than 1% of denied claims were appealed. Covers marketplace plans only.Source: KFF, Claims denials and appeals in ACA marketplace plans in 2024
- $2,000
- Starting with payments made in 2026, a 1099-NEC is generally required for each contractor paid $2,000 or more in the year, including contract clinicians.Source: IRS, Instructions for Forms 1099-MISC and 1099-NEC
By size
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Solo
Clean books, correct taxes, and one less thing on your mind.
-
Small group
More clinicians, more complex payroll, and tax planning that actually matters.
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Multi-location
Reporting by location, real estate, and decision support as you grow.
Not a healthcare practice?
We take on other businesses for accounting when the fit is right. Systems Implementation is built for any industry: retail, restaurants, professional services, trades, and more. If you value clear communication and want an accountant who stays involved, let's talk.
Fit
We work best with owners who want to understand their numbers and want things done right. The first conversation is about fit, both ways.