01Practice accounting desk
Bookkeeping that closes the month while it is still the month
Cash in from payers and patients, cash out to payroll and obligations, and a budget you can read without a translator — all handled by practice managers rather than generalist bookkeepers.
- Cadence
- Monthly close, reconciled
- Built for
- Single and multi-provider practices
- Includes
- Payroll, billing and collections support
- Access
- Direct line to a practice manager

Imagine a practice where the cash flow is not a question
The cash coming in flows to your monthly obligations. The remainder lands in your account. Revenues and expenses sit against an annual budget you can understand at a glance, and when something does not line up, there is someone to ask who already knows your practice.
That is the model we run. Our practice managers handle full-service account management and bookkeeping — reconciled accounts, clean categorisation, payroll coordination, and a monthly review that tells you where the practice actually stands, not just what left the bank account.
The effect is less romantic than it sounds and more useful than most marketing: you spend your evenings on clinical care instead of chasing a lease payment, and you walk into every quarter knowing your numbers.
What we take off your desk
- Day-to-day transaction entry and categorisation against a practice-specific chart of accounts
- Bank, card and merchant account reconciliations
- Payroll processing and payroll tax coordination
- Accounts payable scheduling so nothing goes late
- Payer remittance reconciliation against the bank
- Provider compensation and draw tracking
- Monthly budget-versus-actual reporting
- Year-end pack prepared for your CPA, with nothing missing
Built around how a practice earns money
A medical practice is not a retail business with a different logo. Revenue arrives from several payers on several schedules, with contractual adjustments that never appear as transactions, and expenses include provider compensation structures that generalist bookkeepers routinely miscategorise.
We reconcile the deposit to the remittance to the claim, not just the deposit to the bank. That is why our books match your billing system — and why the numbers survive an audit.
What you get
- Monthly reconciled general ledger
- Bookkeeping of all incoming service revenue
- Processing of all business payables
- Financial projections and an annual budget
- Payroll and direct deposit (optional)
- Monthly analysis, reporting and counsel
- Payer and merchant reconciliation
- Year-end package for your tax preparer
- Direct access to a named practice manager
How it is measured
Reported monthly, defined up front, with a name against every number.
- Days to close
- Working days from month end to reconciled books.
- Unreconciled items
- Open items older than 30 days.
- Budget variance
- Actual against plan, line by line, with explanation.
Questions
Reasonable things to ask before you sign.
Anything else, ask directly. You will get an answer from someone who runs this work, not a routing desk.
Can you work with our existing accountant?
Do you use QuickBooks?
What happens when a month is messy?
→Next step
Ready to talk about bookkeeping?
A 30-minute operations review, no cost and no obligation. We will tell you where the leakage is and which of it you can fix without us.