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Healthcare Practice Bookkeeping

Medical Practice Bookkeeping.
Focus on Patients.

Bookkeeping for medical, dental, therapy and specialty practices, with insurance and patient payments reconciled and clear monthly reporting on collections, costs and profit.

MonthlyClose & Reporting
PayerDeposit Reconciliation
ProviderCost Tracking
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Service Overview

Healthcare Practice Bookkeeping —
What We Do For You

Medical, dental, therapy and other healthcare practices get paid in pieces. Insurance reimbursements arrive weeks after the visit, patient payments come through several channels, and adjustments and write-offs change what you actually collect. Practices that only look at deposits often cannot see their real collections, costs or profit per provider.

Accrulyn reconciles insurance and patient payments to your bank deposits, records practice expenses consistently, and tracks provider compensation. We work from the reports in your practice management or billing system and turn them into monthly financial statements you can use to run the practice.

For practices organized as professional corporations, PLLCs or S corporations, we keep the books ready for your business tax return and owner compensation planning.

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📋 What's Included

  • Insurance reimbursements reconciled to deposits
  • Patient payments reconciled by payment channel
  • Practice management reports matched to the books
  • Provider compensation tracking
  • Payroll and benefits expense tracking
  • Medical supply and equipment cost tracking
  • Equipment loans and leases recorded correctly
  • Monthly profit and loss and balance sheet
  • Cash flow monitoring
  • Year-end package for your business tax return
Tailored For You

Bookkeeping for Every Type of Practice

We adapt your books to how your practice bills, collects and pays its providers.

Medical Practices

Insurance and patient collections reconciled to deposits, with provider-level cost tracking.

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Dental Practices

Insurance, patient payments and financing payouts recorded correctly, with lab and supply costs tracked.

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Therapy and Mental Health Practices

Session payments, insurance reimbursements and contractor clinician pay kept organized.

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Chiropractic and Physical Therapy

Mixed cash-pay and insurance collections reconciled every month.

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Multi-Provider and Multi-Location Practices

Reporting by provider and location, with consolidated statements for owners.

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New and Growing Practices

Clean books from the start, including startup costs and equipment financing.

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Why It Matters

The Benefits of
Working With Accrulyn

Tangible, real-world results that show up in your business every month.

Know Your Real Collections

See what was actually collected, not just what was billed.

Catch Payment Gaps

Reconciling payer deposits makes missing or short payments easier to spot.

Understand Provider Profitability

Costs and compensation tracked by provider support better decisions.

Plan for Growth

Clean financials support equipment purchases, new hires and new locations.

Lender-Ready Statements

Organized books make practice loans and refinancing easier to support.

Smoother Tax Season

Your books are ready for your business return without a year-end scramble.

Core Services

Core Healthcare Practice Bookkeeping Services

Every engagement includes these foundational elements — delivered with CPA-grade precision.

Payer Deposit Reconciliation

Insurance and patient payments matched to bank deposits each month.

Practice Report Tie-Out

Collections in your practice management system tied to your books.

Provider Compensation

Provider pay and related costs tracked consistently.

Expense Management

Supplies, rent, equipment and payroll costs categorized consistently.

Monthly Financial Statements

Profit and loss and balance sheet delivered every month.

Year-End Tax Package

Organized books ready for your business tax return.

Service Packages

Choose Your Plan

Transparent, flat-rate pricing. No hidden fees. Cancel anytime.

Healthcare Practice Bookkeeping
Essentials
For small businesses with straightforward books. Your price depends on monthly business expenses.
$ 250 /mo (starting)
  • Monthly bank reconciliation
  • P&L & Balance Sheet monthly
  • QuickBooks / Xero management
  • Year-end tax-ready package
  • Email support
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Free consultation included

Healthcare Practice Bookkeeping
Custom
For multi-entity businesses or teams needing CFO-level insight alongside clean books. Unlimited monthly expenses.
Contact Us
  • Everything in Core
  • Multi-entity bookkeeping
  • Monthly CFO advisory sessions
  • Custom financial dashboards
  • Investor-ready reporting
  • Priority 24hr support
  • Custom integrations
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Free consultation included

Need something different? View full pricing page →

Why Choose Us

The Accrulyn Difference —
What Sets Us Apart

We Understand Practice Finances

We know how delayed reimbursements and adjustments affect your books.

We Work From Your Reports

We use summary reports from your practice management system and do not need access to patient charts.

Books and Taxes Together

The same team keeps your books and prepares your business return.

Cloud-Based and Remote

Secure, cloud-based access from anywhere in the US.

One Consistent Contact

A dedicated bookkeeper who learns your practice.

Flat Monthly Pricing

Predictable fees based on your practice size, with no hourly billing.

$1M+
In tax savings delivered to clients through proactive planning
98%
Client retention rate — our clients stay because results speak
1 Day
Business-day replies across all service areas
Start With a Free Consultation →
Our Process

Up and Running in
4 Simple Steps

01

Free Consultation

We listen to your business challenges and goals — no pressure, no obligation.

02

Review & Assessment

We analyse your current financials, structure, and compliance posture.

03

Tailored Proposal

You receive a clear plan and flat-rate quote — no surprises, no hourly billing.

04

Onboard & Grow

We take over within days and provide ongoing support as your business scales.

Client Stories

What Our Clients Actually Say

"
★★★★★

"Accrulyn did everything before required deadlines and communication was excellent. I'll gladly use their services next time I need a CPA."

D
Dovydas Navickas
Cortip Inc.
"
★★★★★

"Working with Accrulyn was an absolute pleasure. They guided us through complex filings with ease and were very patient with all our questions."

A
Alexander Livian
ATRA Group
"
★★★★★

"I highly recommend Accrulyn for any tax needs. They went above and beyond filing two years of taxes with unending patience. Many thanks."

T
Tuomas Kuosmanen
Ventura Brands Oy
"
★★★★★

"Great working with Accrulyn. Management was very supportive and we're looking forward to working together for years to come."

B
Bruce & Kiki Green
Pivotal Care Partnership
FAQ

Frequently Asked
Questions

Everything you need to know before getting started.

No. We work from financial and summary reports, such as deposit and collection reports, and do not need access to clinical records.
Yes. We match insurance and patient payments to your bank deposits so collections in your practice system agree with your books.
Yes. We work with medical, dental, therapy, chiropractic and other healthcare practices.
Yes. We can track revenue, compensation and direct costs by provider when your practice reports support it.
Yes. We can report each location separately and provide consolidated statements for the owners.
Yes. We catch up past months from your bank statements and practice reports, then keep you current every month.
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Tax Planning & Return Filing

Proactive strategy that saves you money legally and keeps you ahead of every deadline.

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Fractional CFO Services

C-suite financial strategy without the full-time cost. Forecasting and investor-ready reporting.

Explore →

Ready to Take Control
of Your Finances?

Join 500+ US businesses that trust Accrulyn for accounting, tax, and CFO services.

Free Consultation