Why Your Clinic Needs Specialized Medical Practice Bookkeeping to Thrive
Specialized medical practice bookkeeping is not just about organizing receipts; it is the financial backbone of a thriving healthcare facility. Many clinic owners assume that any accountant can handle their books. However, generic financial tracking often fails to capture the nuances of patient copays, insurance reimbursements, and complex inventory management. Consequently, without a system built […]
Scaling a Private Practice in WA: How ShillMed Balances Patient Care with Financial Health.
For most owners, the mission is deceptively simple: heal patients. But the reality of scaling a private practice in Washington State—from Vancouver to Spokane—involves a level of complexity that goes far beyond the exam room. Between insurance compliance, inventory management for supplements, and the overhead of a physical office, the “business” side of medicine can […]
Chiropractic Pricing Strategy: Triangulation for Higher Profit and Acceptance
Recently, I reviewed the financials of a thriving chiropractic clinic that was seeing record patient numbers but struggling with stagnant profits. In reality, their issue wasn’t a lack of patients; it was a lack of pricing structure. For instance, they were using a simple fee-for-service model that forced patients into a binary “yes or no” […]
Unlocking Chiropractic Profitability: Why Clinical Skill Alone Is Not Enough
Chiropractic profitability is rarely a result of clinical skill alone; it is the product of intentional business strategy. In reality, many highly skilled practitioners struggle to make payroll because they treat their practice strictly as a clinic rather than a business. For instance, analysis shows that high earners distinguish themselves through diversified service lines and […]
Cheap Bookkeeping: The Hidden Costs Affordably Avoided
Cheap bookkeeping convinces many business owners that hiring a professional firm is something you do only after hitting a certain revenue number. They tell themselves, “Once I hit $1 million, I’ll hire a real firm.” But focusing solely on finding a cheap bookkeeping solution often backfires. The Hidden Bill: Why Cheap Bookkeeping Alternatives Often […]
Bookkeeping Cleanup: How to Fix a Year of Messy Books in 30 Days
Overwhelmingly, fixing a full year of bad accounting can feel like an impossible task, but the right bookkeeping cleanup process can turn chaos into clarity faster than most business owners realize. Often, one missed month quietly becomes three, three roll into twelve, and suddenly you’re staring at financial reports that don’t match reality. Consequently, ignoring […]
Medical Office Tax Deductions: 10 Commonly Missed Write-Offs
Every year, thriving practices across the country overlook valuable medical office tax deductions—not because they are evading taxes, but simply because their bookkeeping isn’t structured to capture them. Unfortunately, clean patient files do not equal clean financial records. After completing hundreds of cleanups for chiropractors, dentists, PT clinics, and wellness centers, one hard truth has […]
Top Bookkeeping Mistakes That Trigger IRS Audits
Recently, I told a client something I genuinely believe: I surround myself with people smarter than I am so we can accomplish our mission at the highest level. In fact, successful business owners adopt this exact mindset when they stop trying to DIY their tax compliance and decide to hire a professional. Specifically, you need […]
The Audit-Ready Chart of Accounts: Structure Your Books for Compliance
Fundamentally, your Chart of Accounts (COA) is the backbone of your entire bookkeeping system. If it is messy, overly generic, or missing essential categories, your financials will always be wrong—no matter how diligently you reconcile. Unfortunately, most business owners do not realize that errors in their COA create massive IRS exposure and missed deductions. Consequently, […]
Bookkeeping Services in Vancouver, WA: The Local Advantage for Growing Brands
Recently, I’ve had numerous conversations with Pacific Northwest business owners who are struggling to find reliable financial help. In reality, searching for competent bookkeeping services in Vancouver WA often feels like looking for a needle in a haystack. For instance, you might find a large national firm that treats you like a number, or a […]