Monthly Bookkeeping
We categorize every transaction, reconcile your bank and card accounts, and close the month by the 15th.
Monthly Bookkeeping
Healthcare Bookkeeping
Clean, current books for healthcare practices, closed by the 15th of every month
Services
Monthly bookkeeping, cleanups for books that have fallen behind, and a year-end package for your CPA.
Learn MoreHow It Works
We follow the same schedule every month. Your books are closed by the 15th, and your bookkeeper gets back to you within a business day.
Our ProcessAbout Us
We keep books for healthcare practices, from single clinics to groups with several locations.
Our StoryAbout Us
Hearthstone keeps the books for healthcare practices. Many of the owners we talk to have a hard time getting a clear answer from their own numbers: books a few months behind, payroll lumped into one line, no idea which location is making money.
We keep your books current, set them up around how your practice runs, and send you a short report each month. When your CPA or your bank asks for numbers, you'll have them.
Services
What we do
Here's what's included.
Monthly Reports
Profit and loss, balance sheet and cash flow, with a P&L for each location and a one-page note on what changed.
Payroll Entries
We record payroll from Gusto, ADP or Paychex by role and by location, so you can see what each clinic costs to run.
Bills
We enter your vendor bills and line them up for your approval, so nothing gets paid twice or paid late.
Cleanup & Catch-up
If you're months or years behind, we fix the file and the chart of accounts and get you current, for a fixed price.
Year-end for Your CPA
We put together the year-end package your CPA needs and answer their questions. They handle the taxes.
We don't handle medical billing, EMR, payroll processing or taxes. Most of our clients are on QuickBooks Online.
How It Works
How a month works
It's the same schedule every month, so you know when your numbers will be ready.
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Days 1 to 5
Gather
Bank and card feeds come in on their own. We pull your payroll reports and ask you for anything else we need.
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Days 5 to 10
Reconcile
We tie out every account. Anything we can't explain goes to you as a short list of questions.
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Days 10 to 14
Close
We book the month-end entries and lock the month. Someone other than your bookkeeper reviews the file before it goes out.
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By the 15th
Report
You get the monthly report and a one-page note. If you'd like to go through it on a call, we'll set one up.
What you get each month
- Profit and lossThe month, year to date, and the same month last year
- Balance sheetEvery account reconciled to a statement
- Cash flowWhere the cash went and how many weeks you have
- By locationA P&L for each clinic as well as the combined one
- Key numbersThe handful that matter for your kind of practice
- Our noteOne page on what changed and anything you need to decide
Pricing
A flat monthly fee
We'll quote you after a quick look at your books. A single clinic and a five-location group need very different amounts of work, so we don't post one price for everyone. The quote depends on how many accounts you have, your transaction volume, how many locations you have, and whether we need to start with a cleanup.
Cleanup work is a separate fixed price. The first term is six months, then month to month. Questions by email or phone are always included.
Ask for a QuoteCommon Questions
Do you also handle billing or EMR?
No. Your billing company, EMR vendor and CPA keep doing their part, and we take care of the books.
Do you need access to patient records?
No. We work from your bank, payroll and accounting records. If a report you send us ever includes patient information, we sign a business associate agreement first and keep that information out of the books.
Our books are a mess. Can you still take us on?
Yes. A lot of practices are behind somewhere. We'll look at the file, tell you what it will take, and give you a fixed price for the cleanup before we start.
Will you work with our CPA?
Yes. We prepare the year-end package, answer your CPA's questions and post their adjustments. We don't prepare or file tax returns.
Contact
Contact Us
Send us a few details and we'll get back to you within a business day to set up a 20-minute call.
Or email us at hello@hearthstonebookkeeping.com