Home Services

The whole back office.
One flat fee.

Six services. One point of contact. Priced like your practice — predictable monthly, no surprises. Here’s everything inside that monthly number.

30 MINUTES · NO PITCH DECK

01
MONTHLY

Bookkeeping

A chart of accounts built for membership revenue, improved across every DPC we work with. Reconciled by the 10th. Reviewed before it hits your dashboard.

WHAT’S INCLUDED
· Chart of accounts designed for DPC
· Monthly bank & card reconciliation
· Membership revenue & churn tracking
· P&L, balance sheet, cash flow statement
· Owner draws, loans, and equity clean‑up
· Monthly close report, plain English
02
ANNUAL

Tax prep & filing

Federal, state, and local returns. Prepared and signed by our on-staff CPA, coordinated by the same person who’s been in your books all year. No handoff, no January scramble.

WHAT’S INCLUDED
· Federal business return (1120S, 1065, Sch C)
· State & local filings, every jurisdiction
· Owner personal return (Form 1040)
· Quarterly estimated tax vouchers
· Extensions filed, no guilt
· Amendments if a prior CPA missed something
03
ADVISORY

Tax strategy

The moves that save five figures. Planned in March, not April. Reviewed every quarter so the plan keeps matching your numbers.

WHAT’S INCLUDED
· S‑corp election analysis
· Reasonable‑comp salary study
· Retirement vehicle selection (Solo 401k, SEP, defined benefit)
· Home‑office & auto strategy
· Spouse on payroll, when it makes sense
· Quarterly strategy call
04
OPERATIONS

Payroll

W‑2 for you, contractors for your specialists, reasonable comp that passes the test. Set up once, runs in the background.

WHAT’S INCLUDED
· Gusto setup & ongoing management
· Owner’s reasonable‑comp salary
· W‑2 employees, any state
· Contractor & 1099 tracking all year
· Payroll tax filings (federal, state, local)
· Benefits deductions, HSA, retirement contributions
05
RESCUE

Clean‑ups

Inherited a mess? We untangle commingled accounts, fix miscoded revenue, and rebuild the file. Usually cheaper than you’d guess.

WHAT’S INCLUDED
· Historical bookkeeping catch‑up
· Membership revenue re‑categorization
· Owner’s draw & loan untangling
· Prior‑year tax amendments
· QuickBooks file rebuild or migration
· Flat‑fee quote after a free review
06
COMPLIANCE

1099 filing

Tracked all year so January is boring. Specialists, locums, cleaning, labs. If they got paid, we have the W‑9.

WHAT’S INCLUDED
· W‑9 collection from day one
· Contractor payment tracking
· 1099‑NEC and 1099‑MISC filings
· Recipient copies by Jan 31
· Federal & state electronic filing
· Corrections handled without drama
HOW IT WORKS

Onboarding,
in four weeks.

Most new clients are fully onboarded in 30 days. Here’s what that actually looks like.

WEEK 1

Discovery

A 30-minute call. You tell us about your practice. We tell you what we’d fix first. No pitch deck.

WEEK 2

Access & audit

Read-only access to QuickBooks, bank feeds, and payroll. We audit what’s there and send a plain-English report.

WEEK 3

Clean‑up

We rebuild the chart of accounts, recategorize what’s off, and close out the last open month. Flat-fee quote up front.

WEEK 4

Running

Monthly close begins. You stop thinking about it.

THE STACK

Boring tools.
Used well.

We don’t evangelize software. We use the category leaders, set them up right once, and keep them out of your way. If you’re already on these, onboarding is faster.

BOOKS

Where your numbers live. We handle the subscription under our partner discount.

PAYROLL

W‑2s, 1099s, benefits, every state. The one payroll tool we never fight.

MEMBERSHIPS

Whatever you run. We wire the revenue feed to QuickBooks cleanly.

RECEIPTS

Snap, forward, done. No shoebox. No spreadsheet.

DOCS

A single shared folder. Permissioned and organized from day one.

CALLS

Quarterly strategy, year‑end review, tax planning. No proprietary portal.

SIGN

Engagement letters, tax returns, K‑1s. All signed in a browser.

RETIREMENT

Solo 401k, SEP, Defined Benefit. We pair you with the right vehicle.

WHAT WE DON’T DO

The honest list.

A firm that does everything does nothing well. Here’s what we stay out of, on purpose.

Insurance billing

If you bill insurance, we’re the wrong firm. That’s the whole point.

Audit representation

We’ll refer you to a specialist. Audits are their own job.

Wealth management

We select retirement vehicles and coordinate. We don’t manage your portfolio.

General small business

Your brother’s restaurant needs its own bookkeeper. We only do DPC.

Same‑day emergencies

We’re fast, not an ER. Most things wait until morning.

FAQ

Questions
we keep getting.

Don’t see yours? Drop it in the form on the contact page. We answer every one.

Is my practice too small?
+
Probably not. Our smallest client opened last quarter with 60 members. We work with solo clinicians as often as four-provider groups. The flat fee scales down for solo practices.
Do you work with nurse practitioners and PAs?
+
Yes. Any DPC clinician — physicians, NPs, PAs. What matters is the membership model, not the letters after your name.
Can you work with multi‑state practices?
+
Yes. Several clients operate across state lines. Multi-state payroll, nexus, and returns are routine for us.
What if I’m still billing some insurance?
+
If it’s a small slice and you’re phasing out, we can work with you. If insurance is most of your revenue, we’re the wrong firm — we’ll refer you to a good generalist.
Do you offer a free consultation?
+
Yes. Thirty minutes, no pitch deck. If we’re not the right fit, we’ll say so. If we are, you’ll get a one-page engagement letter the next day.
What does onboarding cost?
+
If your books are clean, onboarding is included. If there’s a clean-up, we give you a flat-fee quote after a free review. No surprise invoices.
Who do I actually talk to?
+
One person. Same name, same email. Not a shared inbox, not a ticket queue. For now that’s Daniel. We only add team members when we can keep that relationship intact.

Ready to hand off
the back office?

Thirty minutes. No pitch deck. If we’re not a fit, we’ll say so and hand you a referral.

Book a discovery call