Insurance reimbursements, overhead management, tax compliance. The financial side of a chiropractic practice is more complicated than most bookkeepers understand. We built a system that handles all of it — so you can stay focused on the patients.
They show up in nearly every practice we've worked with. All four are fixable — once someone's actually paying attention to them.
When insurance reimbursements and cash pay hit the same account without being separated, you lose all visibility into which side of the practice is actually profitable. Write-offs get buried. Effective reimbursement rates stay unknown.
Bookkeeping done once a year in March isn't bookkeeping. It's cleanup. By the time someone is reconciling 12 months of transactions at once, the information is useless for running the business. You need the numbers monthly.
Without a monthly P&L, you don't know what your overhead ratio is or whether it's trending the wrong direction. Rent, staff, supplies, equipment — they creep up quietly while revenue stays flat. Most practices only find out at year-end.
Chiropractors are not bookkeepers. Every hour spent reconciling accounts, chasing receipts, or trying to read a QuickBooks report is an hour not spent on patients. This is the one problem we eliminate entirely.
Every transaction categorized, every account reconciled. Bank, credit cards, and payment processors — all of it, every month, on time.
Insurance reimbursements, cash pay, and ancillary services tracked separately so you know the actual margin on each revenue stream — not just a total.
A plain-English P&L and summary every month. Not spreadsheet soup — a clear picture of where you stand and what changed from last month.
Know what's coming before it arrives. Seasonal slow-downs, equipment purchases, lease renewals — projected out so you can plan instead of react.
W-2 staff and 1099 contractors tracked correctly and separately. Payroll expenses categorized by role. Contractor records ready for 1099 season without a scramble.
Books handed to your CPA clean, organized, and current — every quarter if needed. Your CPA spends time on strategy, not cleaning up 12 months of transaction history.
We understand how healthcare revenue actually flows. ERA deposits, payer adjustments, write-offs — not just transactions.
Jeremy is a licensed paramedic. He shows up when things are a mess, assesses the situation fast, and fixes it without drama. Same approach to every engagement.
We use Xero because it handles healthcare revenue complexity cleanly. Better reporting, better categorization, and no dependency on QuickBooks.
Based in Baton Rouge, serving the Gulf South. You talk to a person who knows the local market, not a ticket queue in another time zone.
A chart of accounts built for a restaurant won't work for a chiropractic practice. We set up Xero to match how your revenue actually works.
ERA deposits matched to claims, aging claims flagged, write-offs separated from adjustments. You know your actual net reimbursement per payer.
Tracked separately every month. You'll know the margin difference between payer types — and which ones are worth taking.
Overhead as a percentage of collections, tracked monthly. You see the trend before it becomes a problem instead of after.
Major assets and leases handled correctly in the books. No more single-year expensing of multi-year equipment that throws off your P&L.
If you have associates or ancillary providers, we track their revenue contribution separately so you know exactly what each person adds to the practice.
Every quarter (or annually) your CPA gets organized, reconciled financials. No more asking you to find missing receipts from eight months ago.
Every month you get a report like this — your actual numbers, not a generic template. This is what clean books look like.
Illustrative figures. Your report reflects your actual numbers every month.
30 minutes. We look at where your books are, tell you what's wrong, and tell you what it'll take to fix it. No pitch. No commitment.
We set up your chart of accounts for chiropractic revenue, migrate your data, and connect your bank and payment processors.
Every month: reconciled books, categorized revenue, P&L, and a plain-English summary with anything that needs your attention flagged clearly.
Dashboard access, 90-day cash projections, and a bookkeeper who knows your practice. You stop guessing and start managing with real numbers.
"We had no idea our Medicare patients were losing us money after adjustments. Once we could see the actual net reimbursement, we restructured our intake and the difference showed up within two months."
"Year-end used to take weeks because nothing was clean. Last year our CPA had everything they needed in two days. That alone was worth the cost of the service."
"I was mixing W-2 staff and 1099 contractors and not tracking it right. Got a notice and had to scramble. 911 Bookkeepers fixed the structure and I haven't had a problem since."
Free 30-minute assessment call. No commitment. We tell you exactly where your books stand and what it'll take to fix them.
Same business day response • Accepting new chiropractic clients