Most small healthcare practices in Hialeah have one thing in common — the owner can't actually tell you how the practice is doing this month. We fix that. Specialized, local, and built around the way independent practices actually operate.
These aren't hypothetical complaints — they're the exact phrases small healthcare practice owners use when they describe their finances. If even two of these sound familiar, it's not you. It's the way your books are being kept.
You don't have a tax problem. You don't have a discipline problem.
You have a bookkeeping problem.
Most generalist bookkeepers can give you a Profit & Loss statement. Almost none can tell you what your hygiene production percentage is, why your collections ratio dropped this quarter, or what to fix before tax season. We can.
Dental, primary care, pediatrics, OB-GYN, cardiology, dermatology, chiropractic, veterinary, and more. We speak insurance reimbursements, lab fees, and provider productivity — not generic small business jargon.
We're based in Hialeah and serve practices across Miami-Dade and Broward. In-person when it matters. Bilingual (English & Spanish).
Email, text, or call. You'll never wait two weeks for an answer. We respond within one business day, every time. It's written into our engagement letter.
Overhead percentage, collections ratio, production by provider, supply costs versus benchmark. Every month. So you can actually run the practice.
Your CPA gets clean tax-ready books delivered every January. No scrambling, no $5,000 cleanup invoices, no surprises. We handle the handoff so they don't have to.
We translate your numbers into business decisions. If we send you a report, we'll also tell you what it means and what to do about it. That's the whole point.
I'm a Hialeah local with a Master's in Finance and over a decade running the accounting department at a medical company. I've worked with auditors, prepared financials for SBA loans, sat across from buyers in due diligence, and seen every kind of mess a healthcare practice can make of its books.
I built 305accounting because I watched too many independent practice owners get charged generalist prices for generalist work — and then get blindsided every January when their CPA found six months of misclassified expenses. That's not a problem you fix with a different CPA. You fix it upstream, with a bookkeeper who actually understands healthcare.
We're not a faceless firm. I personally handle every client onboarding and the first six months of every engagement. I respond within one business day. I show up in person when it matters. That's the deal.
Our entire firm is designed around the way independent practices actually operate — solo doctor, small partnership, or growing practice. Whether you're a single dentist, a 4-provider OB-GYN clinic, or a small cardiology group, we know how to handle your books. If you're a chain or a Dental Service Organization, we're not a fit. If you're an independent owner, we probably are.
General, specialty, pediatric, orthodontic, periodontal, oral surgery — independent practices with 1 to 5 providers.
Solo and small-group primary care practices, including concierge medicine and direct primary care models.
Independent pediatric clinics, pediatric specialty practices, and small group pediatric partnerships.
Obstetrics, gynecology, fertility, and women's health practices with the unique billing complexity that comes with them.
Independent cardiology practices, including those with in-office diagnostics, echocardiography, and stress testing revenue.
Kidney and endocrine specialty practices, including those with dialysis-related billing or chronic disease management programs.
Medical, surgical, and cosmetic dermatology — including practices with retail product lines and aesthetic services.
Specialty practices with procedural revenue, in-office surgical components, and complex insurance reimbursement workflows.
Practices with imaging revenue, physical therapy components, durable medical equipment dispensing, and procedural billing.
Solo and small-group psychiatry, psychology, counseling, and substance use treatment practices.
Single-doctor and small partnership practices with treatment plan billing, PI claims, and supplement retail.
Small animal, mixed-practice, and specialty (exotic, emergency, veterinary surgery) clinics.
Independent eye-care practices with optical retail, specialty contacts, and surgical referral revenue streams.
Specialty practices with in-office testing, immunotherapy, sleep study referral revenue, and procedural billing.
Small independent operators in DME, home health, infusion therapy, and related healthcare services.
If you run a small or medium independent healthcare practice — solo, partnership, or small group — there's a strong chance we're a fit. Reach out and let's talk.
Every engagement starts with a free 30-minute consultation. We'll figure out the right tier for your practice together. Volume discounts available for 12 and 24-month commitments.
All engagements include a written engagement letter, errors-and-omissions insurance coverage, and a 6-month minimum term. After that, cancel any time with 30 days notice.
Twelve questions every independent practice owner should be able to answer about their numbers — and what it means if you can't. No signup form, no email harvesting. Just send us a note and we'll send it over.
Email me to get the checklist →Book a free 30-minute consultation. No pressure, no pitch. Just a conversation about how your books are kept today and what could be better. If we're a fit, great. If not, you walk away with a clearer picture either way.
Bilingual: English & Spanish · Based in Hialeah · Serving Miami-Dade & Broward