Chiropractic Practice Bookkeeping & Accounting
Fairlight Accounting runs the books, payroll, and tax for chiropractic clinics — practices that live on visit volume, care-plan packages, and a shifting mix of insurance and cash-pay revenue. We keep the per-visit economics visible so you know what a busy week actually earned.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ cross-border tax team
The numbers problems chiropractic practices actually have
Insurance and cash-pay mix hides the real rate
A cash visit, a personal-injury lien, and an insurance visit can pay three very different amounts for the same adjustment. Blended revenue hides which side of the practice actually carries it.
Care-plan packages are collected before they're earned
Prepaid 12- and 24-visit plans put cash in the bank ahead of the work. Without plan tracking, refunds and abandoned plans turn into surprises.
PI liens pay slowly — or not at all
Personal-injury cases can take months to settle. Those receivables need their own lane so they don't distort ordinary AR.
Associate and IC arrangements blur payroll
Independent-contractor doctors, percentage splits, and room-rental models each carry different payroll-tax and 1099 treatment — misclassification is the classic chiro audit trigger.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how chiropractic practices actually make and spend money.
- Revenue split by payer type — insurance, cash-pay, and personal-injury liens each visible
- Care-plan and package tracking so prepaid visits are earned down, not forgotten
- Monthly close by the 15th with per-visit revenue and cost
- Payroll and contractor payments with correct W-2/1099 treatment
- Business and personal tax prep, quarterly estimates, and CFO reporting when you're weighing a second location
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
Revenue per visit by payer
what an insurance visit, cash visit, and PI visit each actually net
Care-plan liability
prepaid visits collected but not yet delivered — the number refunds come from
Visit volume vs. breakeven
how many adjustments a week keep the doors open, tracked monthly
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile clearinghouse remittances and merchant deposits to the visit log, and keep PI-lien receivables aged separately so slow settlements don't disguise ordinary collection problems.
Tax & entity
Many chiropractic clinics blend clinic revenue with supplement and product sales — different margins, sometimes different sales-tax treatment; we keep them split so both the P&L and the returns are right.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $1,955/mo. Every fee is quoted and fixed in writing before any work begins.
Chiropractic accounting FAQs
We're mostly cash-practice — is this still relevant?
Yes, arguably more so: cash practices run on packages and memberships, which means deferred-revenue tracking and refund exposure. We keep the plan liability real so growth decisions aren't made on pre-collected cash.
How do you handle personal-injury cases?
PI receivables get their own aging — billed, settled, and written-off tracked apart from ordinary AR — so you can see what that side of the practice truly returns before taking more of it.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $1,955/month. Exact fee fixed in writing after a short call.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for chiropractic practices.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.