The accounting team behind healthcare practices
Fairlight CPA runs bookkeeping, payroll, tax, and CFO-level reporting for healthcare and wellness businesses — with particular depth in behavioral health and therapy practices, where our team has real operating experience. Thirty specialties, one discipline: books closed by the 15th that reflect how your practice actually earns.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
Why healthcare books are not normal books
Revenue arrives as remittances, not sales
Insurance-based care gets paid in bulk EOBs covering many patients and dates of service. Reconciling remittances to deposits — and to care actually delivered — is the core work generic bookkeeping skips.
Payers pay on their own clock
30, 60, 90+ days of lag between care and cash means the bank balance never tells the story. AR aged by payer, and cash forecasts built on real payment behavior, do.
Prepaid care is a liability, not income
Packages, memberships, care plans, and cycle programs collect cash before the work. Books that don't carry the obligation overstate every good month.
Compliance teams need clean numbers beside them
We're the accounting team, not a law firm — we work alongside your billing, credentialing, and compliance people, and keep the financial picture reflecting what they fight for.
Therapy & Behavioral
Chiropractic
Insurance and cash-pay mix hides the real rate
ABA Therapy
Authorization limits are your revenue ceiling
Behavioral & Mental Health
Sessions delivered ≠ revenue booked
Pediatric Therapy (Speech, OT, PT)
Three revenue lanes, three behaviors
Physical Therapy
Reimbursement per visit keeps compressing
Psychiatry & Psychology
Med management and therapy are different businesses
Medical & Surgical
Dermatology
Medical and cosmetic are two P&Ls in one practice
Plastic Surgery
Deposits arrive months before surgery
Primary Care & Family Medicine
Thin margins leave no room for blur
Pediatrics
Vaccines are inventory with expiration dates
Urgent Care
Volume is visible, margin isn't
Concierge Medicine
Annual memberships are deferred revenue
OB/GYN & Midwifery
Global billing compresses months into one payment
Cardiology
Testing revenue rides on utilization
Podiatry
DME and orthotics are retail inside a clinic
Fertility Clinics
Cycle packages prepay months of treatment
Telehealth Practices
Every state is a tax question
Facilities & Agencies
Imaging & Radiology Centers
Machines cost money whether they scan or not
Ambulatory Surgery Centers
A case is the unit of profit, but books track months
Dialysis Centers
The bundle caps revenue; costs don't care
Home Health Agencies
Episodic payment vs. visit-level cost
Hospice
The aggregate cap is a year-end landmine
Physician Groups & MSOs
Intercompany flows must actually reconcile
Don’t see your specialty? We still speak the language.
The mechanics above — payer reconciliation, deferred care, provider comp — cover most of outpatient healthcare. Book a free 15-minute call and we’ll tell you honestly whether we’re a fit.
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.