Pediatric Practice Bookkeeping & Accounting
Fairlight CPA handles the books, payroll, and tax for pediatric practices — where vaccine inventory ties up real cash, well-visit season makes the year, and Medicaid/CHIP mix shapes the margins. We keep those pediatric-specific economics visible month by month.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems pediatric practices actually have
Vaccines are inventory with expiration dates
Private-stock vaccine is among the most expensive inventory in outpatient medicine, VFC stock sits alongside it, and wastage or mis-drawn doses quietly destroy margin.
The year happens in August
Back-to-school and sports-physical season carries the calendar. Cash planning that ignores pediatric seasonality leaves winter payroll exposed.
Medicaid and CHIP mix compresses rates
High public-payer panels are mission-driven and margin-thin; realized rate by payer is the number that keeps the mission solvent.
Sick-visit volume swings with viral season
RSV and flu winters spike volume and staffing cost together; measuring contribution per sick visit keeps surge staffing rational.
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 pediatric practices actually make and spend money.
- Vaccine inventory accounting — private stock cost, VFC segregation, and wastage visibility
- Payer-mix reporting with Medicaid/CHIP realized rates tracked
- Monthly close by the 15th with seasonality-aware cash forecasting
- Payroll including after-hours and nurse-line arrangements
- Business and personal tax prep, quarterly estimates, and CFO reporting
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.
Vaccine margin
reimbursement against acquisition and wastage — pediatric medicine's inventory P&L
Well-to-sick visit mix
the revenue-stability ratio, tracked through the seasons
Realized rate by payer
commercial versus Medicaid/CHIP per visit, for panel decisions
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile remittances and vaccine-program credits to visit volume monthly, keeping VFC and private-stock economics separated — alongside your billing staff, who keep fighting the claims.
Tax & entity
Vaccine purchasing creates inventory timing questions at year-end, and practices adding locations face entity and payroll registration choices; both get planned, not improvised.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Pediatrics accounting FAQs
Is vaccine accounting really worth the effort?
For most pediatric practices vaccines are the second-largest expense after payroll. Tracking cost, reimbursement, and wastage per dose routinely finds real margin — and flags ordering discipline.
Can you help with seasonal cash planning?
Yes — the forecast is built on your own seasonal curve, so summer-surge cash is deliberately parked against winter payroll instead of quietly spent.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $800/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 pediatric 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.