Comprehensive Accounting Support for Medical & Healthcare Providers
Medical & Healthcare Practices
Healthcare organizations operate with strict regulatory requirements, complex reimbursement cycles, and operational demands that depend on accurate financial oversight. We provide structured accounting systems, compliant reporting, and financial workflows tailored for medical practices, dental groups, pharmacies, hospice agencies, home care providers, and adult care centers. Our approach strengthens clarity, reduces risk, and supports long-term operational stability.
Accounting Services
Prevent Reporting Errors
We manage financial statements, reconciliations, operational cost tracking, and reimbursement-aware reporting to help providers maintain clean, compliant, and audit-ready financial systems.
Tax Services
Reduce Compliance Risk
We handle federal, state, and local tax filings for all healthcare entities, including depreciation, deductions, payroll-related taxes, and compliance documentation required to minimize exposure.
Payroll Services
Simplify Complex Staffing
We process payroll for physicians, nurses, rotating teams, hourly caregivers, and multi-location staff with accurate classifications, benefit deductions, and compliant filings.
Budgeting & Forecasting
Support Financial Stability
We build budgets and forecasts that incorporate staffing patterns, supply usage, reimbursement cycles, and operational requirements to help healthcare organizations plan confidently.
Audit Support
Avoid Compliance Issues
We prepare providers for IRS, payroll, insurance, and regulatory audits by organizing records, reconciling discrepancies, and ensuring your financials remain accurate and defensible.
Consulting Services
Improve Operational Decisions
We provide advisory support around financial systems, entity structure, internal controls, and performance analysis to help healthcare organizations strengthen operations and manage growth.
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Who We Work With
We support healthcare providers across clinical, administrative, and care-based environments. Whether your organization manages reimbursements, rotating staff, specialized equipment, or patient-care operations, Ledger Board delivers the structured financial systems your work requires.
Medical
We help medical practices track reimbursements, manage expenses, and maintain accurate reporting aligned with regulatory expectations.
Dental
We reconcile insurance payouts, monitor production metrics, and maintain clean reporting that supports visibility into provider performance and profitability.
Pharmacy
We manage inventory-driven cost tracking, COGS reporting, and payroll accuracy for pharmacies operating with strict margin and compliance requirements.
Hospice
We support hospice organizations with accurate cost tracking, reimbursement reporting, and financial workflows aligned with regulatory and audit expectations.
HOME HEALTH CARE
We manage payroll, staffing classifications, and reporting for home care providers with rotating schedules and multi-location operations.
ADULT CARE
We build reporting structures and forecasts for adult care centers to support sustainable operations and compliance-driven financial oversight.
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04. Advisory
Support Better Decisions
We review performance metrics and provide financial guidance that strengthens long-term stability and informs strategic planning.
03. Reporting
Ensure Clean Records
We manage monthly close, reconciliations, and statements to provide accurate financial visibility across all operational areas.
02. Compliance
Fix Workflow Gaps
We create healthcare-specific workflows for reconciliations, approvals, payroll, and documentation to maintain consistency and readiness.
01. Onboarding
Remove Early Errors
We assess books, reimbursement flows, payroll classifications, and financial controls to establish a clean and accurate foundation.
Healthcare organizations require accuracy, structure, and predictable financial workflows. Our process eliminates inconsistencies, strengthens compliance, and supports reliable reporting across clinical and administrative operations. We guide each provider through a framework tailored to healthcare environments.
OUR PROCESS
Yes. We support multi-location medical practices, dental groups, pharmacies, and home care agencies with consolidated reporting and unified financial workflows. Our systems provide clear visibility across locations and maintain consistency in reconciliations and documentation. This allows leadership to track performance and compliance across the entire organization.
We manage payroll for hourly, salaried, rotating, and per-diem staff, ensuring accurate classifications and compliant filings. Our workflows support benefit structures, multi-location operations, and varying shift assignments. Healthcare organizations rely on us to maintain payroll consistency as staffing needs shift throughout the year.*
Yes. We reconcile reimbursement activity, track payer categories, and support reporting tied to insurance payments and cash-flow timing. While we do not process claims, we ensure that financial records reflect accurate reimbursement patterns. This helps providers understand operational performance and anticipate revenue fluctuations.
Yes. We assist hospice agencies with financial reporting and reconciliation related to the hospice cap, ensuring payments and allowable limits are tracked accurately. Our process highlights early variances and provides clear documentation for compliance reviews. This reduces exposure and helps maintain accurate, audit-ready records throughout the reporting cycle.
We maintain accurate inventory controls, vendor tracking, and COGS reporting for pharmacies with tight margins and specialized operational requirements. Our workflows support compliance with financial and tax regulations. This helps pharmacies maintain visibility into operational performance and cost management.
Yes. We build budgets and forecasts that incorporate reimbursement cycles, staffing costs, supply usage, and seasonal trends. Our financial models support long-term planning and help providers manage upcoming operational needs. This strengthens decision-making and prepares organizations for growth.
We use structured workflows, detailed reconciliations, and consistent documentation standards tailored to healthcare operations. Our reporting reflects true operational performance and captures key financial indicators. Providers rely on us to maintain dependable records month after month.
We prepare healthcare organizations for IRS, payroll, insurance, and state audits by organizing records and resolving discrepancies early. Our team produces required documentation and supports leadership through every stage of the review. This ensures accuracy and reduces audit-related stress.
Healthcare accounting involves reimbursement timing, staffing complexity, compliance-driven reporting, and cost structures that require specialized workflows. We design financial systems that reflect these realities and maintain accurate, clear records. This helps providers operate with confidence and long-term stability.
Strategic Approach
Our guidance strengthens financial clarity and supports long-term operational goals.
Proven Expertise
We understand healthcare workflows, reimbursement structures, and compliance-driven reporting.
Responsive Partnership
We maintain consistent communication and adapt to evolving organizational needs.
Trust & Transparency
Every workflow emphasizes accuracy, documentation, and reliable financial oversight.
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By the Numbers
Our structured financial systems help healthcare organizations operate with clarity, compliance, and stability.
1,000+
Healthcare Clients Managed
85+ Years
Combined Experience
50 States
supported nationwide
99%
Client Retention
Testimonials
Healthcare providers trust Ledger Board for accuracy, structure, and reliable financial oversight.
Our multi-location medical group finally has clean reporting and consistent reimbursement tracking. Ledger Board understands how healthcare operations truly work.
Anthony V., Managing Partner
Medical Group
Our dental organization struggled with payroll and supply oversight. Ledger Board built a structure that works across every provider and location.
Marina K., Operations Director
Dental Organization
Managing several home care agencies used to be chaotic. Ledger Board stabilized payroll, improved reporting, and brought clarity to our operations.
Daniel S., Owner
Home Care Agency
Connect with Leaders
Meet with our leadership team to review your healthcare organization’s financial structure and goals.
Strengthen Your Financial Operations
Your organization requires accurate reporting, compliance-aligned workflows, and dependable financial systems. We bring structure, clarity, and support to every part of your financial operations.