Demands are high.
Your patients come to you in their most vulnerable moments - and you show up for them every single day. Whether you're a solo practitioner, running a group practice, or building a specialty clinic, the clinical side of your work demands everything you've got. The business side shouldn't have to as well.
Medical and healthcare businesses carry a unique financial complexity: navigating insurance reimbursements alongside cash-pay income, managing payroll across multiple providers, staying compliant with ever-changing regulations, and keeping up with the cost of running a practice that never really slows down. We understand all of it - and we're here to carry the bookkeeping burden so you can stay focused on your patients.
Who We Serve
Solo practitioners & independent providers
Group medical practices
Dental & orthodontic offices
Chiropractic offices
Mental health & therapy practices
Physical therapy & rehabilitation clinics
Aesthetic medicine & med spas
Optometry & vision clinics
Occupational & speech therapy practices
Home health & care agencies
Bookkeeping
Month to month - no commitments.
No need to purchase accounting software or subscriptions - saving you $800 - $1,200+ per year.
Insurance reimbursement vs. cash-pay income tracking - know exactly what's coming in and from where.
Accurate categorization of medical equipment, supplies, and clinical expenses.
Multiple provider revenue stream tracking within group practices.
Custom Receipt & Mileage tracking App included - for your team as well.
Behind on bookkeeping? No problem! We do catch-up quickly and affordably. We will have you up and running in no time!
Payroll
Direct deposit options for employees and independent contractors.
Multi-provider payroll - salary, hourly, and 1099 contractor structures.
Benefits deduction tracking for clinical staff.
All tax payments and filings.
Workers’ compensation payments and audits.
Processing deductions like child support, 401(k) contributions, insurance premiums, and more.
Work with human beings 🙌.
Consulting & CFO
Analyze financial reports to give you clear insights and support smarter business decisions.
Provide tax strategy & planning, including guidance on S-Corp elections and optimization.
Help you understand profitability & cash flow, including labor burden and other key cost drivers.
Profitability analysis by provider or service line.
Practice growth planning and cash flow forecasting.
Sales & Use tax
Prepare, file, and remit sales tax on your behalf, as needed.
Sales tax registration available.
Invoicing & Customer management
Professional invoicing from beginning to end.
We can also manage collections.
Bill pay & Vendor Management
Maintain cash flow and pay bills.
Collect W9 and issue 1099s annually.
Want a more detailed rundown of what we offer? Check out our services page!
PRICING
At HarQuin, you never pay for services you aren’t using. You have a set hourly fee but aren’t locked into a monthly rate. We know your business ebbs and flows. No two practices run the same way - your bookkeeping costs shouldn't either.
No flat fees, why? Fair pricing.
Each service is individual so you can start or stop as needed. Hiring a temporary employee? We’ve got you! Need a wellness check with a CPA? Let’s do it!
Our clients save an average 15 to 20 hours per month.
Why pay full-time rates for an in-house accountant?
HarQuin delivers expert support at a fraction of the cost.
Reinvest your time and money back into your business.
No need to pay CPA rates for bookkeeping
Save on CPA fees at tax time by having everything ready
Bookkeepers focus on day-to-day transactions, so your books stay accurate and up-to-date
Frees up your CPA to focus on high-value tax planning and strategy
Regular bookkeeping helps catch errors early—before they become expensive tax problems
Instant cloud access – so your CPA isn’t chasing down files at crunch time
Timely, tailored reports – formatted how they like, when they need them
Clear, consistent categorization – no guesswork, no red flags
Direct support from real bookkeepers – fast answers, no fluff
Month-end reconciliations done right – making year-end smooth and stress-free
Wait... will HarQuin do my income taxes too?
Short answer? Nope—and that’s actually a good thing.
At HarQuin, we intentionally don’t file income taxes—and here’s why: Checks and Balances.
We do handle sales and payroll tax filings and offer consulting through our experienced CPAs. But when it comes to income tax, we leave that to your tax preparer.
It’s not a gap—it’s a smart, common practice designed to protect you.
Two sets of eyes = stronger protection.
By keeping bookkeeping and tax filing separate, you get built-in checks and balances. If you're ever audited, it helps to have two companies backing up your records—your bookkeeper and your CPA.
We make tax season smoother.
When year-end rolls around, your books will be clean, organized, and ready to go. That means your CPA won’t have to spend time cleaning things up—saving you time and money.
Need a CPA?
We’re happy to refer someone we trust and work well with.
Why HarQuin?
Passion
We’re a team of professional bookkeepers who are passionate about healthcare professionals and the people behind the numbers.
Our goal? To deliver accurate, up-to-date books, backed by industry-specific expertise and proactive support, so you can focus on patient care, not paperwork.
Freedom
You didn’t start your practice to stress over spreadsheets. You should be with your patients, growing your practice, and doing the work you trained for—not buried in bank feeds and reconciliations.
At HarQuin, we believe in this simple truth: do what you do best, and outsource the rest. We’ll handle the bookkeeping so you can focus on running your business, not getting lost in it.
Knowledge
From insurance reimbursement tracking to multi-provider payroll to practice profitability analysis, we help you understand exactly where your practice stands financially - so you can make confident decisions about staffing, expansion, and growth. With a dedicated bookkeeper and access to CPA consulting, your numbers will always be in full view every step of the way.
Professionalism
With HarQuin, you gain a reliable financial partner who’s in it for the long haul—we’re here to build long-term relationships, not just deliver monthly reports.
Your transactions are professionally entered so you have everything ready to go, not only for tax time, but anytime you need it. We give you simple reports - real data that you can use to make the right decisions.
1. tell us a little about your needs through the form below
Nothing is too big or too small. We have a team who can meet your needs.
2. Within 1-3 business days, we’ll email you a no-obligation estimated cost of services
Remember, you’ll be locked into an hourly rate for life - not a set monthly fee.
3. With information in front of you, we can schedule a call or meet on zoom
We know this is a big decision and we want to get all of your questions answered.
4. Ready to get started? With just a click, you can log in and begin the onboarding process—anytime, day or night.
Your dedicated Success Team member will be walking with you each step of the way.
By this time next week, you can feel at peace knowing professionals are finding all the money you may be losing. 🙌
Outsourcing tasks has been proven time and time again to save money in the long run, achieve growth faster, and keep the business from experiencing unwanted tax drama.
We do the work - you get the finished reports sent to you!
