Industry expertise
Owner-operated practices — dental offices, medical and therapy clinics, veterinary hospitals — collect revenue from a mix of insurers and patients while running real payroll and clinical overhead. Laya gives practice owners clean, timely books and the financial clarity to manage profitability and tax, whether you run a single chair or several locations.
Your business
Revenue arrives from insurer reimbursements, patient copays, and self-pay balances, each with different timing, adjustments, and write-offs. Reconciling deposits back to what was actually billed — and recognizing it in the right period — is tedious and easy to misstate.
Practices mix W-2 staff with 1099 associates, hygienists, locum providers, and per-diem coverage. Misclassifying a contractor, missing a 1099, or booking provider compensation to the wrong account distorts both your costs and your tax exposure.
When one set of books blends every provider and site, it's hard to tell which location, service line, or associate actually contributes — or to make hiring, equipment, and expansion decisions on real numbers instead of gut feel.
Practice income moves with patient volume, reimbursement timing, and equipment purchases. Without quarterly planning, owners get surprised at filing — overpaying estimates or facing an underpayment penalty they could have avoided.
Our approach
We reconcile payer deposits, patient payments, and merchant settlements back to your bank and book them to the right revenue accounts, with contractual adjustments and write-offs handled cleanly. Your monthly close reflects collected revenue accurately — not a guess based on what was billed.
We keep W-2 provider and staff payroll and 1099 associate pay booked correctly, track contractor payments through the year, and prepare your books so year-end 1099s are straightforward. Compensation is mapped so you can see true provider cost as a share of revenue.
We structure your chart of accounts so each monthly close shows profitability by practice and by location. Consolidated and site-level P&Ls let you compare locations, evaluate associates, and decide on staffing, equipment, and growth on facts.
Through Laya, SPA Associates LLC, or another authorized provider, we plan around your practice income each quarter — estimating liability, timing equipment purchases, and coordinating owner draws — so there are no filing-season surprises. Your owner individual returns can be added on as well.
FAQ
A few practical details, so you know what to expect.
Examples and guides
Explore an illustrative monthly close and practical guides to the decisions your reports can support.
Start with a conversation
We’ll talk through your business, your books, and where you could use a hand.
