Accounting and advisory for Healthcare Practices
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.
The financial challenges Healthcare Practices face
Insurance and patient revenue that lands on its own schedule
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.
Provider payroll alongside 1099 contractor pay
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.
Profitability you can't see by practice or location
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.
Quarterly tax on income that swings with the schedule
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.
How Laya helps Healthcare Practices
Insurance and patient revenue reconciliation
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.
Provider payroll and contractor pay
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.
Practice and location profitability reporting
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.
Quarterly tax planning on practice income
Through our licensed CPA partner network, 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.
What's included
- Monthly close by the 10th business day
- Insurance and patient revenue reconciliation
- Provider payroll and 1099 contractor tracking
- Practice and location-level profitability reporting
- Quarterly tax planning and estimates (with tax plan)
- Owner individual returns (add-on)
- Year-end books ready for tax filing
Frequently asked questions
Do you handle medical billing or insurance coding?
No. Laya does bookkeeping, tax, and advisory — not medical billing, claims submission, or CPT/ICD coding. We take the output of your billing system and reconcile collected revenue, adjustments, and write-offs into clean books, working alongside your billing software or service.
Can you reconcile revenue from both insurers and patients?
Yes. We reconcile payer reimbursements, patient copays and balances, and merchant card settlements back to your bank, booking each to the correct revenue account with contractual adjustments handled. Your books reflect what you actually collected, in the right period.
How do you handle provider payroll and 1099 associates?
We keep W-2 payroll for providers and staff and 1099 pay for associate dentists, hygienists, locums, and per-diem coverage booked correctly, and track contractor payments through the year so year-end 1099 prep is clean. Compensation is mapped so you can see provider cost against revenue.
Can you show profitability by location or by provider?
Yes. We build your books so each close produces a consolidated P&L plus location-level reporting, and we can break out service lines or providers where your data supports it. That lets you compare sites, evaluate associates, and plan expansion on real numbers.
How does quarterly tax planning work for my practice?
Tax is handled through our licensed CPA partner network on the Summit ($1,000/mo) and Peak ($1,500/mo) plans. We plan around your practice income each quarter — estimates, equipment timing, owner draws — to avoid surprises. Owner individual returns are a $100–$200/month add-on per return.
Do I need to use QuickBooks Online?
Yes. Laya runs on QuickBooks Online as the source of truth, with your bank accounts, merchant processors, and payroll connected digitally. We're cloud-first, remote-only over email and video, and fixed-fee, with QBO included in your plan.
Ready to get your books in order?
Book an intro and we'll show you exactly how Laya works for Healthcare Practices.
Book an Intro