Healthcare Practices Accounting Services

Running a medical or dental practice means balancing patient care with the realities of managing a business. Between staffing, overhead, and rising operational costs, it’s easy to lose track of financial performance. Nichols Accounting supports healthcare practices with reliable, month-to-month accounting, payroll, and tax services, along with strategic financial planning that helps physicians, dentists, and administrators make confident, informed decisions. Whether you’re managing a small clinic or a growing practice with multiple providers, we help keep your financial operations smooth, compliant, and clearly understood.

Consistent, Reliable Financial Oversight

Nichols Accounting provides core accounting support for medical and dental practices, including transaction posting, account reconciliations, and monthly financial statements that give you a clear picture of your business health. We tailor reports to show relevant metrics like overhead ratios, collections vs. expenses, and profitability trends, so you can keep a pulse on your financial performance.

For practices with the tools and staff to provide payer or procedure-level data, we can incorporate that information into custom KPI dashboards—but only when it’s available and packaged consistently by your internal team. Our goal is to ensure that your books are accurate, up-to-date, and ready to support the business side of care delivery.

Payroll, HR, and Operational Support

Keeping your team paid and your policies up to date is essential for any healthcare practice. We offer payroll services that handle regular processing, tax filings, and year-end reporting with accuracy and timeliness.

For clients who need extra support, we also assist with basic HR functions like reviewing employee handbooks, developing job descriptions, and advising on hiring practices. With Nichols in your corner, you get a responsive, knowledgeable partner to help you navigate the administrative side of running your practice—so your internal team can focus on patients, not paperwork.

Strategic Planning and Controller Services

Nichols Accounting doesn’t just manage the numbers—we help you plan for what’s ahead. Through our Virtual Controller services, we hold regular financial check-ins to review cash flow, assess budgeting goals, and support decision-making for growth or expansion.

Whether you’re adding a provider, evaluating lease options, or planning for year-end tax positioning, we bring clarity and structure to your financial strategy. You’ll gain a better understanding of where you stand, what’s working, and what needs to be adjusted—so you can run a stronger, more sustainable practice.

Accounting Services

Tax Prep and Planning

Fractional CFO

Reviewed and Audited Financial Statements

Booking and Accounting

Virtual Controller

Payroll and HR Services

Ready to Improve Your Health Practice?

Sound financial systems help providers deliver better patient care. Nichols Accounting will streamline reimbursements, strengthen compliance, and support sustainable growth.

Here's how it works:

1. Schedule a Call

Fill out our simple contact form or give us a call.

2. Discuss Your Goals

We'll talk through your current challenges and long-term vision.

3. Build a Roadmap

Together, we'll outline the most efficient path to your financial success.

4. Get Started

Our expert team will handle the details so you can focus on growing your business.

Why Choose Nichols​

Healthcare Expertise:

Accountants familiar with insurance billing, payer contracts, and regulatory rules tailor solutions to clinical environments.

Cash Flow Focus:

Detailed reimbursement tracking and denial management keep revenue cycles moving.

Secure Data Processes:

HIPAA‑compliant workflows protect patient information and minimize breach risks.

Proactive Tax Advice:

Guidance on depreciation, retirement plans, and entity structure reduces liabilities and supports reinvestment.