Healthcare practices balance patient care excellence with complex financial realities including reimbursement cycles, payer negotiations, staffing costs, and regulatory compliance. Generic bookkeeping rarely captures what drives medical practice performance. Effective healthcare accounting must understand payer mix, collections timing, coding-related adjustments, and provider productivity—not just basic income and expenses.
Our dedicated accountants for medical professionals support physicians, dentists, specialists, clinics, and allied health providers with precise bookkeeping, structured reporting, and strategic financial guidance. With experienced accountants for healthcare, you gain reliable visibility into revenue, costs, and profitability by provider, service line, and location. That clarity strengthens collections, controls overhead, supports confident investment decisions, and enables practice growth without sacrificing financial control or compliance readiness.
$30,000+
yearly savings in average client accounting cost
20+
hours saved in a month for bookkeeping tasks
15+
states served across USA
Are You Dealing With Any of These?
Common Financial & Compliance Challenges Faced by Medical Practices & Healthcare Providers
Unpredictable Collections
Insurance denials, underpayments, and slow reimbursements disrupting consistent practice cash flow.
Limited Payer Mix Insight
Lack of clarity around profitability by insurer, plan type, or procedure category.
Heavy Administrative Burden
Too much time reviewing spreadsheets and reports instead of focusing on patient care.
Unclear Provider Profitability
Difficulty understanding revenue, costs, and margins by individual physicians or departments.
Equipment ROI Uncertainty
Unsure whether new medical equipment or technology investments will justify long-term costs.
Audit & Compliance Anxiety
Concern about documentation quality and readiness for payer audits or regulatory reviews.
See What We Can Do For You
Struggling with messy books or
delayed reports?
What We Offer
Our accountants for medical professionals combine healthcare industry expertise with comprehensive financial management—delivering solutions tailored to the operational, reimbursement, and compliance challenges faced by medical practices.
We record insurance reimbursements, patient payments, contractual adjustments, and operating expenses—producing accurate Profit & Loss statements, Balance Sheets, and Cash Flow reports tailored for healthcare accounting and practice management.
We reconcile bank accounts, merchant services, insurance deposits, and billing system reports—ensuring all payments are captured and unexplained variances are identified and investigated promptly.
We organize and schedule payments to laboratories, medical suppliers, landlords, and technology vendors—preventing late fees while giving clear visibility into practice overhead and operating costs.
We align payroll output with your books—ensuring physician compensation, bonuses, and staff wages are recorded correctly to support accurate W-2 and 1099 preparation and compliant payroll reporting.
We design medical-practice-specific charts of accounts separating professional fees, ancillary services, insurance write-offs, payroll, and overhead—enabling meaningful, practice-focused financial reporting.
We perform structured monthly closes, post accruals for unpaid invoices and anticipated reimbursements, and deliver timely Profit & Loss, Balance Sheet, and Cash Flow statements.
We build budgets and projections considering visit volumes, payer mix, staffing levels, and expansion plans—supporting informed decisions on hiring, service lines, and growth initiatives.
We track healthcare-specific KPIs including days in A/R, collections ratio, revenue per provider, and overhead percentage—highlighting trends that require operational or billing adjustments.
We review staffing, facility, technology, and outsourced service costs—identifying savings opportunities that protect patient experience while improving long-term practice profitability.
We clean up historical records, reconcile outstanding balances, and prepare year-end financials your tax advisor relies on—simplifying compliance for medical practices.
Our Fractional CFO services support healthcare practices with cash flow forecasting, payer mix analysis, expansion planning, and KPI-driven decisions—without the cost of a full-time CFO.
Why Healthcare Practices Benefit From Us
Our healthcare-focused accounting services are designed to stabilize cash flow, improve provider-level insight, and deliver reliable financial clarity—without increasing administrative burden.
We understand reimbursement cycles, payer behavior, contractual adjustments, and regulatory realities unique to healthcare providers.
Structured tracking of collections, write-offs, denials, and timing differences reduces cash flow surprises and improves financial stability.
Reporting shows revenue, expenses, and margins by provider or department—supporting fair compensation models and informed allocation decisions.
You spend less time reviewing spreadsheets and reconciling reports—and more time focusing on patient care and clinical leadership.
Reliable financial data supports decisions around hiring providers, adding services, or expanding locations with realistic expectations.
Organized, accurate financial records reduce anxiety around payer audits, regulatory reviews, and compliance examinations.
Why Choose Us
We specialize in accounting for healthcare practices—combining clinical understanding, financial clarity, and regulatory discipline to help providers operate efficiently and grow with confidence.
Dedicated Healthcare Focus
A team of accountants for healthcare who understand clinical workflows, reimbursement timing, and the financial impact of medical practice operations.
Practice-Centered Reporting
Financial reporting structured around providers, services, and locations—making insights immediately actionable for practice leadership.
Transparent, Predictable Fees
Clear pricing aligned with practice size, provider count, and complexity—without hidden charges or surprise costs.
Integrated Financial Support
Coordinated bookkeeping, reconciliations, and management reporting that works seamlessly with your tax advisors and billing partners.
Strategic Guidance for Growth
Support for evaluating expansion, new providers, service lines, or equipment investments using realistic, data-driven projections.
Multi-Entity Expertise
Managing complex ownership structures with accurate capital tracking and consolidated reporting across entities.
Time Savings & Efficiency
Eliminating hours spent on financial administration—letting you focus on patient care and clinical leadership.
Enhanced Practice Returns
Identifying underperforming services, expense reduction opportunities, and optimization strategies that improve practice profitability.
Real-Time Practice Visibility
Instant access to financials, provider performance metrics, and cash positions through customized dashboards.
Complete Regulatory Protection
Systematic documentation, compliance-ready records, and audit-ready financial statements protecting against examinations.
Scalable With Your Practice
Our systems scale smoothly as you add providers, specialties, or offices—without changing providers.
See What We Can Do For You
Supercharge Your Finances: Book Now for Expert Accounting Services & Personalized Consultation!
Locations We Serve
- Accounting in Chicago
- Accounting in NYC
- Accounting in Tampa
- Accounting in Orlando
- Accounting in Brooklyn
- Accounting in Palm Beach
- Accounting in San Jose
- Accounting in San Francisco
- Accounting in Los Angeles
- Accounting in Miami
- Accounting in Naples
- Accounting in Dallas
- Accounting in New Jersey
- Accounting in Santa Barbara
- Accounting in Sacramento
- Accounting in Atlanta
- Accounting in Charlotte
- Accounting in Raleigh
- Accounting in Greenville
- Accounting in Austin
Here's what customers are saying
NSKT Global has been with me since the very beginning of my startup journey. They helped me map out a realistic budget, set up my accounting system, and made sure all my tax obligations were handled without stress. Their guidance gave me the confidence to focus on growing my business, knowing the financial side was in expert hands.
Ciara Ashley
Founder
Skyeluxx Inc
I have been extremely happy with my support from NSKT Global. It initially started as basic accounting, but has evolved into a role where NSKT Global acts as one of my trusted partners from a Business Consulting standpoint. They have been instrumental in positioning my company for growth and have provided me with the insights into my business necessary to aid me in making the best strategy decisions.
Bernie Bartick
CFO & Treasurer
PPEC of Palm Beach , Florida
I am Kingsuk Mukherjee, an Indian expat working in the US for the last 15 years. NSKT Global, led by Mr. Nikhil Mahajan, has been instrumental in managing my taxation liabilities in both India and the US seamlessly. Their knowledge, professionalism, and prompt guidance make complex taxation matters simple and hassle-free. With back offices in both countries, they are uniquely positioned to handle cross-border taxation efficiently. I am highly satisfied with their services and strongly recommend them.
Kingsuk Mukherjee
Associate Director, IT
Mr Nikhil Mahajan and his firm NSKT Global helps me in managing taxation liabilities in both countries efficiently and seamlessly for my Indian and US investment portfolios. They are knowledgeable, meticulous, thorough and very prompt in addressing the real need of the taxation in each use case and provide their crisp analysis and professional guidance. I am very much satisfied with their service and impressed the way they provide collaborative partnership in handling my needs...
Kingsuk Mukherjee
Nikhil is diligent, proactive, and consistently ahead of deadlines—qualities that make a real difference when dealing with complex financial matters. His strong understanding of IRS laws and regulations gives me complete confidence in every filing and strategy we discuss. What sets him apart is his technical skill and adaptability. Whether it's navigating new tax rules, managing documentation, or working with modern tools and platforms, he makes the entire process seamless...
Vikram Singh
Nikhil is prompt and professional. I'm a recent graduate on Optional Practical Training (OPT). Nikhil and his team helped me figure out my taxes. They were very thorough in their research and I'm delighted with their service. I recommend him and will definitely continue to use his services.
Harshith Kothapalli
MSM'24 Graduate
University of Notre Dame
Nikhil is of the upmost respect when dealing with corporate and personal auditing. He responds quickly and efficiently, and performs quality service. I would recommend him for anything and greatly appreciate his due diligence and compassion towards everything he can assist with....
Heather Bywaters
Director of Business Development
Decca Energy- Midstream US
I highly recommend Nikhil for Federal Tax Reporting. Nikhil is honest, fair, professional, thorough and extremely knowledgeable in Federal taxes. We will definitely continue to use him.
Anita Schayot
Federal Tax Reporting Specialist
I have been working with Nikhil for ~a year now, and he has been immensely helpful. I came to him after another CPA firm made multiple errors in my tax submissions. After sorting that out he has further helped me to transition from a W-2 to a K-1, and helped me to discover additional areas of savings that I didn't realize I should have been receiving. He's also always prompt and professional.
Jolene Schaefer
Partner, Modern Executive Solutions
I own a health care start-up business and have worked with Nikhil over the past year. Our relationship started with basic accounting and has evolved to tax strategy, accrual accounting, and budget management. Beyond the accounting, we are working with Nikhil to develop comprehensive SOPs for each of my corporation's functional areas while uncovering new efficiencies..
Bernie Bartick
Co-founder and CFO, PPEC Palm Beach Florida
Nikhil is extremely hard working, committed and passionate about his work. He has definitely added a lot of value in my company in terms of SOPs, audits, and BI. I wish him all the best in all his endeavors.
Rachit Chawla
Founder & CEO, Multyfi
Nikhil is thorough in his work. Whatever work is given to him, he has always given a quality output. His skills in internal audit, taxation, etc. are commendable.
Sumit Dhingra
CA- Ex EY, Hughes
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Frequently Asked Questions
Yes. We categorize revenue by payer type and service line, helping you understand profitability differences between insurance, self-pay, membership, or concierge models and adjust strategy accordingly.
We monitor collections metrics, identify denial patterns, and provide reporting that supports stronger revenue cycle management, improved follow-up procedures, and more predictable cash flow planning for your practice.
Yes. We structure your accounting so revenue and costs are attributed to individual providers or departments—enabling detailed performance analysis and more informed compensation and resourcing decisions.
Yes. We align with your current billing and EHR systems, mapping their financial outputs into your accounting platform to ensure consistent, reliable reporting without adding complexity or duplicate data entry.
Most practices receive comprehensive monthly financial packages, with optional interim reporting focused on cash, collections, and key KPIs during growth periods or operational changes.
Absolutely. We produce lender-ready financial statements and projections supporting financing for equipment, renovations, or new locations—backed by realistic assumptions and clear explanations for banks and stakeholders.