For Chiropractors & Medical Practices
Virtual CFO guidance and proactive tax strategy for owner-operated practices doing $500K–$5M — so you can see where cash is going, which services are working, and what the next decision will cost.
30 minutes with Bruce Hacking, CPA. No prep. No obligation.
Where practice finances get blurry
The practice-management system shows visits and charges. The bank shows cash. The tax return shows history. You still need one financial view that explains how they connect.
Charges, contractual adjustments, patient payments, payer deposits, and timing differences can make a busy month look healthier than it is. We reconcile the financial result so your forecast starts with reality.
An associate, another treatment room, new equipment, or a second location can all be smart moves. We model payroll, financing, ramp time, and cash cushion before you commit.
Adjustments, rehab, wellness plans, diagnostics, products, and ancillary services have different margins and cash cycles. A practice-level total can hide which work funds the operation.
When every dollar sits in one account, distributions and quarterly taxes become guesswork. We separate what belongs to the owner, the tax plan, and the next operating cycle.
You should know what the practice earns, what it keeps, and what it can afford next.
Not after year-end. Not after the cash is gone. In a monthly operating cadence you can actually use.
The management view
Your books should answer the questions in front of you, not just survive tax season.
A forecast connected to real bank activity, expected collections, payroll, debt, owner distributions, and tax reserves.
A rebuilt income statement that can show margin by service line, provider, or location where the available data supports it.
We pressure-test the decisions that change the practice: hiring, equipment, hours, locations, financing, and owner compensation.
How the work happens
The core Hacking CPA model: a deliberate 90-day repair and rebuild, followed by a monthly cadence with the CPA doing the thinking with you.
We examine the reports, accounts, integrations, and habits feeding your financials. The goal is to find where clinical activity and accounting reality stop matching.
We map the reporting structure to the real decisions ahead: provider capacity, equipment, owner pay, service mix, or expansion.
The financial system is rebuilt around operational reality, with clean categories, reconciled flows, a usable close, and a forward cash model.
You see the practice through cash, profitability, and decision scenarios. We refine the model until it is both accurate and understandable.
Each month, Bruce reviews what changed, updates the outlook, pressure-tests the next choice, and keeps tax strategy connected to the operation.
A deliberate fit
This works best when the practice is established, the next decisions are meaningful, and the owner wants to understand the business rather than hand off every financial question.
Common questions
No. Billing and coding require specialized operational and compliance expertise. Hacking CPA focuses on the accounting result: reconciled deposits, cash timing, profitability, tax strategy, and decisions. We can coordinate financial workflows without presenting ourselves as your coding or clinical-compliance advisor.
Usually, yes. During discovery, we review what financial data your current systems produce, how deposits reach the bank, and how that information reaches the books. The exact integration and access plan depends on your software, data quality, and security requirements.
That is often the starting point. The 90-day repair and rebuild is designed to identify what is wrong, clean up the structure, and create a close and reporting cadence you can trust going forward.
Chiropractors are a primary specialty for this page, but the financial model also fits many owner-operated outpatient medical practices with similar concerns: collection timing, provider economics, payroll, equipment, locations, and tax planning.
The initial repair and rebuild is planned around roughly 90 days. The exact pace depends on the state of the books, the systems involved, and how quickly information is available. The goal is not a cosmetic dashboard; it is a durable financial system.
Yes. Hacking CPA works nationwide, with meetings and financial reviews handled remotely.
You describe the practice, the numbers you do and do not trust, and the decision that is in front of you. Bruce will tell you directly whether the repair-and-rebuild model fits and what the next step would look like.
A working conversation
In 30 minutes, Bruce will help you name the gap, test whether Hacking CPA is the right fit, and outline what a repair and rebuild would require.
Free. No obligation. If it is not a fit, you will hear that directly.