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Built for practice owners, not for everyone.

MedPraxis does two things for four kinds of practice. That narrowness is the point — it's why we know what your overhead percentage should be before you tell us.

Why we exist

Practice owners are clinicians first. You trained for years in a discipline that had nothing to do with reading a balance sheet, then took on a business with payroll, inventory, financed equipment, deferred revenue, and a payer mix — and the person you hired to keep the books was never asked to explain any of it to you.

So the reports arrive and get filed. The real questions go unanswered. Is this month good? Can I afford the associate? Why is cash tighter than revenue suggests? Should I take the offer?

We think the interpretation is the job, and the bookkeeping is the prerequisite.

That's the whole thesis. Clean books are table stakes; the value is in someone senior sitting down with you every month and telling you what they mean. We're trying to make you literate in your own practice — not to make you dependent on us.

How we work

Four commitments.

Named people, every month

A named accountant owns your close and a named advisor leads your read. The same two people. No shared inbox, no rotating account manager, no ticket number.

We'll tell you when we're wrong for you

If your practice needs a bookkeeper and nothing more, we'll say so on the first call. Selling advisory to someone who doesn't need it is how firms in this category lose their reputation.

Scoped honestly, no contract

You get a written scope and fee after the first call — before you commit to anything. Engagements are month to month with 30 days' notice. If we're not earning it, you shouldn't have to wait out a term.

Depth in four verticals

Dental, veterinary, chiropractic, medspa. We don't take general small-business work, because the value here comes from having seen your exact revenue model many times over.

Book a call

Let's talk about your practice.

Twenty minutes, no obligation. We'll tell you honestly whether we can help — and what cleaner, practice-aware books would change for you.

Book a call