Clients We Serve · Private Medical Practices
Bookkeeping built around your practice's cash flow.
You trained in medicine, not in ledgers. This page explains the system that puts the business side of your practice in order: meeting your numbers, seeing what is working and what is not, and helping the practice grow.
Cash Flow First
For a practice, everything comes down to cash flow.
A private practice can be full of patients and still feel tight at the end of the month. Cash-flow-first bookkeeping means the books are kept to answer the questions that actually run the practice, not just to file away receipts.
Meet your numbers
Clean, current books show every month whether the practice is covering its costs and paying you what it should, so you are never guessing where you stand.
See what is working
Each revenue stream and each cost is visible on its own, so you can see which parts of the practice pull their weight and which quietly drain it.
Grow deliberately
With the numbers in order, growth becomes a plan with goalposts rather than a hope, measured against your own history instead of a hunch.
Step one is the same free, no-obligation consultation offered to every client. The system simply carries a practice further from there.
LBS, LLC has managed our books since we opened in 2006… 100% trustworthy.
The Signature Program
The “What Matters Most to You” System
Five steps, in order, from a first conversation to a growth plan. Each one builds on the last, and none is skipped, because a growth plan built on messy books is not a plan.
Initial Consultation
A relaxed introductory call. We talk through how your practice runs day to day, where the financial pressure sits, and what you want the next few years to look like.
Exploratory Review
A careful read of your books and financial history: how the practice actually earns, and where the money actually goes. It ends with a first round of concrete recommendations.
Making the Books Right
The clean-up. Every figure is verified for accuracy, every expense properly classified, and each cost weighed honestly: is this necessary, or just habitual?
A Clear Picture of Your Finances
With clean books in hand, we analyze each revenue stream and how it performs, surfacing hidden costs and showing you exactly where the practice stands.
Growth Track
A forward plan with clear goalposts, benchmarked against your own history and against comparable practices, so progress is measured, not guessed.
Why Larsen Bookkeeping
Steady hands on the business side.
The practice has kept small business books since 2001, with standards set in private banking at Citibank and Chase Manhattan in New York City. Everything runs on QuickBooks Online, fully remote, with your numbers available 24/7 from any device.
- QuickBooks Certified Pro Advisors
- Member, American Institute of Professional Bookkeepers
- Woodard Top 50 Accounting Practices, 2024 & 2025
- Serving medical and dental practices alongside trades and professional services
Get Started
Bring the business side of your practice into focus.
The first step is a relaxed, free consultation about your practice and its numbers. No obligation, no pressure, and you will leave the call knowing more than when you started.
Book a free consultationPrefer the phone? Call 781-924-1489.