RUN YOUR PRACTICE. WE'LL RUN THE NUMBERS
ONCE Solutions provides clean books, audit-ready records, proactive tax strategy, and CFO-level insight, all year long. We are a boutique CPA firm for physicians, dentists, therapists, healthcare business owners and home and community based service providers.
STRATEGIC SUPPORT
CLEAR VALUE-BASED BILLING
EXPERT CPA SOLUTIONS
Niche Specialization
Built for healthcare. Extended to those who care.
(1)
Healthcare & Medical Practices
We work with practice owners who want a financial partner who already speaks their language.
Dental Practices — Solo and group practices, DSO transitions, associate buy-ins.
Physician Groups — Partnership structures, provider compensation, multi-owner distributions.
Specialty Practices — Dermatology, ophthalmology, orthopedics, med spas, and surgical practices.
Practice Acquisitions — Buy-side analysis, deal structuring, and post-close setup.
(2)
Home & Community Based Services
A field where the accounting is genuinely hard — and most CPAs don't touch it.
Home Care Agencies — Payroll-heavy operations, caregiver cost tracking, margin visibility.
Medicaid Waiver Providers — Cost reporting support, rate analysis, program-level P&Ls.
Behavioral Health & IDD Care Providers — Multi-program tracking, reimbursement timing, grant and contract accounting.
Practice Acquisitions — Buy-side analysis, deal structuring, and post-close setup.
(3) ALSO SERVING — Nonprofits & Service Businesses
The same discipline: clean books, CFO-level insight, and proactive tax positioning.
Nonprofit Organizations — Fund accounting, grant and restricted-fund tracking, Form 990 preparation, and board-ready financial reporting.
Other Professional Service Firms - Reach out to see if we can support your goals.
Services
Four ways we keep your finances ahead of you.
Bookkeeping & Accounting
Clean, current books you can actually make decisions from. Monthly close, reconciled accounts, and financials that tell you what's happening while you can still do something about it.
Tax Planning & Strategy
Most practices overpay because nobody looked at the numbers until April. We plan year-round — entity structure, compensation, timing, and elections — so your tax bill is a decision, not a surprise.
Tax Preparation & Compliance
Federal, state, and local filings handled accurately and on time. Entity returns, owner returns, and the coordination between them. Done once, done right.
Fractional CFO & Advisory
The financial partner most practices can't justify hiring full-time. Cash flow forecasting, profitability by provider or program, acquisition analysis, and a plan you revisit every quarter.
A differerent kind of accounting relationship
CPA-Led
Your work is directed by a licensed CPA.
Proactive, Not Reactive
We plan year-round. A tax return should confirm what you already decided, not reveal what you missed.
Remote-First, Genuinely Responsive
Based in Los Angeles, working with clients wherever they are. You get answers in days, not weeks.
Transparent Pricing
Package-based and agreed in advance. No surprise invoices for asking a question.
Client Success
Stories from the Field
01
"ONCE Solutions got us audit-ready for our Regional Center audit, analyzed staff utilization to maximize revenue across our different revenue streams, and put a monthly close and billing cadence in place across our insurance payers. Their guidance lets me stay focused on clinical excellence and our families while we confidently scale."
Suely Johns, CEO - Compass Center, Inc.
Compass Center is co-founded by ONCE Solutions' own Quentin Johns.
02
"They cleaned up our books, amended our return, and helped us recover over $25,000 in refunds, catching errors our previous bookkeeper missed."
Herb Courtney, CEO - RSC
03
"ONCE Solutions has been instrumental in keeping my books clean, organized, and accurate. They are efficient, knowledgeable, and responsive.”
Harold Yamdjeu, CEO - BMK Hospitality
Packages
Choose the level of partnership you need.
Every engagement starts with a conversation about fit, not a contract.
Concierge CFO
For multi-provider practices, acquisitions, and complex structures.
- Everything in Growth Partner
- Quarterly tax planning and projections
- Monthly CFO advisory sessions
- Profitability analysis by provider or program
- Acquisition and buy-in modeling
- Multi-entity coordination
- Direct access when you need it
Starting at $5,500