Our Services
Your Numbers, Perfected
We offer a suite of services designed to streamline your finances, translating complexity into actionable clarity.
Bookkeeping & Accounting
Automated, precise, and entirely headache-free management of your daily transactions and data flow.
Tax Preparation & Compliance
Federal, state, and local filings handled accurately and on time. Entity returns, owner returns, and the coordination between them. Done right.
Fractional CFO & Advisory
Actionable insights that turn your raw financial data into a roadmap for your next growth chapter.
Tax Planning & Strategy
Deep-dive planning to optimize your liabilities and maximize reinvestment into your creative vision.
Industry Expertise
Specialized for Healthcare
Healthcare & Medical Practices
Credibility in healthcare accounting isn't about volume. It's about knowing where the money leaks. Here's where we look first.
Entity Structure & S-Corp Elections The right structure can change a provider's tax bill materially. We model the election, set reasonable compensation defensibly, and document the position, rather than copying whatever the last accountant did.
Provider Compensation Planning Base, production, and profit distributions each carry different tax treatment. We design the mix around what your practice actually earns and what you actually want to take home.
Practice Acquisitions & Buy-Ins Before you sign, you should know your debt service, your debt service coverage ratio, and your real after-tax take-home. We model the deal, including purchase price allocation and the goodwill amortization shield most buyers never hear about.
Cash Flow & Debt-Service Modeling Practice loans, equipment financing, and buy-in notes all compete for the same dollars. We build the projection so you know what's left monthly, not annually.
And more.
Considering an acquisition? Ask for a free Buyer Cash-Flow & Tax Snapshot.
HCBS Providers
Home and community based services run on thin margins, delayed reimbursement, and payroll that never pauses. Generic bookkeeping doesn't survive contact with it.
Medicaid Cost Reporting Support Cost reports drive your rates. We help you keep the underlying books structured so reporting is a compilation, not an archaeology project.
Service Line Profitability & Margin Analysis Not every program or contract carries the same margin. Some quietly subsidize others. We break down profitability by service line and revenue stream, so you know which programs to grow, which to renegotiate, and which are worth reconsidering.
Reimbursement & Cash-Flow Timing Services delivered today, paid weeks from now, with payroll in between. We forecast the gap so it stays a known variable instead of a monthly emergency.
Payroll-Heavy P&L Management When labor is most of your cost structure, small inefficiencies compound fast. We track cost per hour of service, by program, so you can see where margin actually goes.
Multi-Program Financial Tracking Separate programs, separate funding sources, separate rules. We build a chart of accounts that keeps them clean for management and for audit.
Partner with experts who understand the healthcare landscape. Let’s strengthen your foundation.
The Journey
Our Consultation Process
We know that choosing partners is a big decision. That’s why every engagement with ONCE Solutions starts with a genuine conversation about fit, not a contract. We take the time to understand your practice’s specific hurdles before we ever talk about numbers.
01
Discovery Call
A 30-minute deep dive. We discuss your current pain points, goals, and determine if our expertise aligns with your needs. Free
02
Assessment & Proposal
We review your books and prior returns to find what's leaking and what's fixable. Translate it into a clear scope and a fixed price. You get an honest read on where you stand and know exactly what you're getting before you commit.
03
Onboarding
We take it from here: records, systems, prior filings, and a clean starting point. Structured, not chaotic.
04
Ongoing Partnership
Regular touchpoints, proactive planning, and a service provider who knows your practice before you have to explain it.
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