Fertility Clinic Accounting & Bookkeeping
Fairlight CPA handles the books, payroll, and tax for fertility clinics — where treatment sells as cycle packages, refund guarantees create real liabilities, and lab costs decide margin. We account for the cycle economics the way the medicine actually runs.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems fertility clinics actually have
Cycle packages prepay months of treatment
IVF packages collect up front and deliver across retrievals, transfers, and storage. Revenue has to earn down with the treatment plan, not land as one distorted month.
Refund and shared-risk programs are priced liabilities
Multi-cycle guarantee programs promise money back on outcomes — an obligation that must sit on the books, not in fine print.
Lab and embryology costs define margin
Embryology staffing, media, PGT send-outs, and cryostorage are the clinic's real cost engine and need matching to cycles performed.
Storage fees are a long-tail annuity
Years of cryostorage billing across former patients is recurring revenue with its own churn, collections, and communication burden.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how fertility clinics actually make and spend money.
- Cycle-package deferral and earn-down aligned to treatment stages
- Refund-program liability tracking by cohort and outcome
- Lab, medication, and PGT cost matching per cycle
- Storage-fee recurring billing reconciliation
- Monthly close by the 15th; payroll, tax prep, and CFO reporting for capacity decisions
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
Margin per completed cycle
package revenue earned against the cycle's lab and clinical cost
Refund-program exposure
outstanding guarantee liability by cohort
Storage revenue and churn
the annuity lane's size and decay
Revenue cycle & tax notes
Revenue & reconciliation
Package payments, financing payouts, insurance remittances (where coverage exists), and storage autopays each reconcile in their own lane against the cycle and storage registers.
Tax & entity
Large prepayments and refund reserves raise income-timing questions worth deliberate answers; equipment-heavy lab buildouts add depreciation planning on top.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Fertility accounting FAQs
How do you handle our refund-guarantee program?
As a tracked liability by patient cohort: collected, at-risk, and released amounts visible monthly, so the program's true cost is measured rather than felt at refund time.
Can you show cost per retrieval or transfer?
Yes — lab labor, media, and send-out costs matched at the stage level roll up to cost per cycle stage, the number capacity and pricing planning should rest on.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $800/month. Exact fee fixed in writing after a short call.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for fertility clinics.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.