Financial Clarity for Practices Built on Care
You went into practice to treat patients, not to chase insurance receivables and untangle provider compensation. Fairlight runs the financial side of healthcare and wellness businesses — so the practice stays healthy too.
✓ Practice-level profitability ✓ Provider comp done right ✓ Fixed monthly fees
Healthcare & Wellness Businesses We Work With
Therapy and behavioral health practices
solo therapists to multi-clinician group practices, where session economics and clinician splits drive everything.
Medical and dental practices
insurance and patient receivables, equipment financing, and the transition questions of associates becoming partners.
Med spas and aesthetics
mixed service-and-retail revenue, package and membership liabilities, and inventory that walks a fine line between supply and product.
Fitness studios and gyms
membership revenue recognition, instructor payroll versus contractor pay, and location-level reporting for multi-site operators.
Home health and care agencies
caregiver payroll at scale, scheduling-driven labor costs, and the margins hiding inside them.
Chiropractic, PT, and allied health
visit-based economics, insurance versus cash-pay mix, and growth into additional locations.
Why Practice Finances Get Messy
- Insurance receivables fog — revenue earned months before it's collected, and books that can't tell you what's actually owed
- Provider compensation complexity — percentage splits, collections-based comp, and bonus structures that are easy to get wrong and hard to unwind
- Membership and package liabilities — prepaid sessions and memberships are obligations, not income, until the service is delivered
- Owner pay confusion — the line between owner compensation, draws, and profit blurs fast, especially in S-Corps where reasonable compensation rules apply
- Location-level blindness — multi-site practices that can't see which location actually performs
- Payroll classification risk — clinicians and instructors classified as contractors when the facts say employee, a problem that compounds quietly
What Fairlight Does for Practices
- Practice bookkeeping on an accrual-aware basis — revenue, receivables, and prepaid liabilities tracked so your books reflect the practice's real position
- Provider compensation accounting — splits, collections-based comp, and bonuses calculated, documented, and reconciled every cycle
- Multi-location reporting — each clinic or studio with its own P&L, rolled into a consolidated view
- Healthcare payroll — clinicians, front desk, instructors, and contractors paid correctly, with classification reviewed against the actual working arrangement
- Tax strategy for practice owners — entity structure, reasonable compensation, equipment depreciation, and planning that starts before year-end
- CFO advisory for growth — new-location modeling, associate buy-in structures, and the financial groundwork for adding providers or selling the practice
The Full Stack, One Firm
Practice Bookkeeping
clean monthly books, closed on a guaranteed date
Learn more →Practice Tax
entity strategy, owner planning, year-round support
Learn more →Practice CFO Advisory
location economics, growth modeling, exit prep
Learn more →Healthcare Payroll
providers, staff, and contractors handled
Learn more →Why Practice Owners Choose Fairlight
We've run healthcare finance from the inside.
Fairlight's founder held senior finance roles in behavioral health, therapy clinics, and fitness businesses — your industry's economics aren't theoretical to us.
A note on what we don't touch:
we work with your financial data, not patient records — your practice management and EHR systems stay where they belong.
Fixed fees, published pricing
predictable costs for businesses that run on tight margins.
Frequently Asked Questions
Do you work with our practice management software?
We work from your financial systems — bank feeds, payroll, and merchant processing — and reconcile to summary reports from systems like SimplePractice, Jane, or Mindbody. We don't need access to patient-level records.
How should I pay my clinicians — W-2 or 1099?
It depends on the actual working arrangement, not preference — control, scheduling, and exclusivity all matter, and misclassification is one of the most expensive mistakes in this industry. We review it case by case.
My books show profit but there's never cash. Why?
Usually some mix of receivables timing, prepaid package liabilities, and owner draws — exactly the things practice books tend to blur. A cleanup and proper structure usually answers it within a month.
What does this cost?
Bookkeeping from $399/month, with bundles that add tax and advisory. Published pricing is on this site; the free consultation matches you to a tier.
Treat the Practice as Well as You Treat Your Patients
Book a free consultation — fifteen minutes, and you'll know exactly what organized practice finances would look like.