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
Built for Healthcare
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 →How Healthcare businesses typically work with us
"Profit but no cash"
the P&L shows profit but the account is always tight.
separate receivables timing, prepaid package liabilities, and owner draws so the real position is visible.
Provider comp that ties out
percentage splits and bonuses calculated by hand.
document and reconcile provider compensation every cycle.
Worker classification review
clinicians paid as contractors.
review the arrangement against the facts before misclassification becomes expensive.
Representative situations, not specific clients — details are generalized.
Engagement paths
Start with the return
Begin with a clean, correctly filed return — no monthly commitment to start.
Monthly books + tax
Keep the books clean every month, then add tax and advisory on one bill as you grow.
See the plans →Fractional CFO
Forecasts, the numbers that matter, and a finance partner for the big calls.
See CFO advisory →Not sure which? A short call sorts it — we'll tell you the one thing worth doing first.
What you can count on
- The practice's real position — receivables, prepaid memberships, and provider comp tracked so the books reflect what's actually owed and earned, not just what hit the bank.
- Clear scope and pricing — every price quoted before any work begins, never an hourly surprise.
- One firm, the whole picture — books, tax, payroll, and advisory under one roof, so nothing gets re-explained to a new vendor at the worst moment.
Who you work with
Fairlight's founder held senior finance roles in behavioral health, therapy clinics, and fitness businesses — your industry's economics aren't theoretical to us.
The team holds CPA credentials in both the United States and Canada, so your books, your return, and the bigger decisions are handled under one roof — and cross-border situations get both countries in-house.
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.
Do you need access to patient records?
No. We work from your financial systems — bank feeds, payroll, and merchant processing — and reconcile to summary reports from tools like SimplePractice, Jane, or Mindbody. Patient-level records stay where they belong.
Can you report each location separately?
Yes. Each clinic or studio gets its own P&L, rolled into a consolidated view, so you can see which locations actually perform.
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.