Bookkeeping Services for Chiropractors
Freeing Chiros from time consuming tasks
You're in the right place if...
- Your want to take a couple of items off of your to-do list sot hat you can decompress.
- You want clean numbers without the mental load of keeping everything organized.
- You want a bookkeeper who understands privacy-first workflows (and how PHI can accidentally sneak into bookkeeping systems).
- You have deposits coming from multiple sources (insurance, card payments, HSA/FSA, copays) and it’s hard to tell what’s actually “income.”
- Your books feel “fine,” but you don’t fully trust them, especially when tax time gets close.
- You want proactive guidance—not just data entry.
How it Works
Reliable bookkeeping starts with a solid system, and stays reliable with proactive guidance.
Step 1: Consultation
We start with a short discovery call to learn how your business runs, what’s currently working (and what isn’t), and what you need from your books. If we’re a good match, you’ll get clear next steps. No pressure. No guesswork.
Step 2: Plan
After our call, I’ll put together a clear plan based on your business. It will address what needs to happen first, recommendations for going forward, and exactly what’s included. You’ll receive a proposal with scope, timeline, and pricing so you can make a confident decision.
Step 3: Onboarding
Once you’re ready to start, onboarding is simple and structured. You’ll get access to your client portal, I’ll connect the accounts we need, and we’ll set up a bookkeeping workflow that fits how you operate.
Less bookkeeping stress, more clarity
Simplify Your Bookkeeping
We’ll handle all of your bookkeeping tasks, including receipt management, reconciling bank statements, compiling financial information, and more. With our help, you can focus on your patients, knowing that your finances are being managed correctly.
Maximize Your Deductions
As a chiro, you may be eligible for a wide range of tax deductions. We’ll make sure you’re taking advantage of all the deductions available to you, so you can keep more of your hard-earned money.
Save Your Time
You have enough on your plate already. By outsourcing your bookkeeping to us, you can free up more of your valuable time to focus on your pateints, your practice, and your off-work time.
Get Peace of Mind
Knowing that your financials are in good hands can provide a tremendous sense of relief. You won’t have to worry about whether you’re making mistakes, missing deadlines, or leaving money on the table.
Privacy First Bookkeeping (PHI aware workflow)
QuickBooks isn’t designed to store patient information. Many practice software integrations can accidentally push PHI into bookkeeping. Our workflows are built to keep your books PHI-free and your process privacy-first.
What this looks like:
We avoid direct EMR to QuickBooks syncing when it risks PHI exposure.
We use safe reporting methods to record income without patient identifiers.
We have a client portal and structured document flow, so that sensitive info stays where it belongs.
See what others are saying...
I have no reservations recommending balanced bear bookkeeping to anyone.
Choose your level of Support
Reliable bookkeeping starts with a solid system, and stays reliable with proactive guidance.
Compliance Bookkeeping
For the practice owner who wants clean books, done right, and a stress free solution for year end taxes.
- Transaction categorization
- Monthly Reconciliations
- Basic month-end close
- Yearly reports for tax prep
- Light Support
Essential Bookkeeping
For the practice owner who wants clean books and clearer decisions, with proactive eyes on the numbers.
- Comprehensive Quarterly Reporting
- Trend/insight notes
- Expense Management Strategies
- Standard Metrics and/or KPI Tracking
- Responsive Support
Proactive Bookkeeping
For the practice owner who wants a true partner, ongoing support, special projects, and “just handle it” energy.
- Custom Monthly Reporting
- Location or Class Tracking
- Special projects support
- Regular Financial Meetings
- Priority Response Times
Bookkeeping Services
Monthly Bookkeeping Services
Our strategic services include comprehensive bookkeeping and reconciliations to keep your financial records accurate and up-to-date.
Clean-Up and Catch-Up
We will get your records caught up to date so that everything can be accurately reported for tax purposes.
Quickbooks Pro-Advisor Consulting
As certified QuickBooks Pro-Advisors, we offer comprehensive consulting services to optimize your use of QuickBooks. We provide setup, training, and ongoing support to help you manage your finances effectively.
HIPAA Compliance
For our healthcare and allied health clients, we handle sensitive patient data with utmost confidentiality and integrity, maintaining the highest standards of privacy and security.
HIPAA Evaluations and Clean-Up
Almost all accounting software are not HIPAA compliant. With this service we thoroughly search your existing QuickBooks file for PHI. At the end we will either provide you with a report of our findings or remove any PHI that we find.
Free Up Your Time
The biggest gift we can offer is more time! You can work on what you love to do and truly switch off when you head home.
Effortless Bookkeeping Begins with a Conversation
Frequently Asked Questions
Health Insurance Portability and Accountability Act (HIPAA) compliant books are crucial for protecting your patients and clients sensitive data.
Almost all accounting software are not HIPAA complaint by nature. Protected Health Information (PHI) can sneak into your QuickBooks file without your awareness. The most common culprit is through software integrations with your point of sale system, but it can be a simple as a cashed check image from a patient or client. We have systems and processes in place to keep PHI out of the books, so that your risk of data breaches, penalties, and fines are severely reduced.
We use a secure client portal and various bank-level encrypted software to protect your financial data and ensure data privacy. We discourage the use of email for communication because it is not secure and can be intercepted by people who may mean ill will toward you, your business, or your patients and clients. In the case that email communication is absolutely unavoidable, we use Virtru to encrypt our emails.
YES! Accounting software by default is built to serve a wide variety of businesses and HIPAA compliance is not their priority. Having a bookkeeper that knows HIPAA can serve as a final double check to make sure PHI isn’t slipping into your books undetected.
- We know your industry and have experience with the problems that you may encounter.
- We know the EMRs and other software that you use. As a result, we are able to make the integrations between your business and your books work perfectly.
- We know how businesses of your type and size compare to our other clients.
- And more.
The short answer is no, QuickBooks is not a HIPAA complaint software. But this doesn’t mean that QuickBooks cannot be used to record your financial information for your private practice. By being HIPAA-trained and employing HIPAA compliant practices, we can keep Protected Health Information (PHI) out of your QuickBooks file.
Balanced Bear Bookkeeping is one of the few bookkeeping companies that inherently offers this service to all businesses that need it.
We do not encourage linking your QuickBooks account to Simple Practice. Updates to either software can allow PHI to slip into QuickBooks undetected.
Instead we pull the card transactions report from Simple Practice and import the sales data, making it impossible for PHI to find its way to your QuickBooks.
Using cloud based accounting software with bank level encryption, business owners are more in tune with their financial progress than they ever were before. At the touch of a button business owners can access any of their financial data, wherever and whenever they need it. Virtual Bookkeepers work behind the scenes to keep that data current and are proactively looking for ways to help business owners to achieve their business goals. Bookkeepers work WITH business owners and are much more available for questions than the CPAs and accountants that are only available once a year.
With todays technology, virtual bookkeeping services offer flexibility and convenience that was previously unavailable. Business owners can access their financial records and reports from anywhere with an internet connection, and they can communicate with their virtual bookkeeper through phone, email, or video conferencing. Virtual bookkeeping services are more cost-effective than hiring an in-house bookkeeper, and they eliminate the need for office space and other overhead expenses.
We are able to use QuickBooks Online or Xero for your accounting software needs.
If you currently use a different software, we can help you make the switch.
First we have a conversation, so that we can do a dive into what your business needs are and whether we are a good fit for your needs. We will discuss your current bookkeeping process, software preferences and any compatibility concerns. We usually do this with a zoom meeting.
We will then write a proposal so that we ensure everything that you want is covered and all questions are addressed. We will also include a timeline of when you can expect the steps to be completed. Your proposal will include package and pricing options as well as our satisfaction guarantee.
We are here to help! You can reach out to us through our secure client portal or email and we will respond promptly. We ask that you allow us 1 to 3 business days, but we are usually faster than that.
Ready to Gain Financial Clarity?
"Every organ in your body is connected to the one under your hat."
– B. J. Palmer.
Our mission is reliability: proactive support, clear answers, and guidance you don’t have to chase.
At Balanced Bear Bookkeeping, you get dedicated professional bookkeepers, who are ready to help propel your business forward.
