From multi-provider payroll to benefit plan compliance, we handle the financial side of your practice so you can stay focused on patient care.
Accounting and Bookkeeping for Healthcare Practices in Northern Nevada
Why Healthcare Practices Need More Than a General Bookkeeper
Medical and clinical practices carry financial complexity that most small business accounting doesn't account for.
Payroll alone looks different in a healthcare setting. You may be managing multiple providers on different schedules, credentialing timelines that affect compensation, and benefit structures that go well beyond a standard employee package. Billing cycles tied to insurance reimbursements add another layer that general bookkeeping software doesn't handle gracefully on its own.
At Hartmann & Associates, we've worked with healthcare providers — including chiropractors, dentists, and medical practices across the Reno and Sparks area — who came to us frustrated that their previous bookkeeper or accountant simply didn't understand how a practice runs. We don't pretend the financial side of healthcare is simple. We structure our services around the way your practice actually operates.
- Payroll built for multi-provider, multi-schedule practices
- Bookkeeping that accounts for insurance reimbursement cycles and patient billing
- Financial statements prepared with the reporting detail your practice needs
- Year-end coordination that reduces surprises at tax time
- Employee benefit plan audit support for qualifying practices with retirement obligations
Related Industries
Accounting Services We Provide for Healthcare Practices
We offer a full range of accounting and financial services for healthcare practices, all handled in-house by our team in Sparks, NV — never outsourced.
Our bookkeeping and accounting services give you clean, current financials every month, including bank and card reconciliation, accounts payable and receivable management, and financial statement preparation. If your records have fallen behind, our bookkeeping cleanup services can bring your books current before we move into ongoing support.
Payroll for a medical practice is one of the more complex payroll environments we work in, and we've built our payroll services to handle it. Multiple pay rates, provider compensation structures, benefits administration coordination, and compliance with Nevada payroll requirements are all part of what we manage on your behalf.
Serving Healthcare Providers Across the Reno and Sparks Region
Our office is based in Sparks, NV, and we work with healthcare practices throughout Northern Nevada — including providers in Reno, Carson City, Fernley, and Fallon. For practices that prefer to work remotely, our virtual bookkeeping services make geography a non-issue. We've been in business for over 48 years, and all client work stays with our team from start to finish.
If you're a practice owner who has outgrown your current bookkeeper, is approaching the size that triggers a benefit plan audit requirement, or simply wants a firm that understands the financial realities of running a clinical practice, we'd like to talk.
Frequently Asked Questions
Do you work with specific types of healthcare practices, or only general medical offices?
We work with a range of healthcare providers, including chiropractors, dentists, and other clinical practices in the Reno and Sparks area. If your practice has payroll, bookkeeping, or tax needs, we're likely a fit — reach out and we can confirm quickly.How do you handle payroll for a practice with multiple providers on different schedules?
We structure payroll around the way your practice actually runs, including multiple pay rates, varied schedules, and provider-specific compensation arrangements. Our payroll services are set up to manage this complexity without putting the burden back on you to sort it out each cycle.What triggers a required employee benefit plan audit, and can you help with that?
Generally, a 401(k) or other qualified retirement plan requires an independent audit once it reaches 100 or more eligible participants, though the specific threshold can vary. If your practice is approaching that point or has already crossed it, our employee benefit plan audit services can fulfill that requirement. We handle the audit directly — nothing is sent to an outside firm.Can you take over bookkeeping for a practice that has messy or out-of-date records?
Yes. Our bookkeeping cleanup services are specifically designed for situations where records have fallen behind or need to be reconstructed before ongoing bookkeeping can begin. We'll assess where things stand and give you a clear picture of what it takes to get current.Do I need to come into your Sparks office, or can we work together remotely?
Either works. Many of our healthcare clients prefer the convenience of working with us virtually, and our virtual bookkeeping setup is built to support that fully. If you'd rather meet in person, our Sparks office is open for that as well.
