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Medical & Healthcare Accounting Services

We’re your financial partner, keeping your practice on track. From bookkeeping to CFO support, we handle the numbers so you can stay focused on patient care.

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BOOKKEEPING SERVICES

Bookkeeping doesn’t have to give you sleepless nights. Not when you leave your accounts with our healthcare accounting experts. We’ll handle the daily grind and monthly journals to keep your books ticking over while you do what you do best: Treat patients.

Here’s what we can do for you:

  • Accounts payable

  • Accounts receivable

  • Payroll administration

CONTROLLER SERVICES

Sometimes the best way to manage your finances is to get an outsider’s perspective. Our controller services provide expert oversight of your financial processes.

Here’s what we can do for you:

  • Reconciliation services

  • Compliance services

  • Accounting process optimization

CFO SERVICES

A CFO is essential for your healthcare practice’s growth, driving profitability and reaching your financial goals. You don’t need one on your payroll—our outsourced CFOs, supported by specialized healthcare accounting expertise, bring the strategic support you need.

Here’s what we can do for you:

  • Financial planning & analysis

  • Customized reporting

  • Key Performance Indicators (KPIS)

Leading the Way in Customized System Integration

Sage Intacct HIPAA-compliant healthcare accounting software that keeps your data secure and your processes smooth. Integrate with confidence, knowing your financial workflows are both efficient and healthcare-compliant.

Sage Intacct Dashboard

Dashboards & KPIs that matter

Sage Intacct Financial Reporting keeps performance management simple, tracking all the metrics that matter. With dimension-based tagging, your finance team can quickly sort, filter, and report on data with just a few clicks.

  • Access data quickly
  • Monitor data daily

  • Role-based sharing of data

Deep visibility in role-based dashboards

Sage Intacct lets staff and management build custom dashboards, bringing all the key info together in one spot. Add charts, graphs, reports, and communication streams for easy collaboration. Finance teams can configure these dashboards with role-based permissions, so everyone sees only what’s relevant to them.

  • Customized dashboards

  • Communication streams

  •  Easily configure dashboards

Sage Intacct Dashboard online

Healthcare Accounting Software Solutions

We deliver customized financial systems that optimize your accounting processes, improving efficiency and scalability. From implementation to ongoing support, we ensure your systems evolve with your business needs.

Accounting Solutions for Every Healthcare Sector

We deliver customized financial systems that optimize your accounting processes, improving efficiency and scalability. From implementation to ongoing support, we ensure your systems evolve with your business needs.

Patient Care Accounting

Managing insurance claims and maintaining accurate financial data can overwhelm patient care providers. We help address these challenges for:

  • General Practitioners

  • Pediatricians

  • Internal Medicine

  • Family Medicine

  • Urgent Care Clinics

  • Women’s Health / OB-GYN

  • Geriatrics

  • Endocrinology

  • Rheumatology

  • Infectious Disease Clinics

  • Allergy & Immunology

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Selective focus of male dentist in process of curing teeth decay

Dental Care Accounting

Dental practices face high costs, complex billing, and compliance challenges that can slow growth. We offer solutions for practices like:

  • General Dentistry

  • Pediatric Dentistry

  • Orthodontics

  • Oral Surgery

  • Periodontics

  • Prosthodontics

  • Cosmetic Dentistry

  • Implant Dentistry

  • Dental Laboratories

  • Endodontics

Long-Term Care Accounting

Long-term care facilities face high staffing costs, regulatory compliance, and billing complexities. We provide financial oversight for:

  • Assisted Living Facilities

  • Skilled Nursing Facilities

  • Senior Living Communities

  • Memory Care Centers

  • Adult Day Care Centers

  • Home Health Agencies

  • Palliative Care

  • Hospice Services

  • Residential Care Homes

  • Rehabilitation Centers

doctor with patient on treadmill
Doctor thinking whilst listening to patient

Behavioral Health Accounting

Behavioral health providers face challenges with retention, grant management, and regulatory compliance. Our solutions support practices like:

  • Substance Abuse Treatment Centers

  • Residential Treatment Centers

  • Counseling and Therapy Centers

  • Inpatient Psychiatric Facilities

  • Outpatient Mental Health Services

  • Group Therapy Programs

  • Adolescent Behavioral Health

  • Eating Disorder Treatment Centers

  • Anxiety & Depression Clinics

  • Cognitive Behavioral Therapy (CBT) Clinics

About Us

At Lescault & Walderman, we specialize in healthcare-focused Accounting, Bookkeeping, and CFO services. With decades of experience, we understand the unique demands of healthcare practices and provide solutions that keep your finances on track, so you can stay focused on patient care.

Why Choose Us

  • Tailored Solutions: We don’t believe in one-size-fits-all. Each service is customized to meet the unique needs of your practice.

  • Specialized Expertise: Our team understands the complexities of healthcare accounting, from regulatory compliance to managing revenue cycles.

  • Trusted Partnership: As your financial partner, we’re here to support your growth, profitability, and long-term success.

Success Stories

See how we’ve helped diverse industries streamline finances, boost efficiency, and achieve their goals.

Process

Follow our simple process to see how we can support your financial goals from the first call to ongoing partnership.

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1. Schedule a No-Obligation Call

Your time is valuable, and we don’t want to waste it. Let’s schedule a discovery meeting so we can discuss your needs and confirm there’s a fit.

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2. Receive Your Accounting Review

We'll review your accounting documents, then provide you with a customized report that includes our findings and our recommendations for moving forward.

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3. Attend Review Meeting

We'll host up to a 2 hour meeting to review our findings and recommendations, answer any further questions and outline how we'll work together.

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4. Review Your Proposal

Working from our review, we’ll provide clear and actionable recommendations for improvement related to your particular processes, software, and systems.

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5. Engage Us For Your Needs

If you approve of our recommendations, you’ll sign an engagement letter and we’ll start work!

Schedule a Call

Let’s connect and discuss how our expertise can support your business needs and goals.

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Frequently Asked Questions

We’re here to take the stress out of your practice’s finances. Our services are all about making things easier for healthcare providers—from handling your daily bookkeeping to offering big-picture CFO guidance. Let us take care of the numbers so you can focus on your patients.

Here’s what we bring to the table:

  • Bookkeeping and Payroll: Keeping your records accurate and payroll running smoothly.
  • Controller Services: Keeping a watchful eye on your financial processes to make sure everything’s running like clockwork.
  • CFO Services: Providing strategic insights and planning to help your practice grow.

With our healthcare know-how, we’re the partner that keeps your finances on track, while you do what you do best—caring for patients.

Running a healthcare practice with multiple locations can get messy fast. That’s where we come in, with smart accounting systems that keep your finances in sync across locations, giving you a clear view of what’s happening in every corner of your practice.

With our approach, you get:

  • Location-based Tracking: See exactly how each location’s doing and where to make improvements.
  • Streamlined Tax Reporting: We make it easier to manage taxes across the board.
  • Better Decision-Making: With clear insights, you can focus on what’s working and tackle what’s not.

Our centralized system keeps your finances organized and helps you get the most out of every location.

Integrating billing and accounting systems might sound technical, but it’s a game-changer. When everything’s connected, your data flows smoothly, cutting down on manual work and keeping errors to a minimum.

Here’s how a unified system benefits your practice:

  • Smooth Accounts Receivable: Keep cash flowing without extra hassles.
  • Fewer Errors: Automation helps keep your numbers right, every time.
  • Instant Financial Oversight: Get a real-time view of where your practice stands.

With this integration, you can focus more on patient care, knowing your financial side is in sync.

Every healthcare practice has different needs, so we customize our approach to fit yours. Whether you’re a solo practitioner or run multiple offices, we build systems that make sense for you, with location-based data tracking and easy-to-use reporting.

Our approach looks like this:

  • Industry-Specific Systems: We build solutions made for healthcare, not cookie-cutter options.
  • Location-Based Tracking: Know exactly how each site is performing with clear data.
  • Easy Access and Reporting: Get reliable data quickly, so you can make informed decisions without the fuss.

With our tailored solutions, you get financial tools that work with you, helping you grow and succeed without the extra complexity.

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