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Healthcare Bookkeeping Services That Understand Your Practice

Healthcare bookkeeping services from a dedicated team that knows your practice, monthly calls to review your numbers, and unlimited support.

What Healthcare-Specialized
Bookkeeping Looks Like

Let our healthcare-specialized bookkeepers manage your books with 100% accuracy.

Your Dedicated Healthcare Bookkeeper

Unlike general bookkeepers who juggle multiple industries, you get a dedicated team providing bookkeeping for healthcare professionals.

Monthly Close
+ Monthly Review Calls

Each month, Flychain closes your books and reviews them with you, ensuring you always have full clarity on your financials.

Revenue by Payer

Break down revenue by payer to spot trends over time. Identify dips in claim payments early—before they turn into cash flow issues.

Multi-location Comparison

Get apples-to-apples comparisons across all your locations with a standardized Chart of Accounts. Identify which locations are profitable, where overhead is creeping up, and which teams need support.

The Real Impact of Flychain

10%

Increase in revenue over six months

20hrs

Saved per 
month/location

$25k

Average dollars saved per year/location

Trusted by Healthcare Practices Across the US

Now we have clarity

We used to struggle with our finances. Now we have clarity. We use every part of Flychain - from bookkeeping and capital access to treasury and savings. They’ve also connected us with great ABA partners and have been hands-on partners in our success.

Tammy Jackson
Owner at Fun 2B Free Therapy

Best financial shape ever

Flychain’s bookkeepers and financial experts keep our fiancials tax-ready - and then go futher. They’ve helped me invest, get a valuation, access legal support, and clean up past messes, even resolving IRS issues. My ABA company is in its best financial shape ever.

Charles Marriott
Founder & Owner at Autism Care West

Exceptional experience

We switched to Flychain last winter and so far it has been an exceptional experience. We are a small ABA company that had used Quickbooks since 2018. Quickbooks was fine for accounting purposes but did little for us when it came to analytics. The best part about Flychain though has been their customer services and their willingness to develop the tools that will better help us to be successful within our organization.

Daniel Kurty
Founder at Wild Sun Behavioral Services

INCREDIBLE service

We’ve been with Flychain since the latter part of 2024, and can report that the team at Flychain is INCREDIBLE. I was reluctant to switch from more traditional services such as QBO and a 3rd party bookkeeper, but our organization clearly made the right choice in moving to Flychain. Their accounting platform and bookkeeping service are second to none.

Thomas Chibucos
Co-Founder at Pediatric Therapy Network

Responsive team

What sets Flychain apart is their responsiveness. Every time I’ve requested a new feature – budgeting, benchmarking, banking – they’ve not only listened but delivered. The team is proactive and passionate about solving real customer needs.

Drew Avery
Owner at Strive Home Care

Truly understands healthcare

In an industry as complex and highly regulated as healthcare, it’s rare to find a partner like Flychain that truly understands the operational, compliance, and financial challenges we face every day. Their team demonstrates not only technical expertise, but a deep awareness of how data impacts reimbursement, patient care, and long-term sustainability. What sets Flychain apart is their responsiveness and willingness to jump in whenever we need support.

Sam Barker
Owner at Interim Healthcare of Topeka

Why Medical Practices Choose Flychain

Healthcare Specialization

Payer mix. Reimbursement cycles. Insurance cash flow. We built Flychain for healthcare — every tool we offer reflects how your practice actually works.

Actionable Insights from Day One

Need capital? We can fund you. Overpaid on taxes? We'll fix it. Can't make sense of your financials? We'll turn them into decisions you can act on, starting day one

Unlimited Expert Support

A dedicated team you can email anytime. Monthly review calls. No hidden fees, no ticket queues — just real people who know your practice.

Ready to Stop Worrying 
About Your Books?

Get healthcare bookkeeping services that are accurate, proactive, and specific to your practice. Monthly review calls included. Unlimited support when you need it.

FAQ

Questions?We’ve got answers.

Everything you need to know about Flychain before getting started. Can’t find what you’re looking for?

Can Flychain clean up years of messy practice accounting and then keep it accurate going forward? 

Flychain handles both. Many practices arrive with months of unreconciled transactions, miscategorized expenses, or books that were never started. Flychain's team scopes the catch-up work, completes it, and establishes a clean baseline - then maintains accurate books on an ongoing basis with a guaranteed monthly close. You end up with financials you can actually rely on for taxes, loans, and business decisions.

Does Flychain only work with healthcare providers instead of general small businesses? 

Yes, and the difference matters. Flychain is exclusively focused on healthcare practices, which means the bookkeeping team already understands payer-specific revenue categorization, insurance reimbursement timing, provider compensation structures, and how to separate clinical from administrative costs for gross profit analysis. A general-purpose bookkeeper often doesn't recognize these distinctions. The misclassification can cost you at tax time and when applying for financing.

How can I tell if my current accountant really understands healthcare-specific issues?

A few questions worth asking your current accountant: Do you separate clinical salaries from admin overhead to track gross profit? Do you break down revenue by payer and track monthly trends? Do you benchmark expense ratios against other practices in the same specialty? If those questions get blank stares or generic answers, it's a sign they're applying general small-business accounting to a healthcare context. Flychain offers a free diagnostic to walk through your current books and identify any gaps.

What is the best bookkeeping service for healthcare practices?

The best healthcare bookkeeping service is one built for healthcare from the ground up - not a generic bookkeeping tool adapted to fit. That means understanding payer-specific revenue categorization, insurance reimbursement timing, provider compensation structures, and how to separate clinical from administrative costs. Flychain was purpose-built for exactly this, serving hundreds of practices across ABA therapy, home health, infusion therapy, behavioral health, and more — with flexible pricing that scales with the size of your practice.

Everything Your Practice Needs, All in One Place

Bookkeeping, CFO intelligence, taxes, and capital — built for healthcare, built to grow your practice.

Healthcare Bookkeeping

Healthcare bookkeeping services from a dedicated team that knows your practice, monthly calls to review your numbers, and unlimited support.

CFO Hub

Tools and strategic insights to empower you to make CFO-level decisions, maximize profitability, and confidently grow your practice.

Tax Planning & Preparation

A dedicated CFP® builds a personalized healthcare tax strategy for your practice, then our CPA team files all your returns.

Capital Support

Access multiple forms of capital for your specific needs. Get advice from our capital strategists along the way.