Billed against collected
What you billed, what was adjusted off, and what actually arrived are three numbers. Treating them as one gives you a profit figure that is not real.
In Matt's words
What this is
You shouldn't have to guess whether your chiropractic practice is actually profitable. We provide bookkeeping and financial reporting designed to help chiropractors understand cash flow, expenses, payroll, profitability, and the numbers driving their practice.
With accurate books and easy-to-understand financial reports, you'll know what's working, where money is being lost, and where opportunities exist to grow.
Spend less time worrying about your books and more time growing your practice.
What that means month to month
The numbers a chiropractic practice actually runs on
Same monthly work as any practice, pointed at the things that decide whether a busy month was a good one.
Care plans and prepayments
Money taken up front for care not yet delivered is not this month's revenue. Recorded properly it stops a strong month flattering you and a normal one looking like a fall.
Associates and contractors
Classification, payroll and the cost of an associate against what they actually bring in. Worth knowing before the second one.
Equipment decisions
A new table or a decompression unit is a five figure call with a tax consequence. Know what it does to your numbers before you sign.
Space and staff
Rent and payroll are usually the two biggest lines. Tracked against production so you can see when the practice has outgrown the room.
Reports you will read
Plain statements with this month against last, and against the same month last year. No accounting shorthand to decode.
Where it goes next
The part that changes decisions
Accurate books are the floor, not the point. What most practice owners actually want is somebody who will look at the numbers with them once a month and say what they mean.
That is fractional CFO work, and it is built on the bookkeeping underneath, so nothing has to be explained from scratch before the useful part starts.
See all servicesWorking with Matt at Prime Numbers Bookkeeping is easily one of the best decisions I've made for my business. What started as an affordable, one-time cleanup a year ago turned into hiring them full-time. The peace of mind knowing my books are handled every month - without year-end stress - is priceless. Highly recommended!
Matt Fasl has been a huge asset to us at Dynamo Dusty’s Tree Service . He’s one of those rare financial pros who actually takes the time to understand your business and build something around your goals — not just a one-size-fits-all system. He’s incredibly customer-focused, goes above and beyond, and works seamlessly with our other business advisors to make sure everything flows smoothly behind the scenes. Can’t recommend him enough if you want someone who’s sharp, responsive, and genuinely invested in helping your business succeed.
Matthew is truly top notch, and puts his customers finances at the top of his priorities and is always provides timely advice and warnings as tax season comes up. Goes above and beyond to make sure you know everything necessary about your finances to succeed.
Matt is great. He helped our business get everything up to date, which we desperately needed. Very happy with his service!
Common questions
From chiropractors
Do you understand chiropractic billing?
Yes, and specifically the gap between what gets billed and what gets paid. Insurance adjustments, cash plans and prepaid care packages all behave differently in the books, and a bookkeeper who has not seen them before will learn on your file at your expense.
I take mostly cash patients. Does that make it simpler?
Simpler in one way and not in another. You lose the insurance aging problem, which is genuinely easier. You gain prepaid care plans, where money arrives long before the care is delivered, and recording that correctly is what stops your monthly numbers swinging for no real reason.
Can you tell us whether an associate is worth it?
That is exactly the kind of question the monthly conversation is for. It needs their production, their full cost including payroll taxes, and what they do to your capacity and your room. Once the books are clean the answer is usually clear.
My books are behind. Should I wait until they are caught up to call?
No. Being behind is the normal starting point and catching up is part of the work. Cleanup gets quoted separately so you can see what it costs on its own.
Get started
Tell us about your practice
Twenty minutes on what you run and how the books are kept now. Then a look at the file before any number gets quoted.
A twenty minute call, not a pitch.
Or call (737) 320-4970, text the same number, or email matthew.fasl@primenumbersbookkeeping.com.