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Healthcare Practices

The accounting + tax practice you’d build if you couldn’t hire one yet.

Healthcare practices generating $500K to $3M deserve better than a generic bookkeeper — and don’t yet need a fractional CFO. RTW.ai is the offering in between: structured bookkeeping, proactive tax prep, and quarterly insight, delivered systematically.

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We work with healthcare practices specifically — dermatology, home care, medical weight loss, speech therapy — so we already know the payer-mix questions, the entity structures, and what your peers ask at year-end.

DermatologyHome careMedical weight lossSpeech therapy

Pricing

Simple, public, month-to-month.

Pick a tier and sign up. Billed monthly in advance, cancel any time with 30 days notice. No contract.

Bookkeeping

Clean books, monthly reports, reconciliations.

$697 per month, billed in advance
  • Monthly bookkeeping — categorization, reconciliations, financial statements
  • Ongoing QuickBooks Online maintenance
  • Monthly close delivered by the 5th
  • Client Center portal access

Best For

Owners who need clean, current books and reliable monthly reporting — without an accountant in their inbox.

Tax prep priced separately · 15% off à la carte tax prep

Start with Bookkeeping
Most common

Bookkeeping Pro

Bookkeeping plus the numbers explained — quarterly.

$1,097 per month, billed in advance
  • Everything in Bookkeeping
  • Monthly KPI dashboard + quarterly performance report delivered to your Client Center
  • Quarterly business advisory review
  • Priority email response

Best For

Growing businesses that want a KPI dashboard and the numbers walked through quarterly, not just emailed.

Tax prep priced separately · 15% off à la carte tax prep

Start with Bookkeeping Pro Questions first? Book 15 minutes →

CFO Advisory

Strategy, forecasting, and planning in one seat.

$2,297 per month, billed in advance
  • Everything in Bookkeeping Pro
  • Monthly strategy session
  • Scenario modeling + rolling forecast
  • Monthly advisory (vs. quarterly)
  • Integrated tax planning

Best For

Operators making real decisions every month who want strategy, forecasting, and planning integrated with their books.

Tax prep priced separately · 15% off à la carte tax prep

Start with CFO Advisory Questions first? Book 15 minutes →

Tax Preparation

Priced separately, on purpose.

Tax prep is an annual deliverable, not a monthly one — bundling it hides the cost of the work. It’s à la carte, and subscribers get a flat 15% member rate.

See full pricing — subscriptions and tax prep

Fit

Who this is for. And who it isn’t.

This is for you if

  • You run a healthcare practice generating $500K–$3M annually
  • You want better than a transactional bookkeeper without a full-service price tag
  • You’re comfortable with templated processes and async delivery
  • You value insight over hand-holding — you don’t need an accountant in your inbox

This isn’t for you if

  • You need real-time CFO advisory or live weekly calls (→ RTW Elite)
  • You’re pre-revenue or under $500K (we’re not the right fit yet)
  • You need custom multi-entity restructuring beyond CFO Advisory
  • You want the cheapest possible bookkeeping (we’re not racing to the bottom)

Get Started

Ready when you are.

Sign up, connect QuickBooks, get to work. We close your books by the 5th of next month — or you don’t pay for the first month.

Start onboarding →

Past $3M and need the high-touch Elite engagement? Visit rtwadvisors.com.