One connected monthly subscription

The financial foundation behind a healthy group practice.

We handle the recurring accounting work, actively review tax-saving opportunities, and explain what it all means—so the practice can support your team, your growth, and the life your family is building.

Business Guidance & Education

Your financials should answer real questions: Can the practice afford another clinician? Is compensation structured sustainably? What can the business provide for its owners and their families? We do not hand you reports and leave you in the dark. We explain the numbers, teach you what matters, and help you use that understanding to lead.

Bookkeeping & Financial Reporting

We set up and maintain your accounting system, reconcile activity, organize supporting records, and deliver dependable reports that show how the whole practice is performing.

Payroll Administration

Hiring clinicians can create an immediate feeling of “I do not know what I do not know.” Working with Gusto, we help establish the payroll system, recurring process, tax filings, and new-hire reporting needed to start on stronger footing—while helping you create a clear payroll experience for your team.

See what payroll support includes →

Proactive Tax Planning

If you are concerned that tax-saving opportunities are being missed, this is the system designed to address it. We proactively review S-Corporation strategy, quarterly estimates, state nexus, and other applicable opportunities across the business and personal tax picture, then create a customized blueprint and help put it into action.

Tax Returns & Compliance

Business and individual income tax returns—including a spouse when applicable—required annual filings, and assistance with IRS or state correspondence are coordinated with the same team that already understands your books, your practice, and how the two connect to your household.

Payroll support for growing practices

Set up well from the first hire—and stay supported as the team grows.

In conjunction with Gusto, we assist with preparing your U.S. payroll on a biweekly basis and with the administrative work required to support federal and state employment-tax compliance.

What Flax helps handle

Payroll setup, filings, and administration

Assistance obtaining federal and state payroll tax IDs
Gusto payroll-system setup
New employee and contractor setup upon hire
Direct-deposit setup for employees
Federal and state payroll-tax calculations based on your deposit schedule
Preparation and filing of quarterly Form 941 federal payroll reports
Preparation and filing of annual Form 940 federal unemployment reports
State unemployment-tax preparation and filing
Online pay-stub access for owners and employees
Year-end preparation and electronic filing of Forms W-2 and W-3
Year-end preparation and electronic filing of applicable Forms 1099
State new-hire reporting for new employees

Beyond the payroll run

Help with the connected decisions

Payroll touches more than paychecks. We help owners understand and coordinate related considerations, including:

State retirement-program mandates
Evaluating retirement-plan options for the business
Connecting workers’ compensation policies with the payroll provider
Education about common, affordable, and controllable health-benefit options for owners
Setting up PTO policies and addressing applicable state sick-leave requirements

Employment, benefit, and leave requirements vary by state and situation. When a question requires legal, insurance, or benefits advice beyond our scope, we will help identify where another qualified professional should be involved.