Accounting for Healthcare & HealthTech Startups
We specialize in helping growing HealthTech & Healthcare startups with their financial operations, dealing with MSO/PC models, HIPAA rules, complex bookkeeping, and more.

Trusted by Hundreds of HealthTech Startups:

Why Startups Need Specialized HealthTech/Healthcare Accounting Services
Maintaining clean financials for startups in the healthcare space dealing with complex bookkeeping, HIPAA rules, MSO/PC models, multiple payers for services (patient, insurance carrier, government), etc is an uncommon skillset for bookkeeping firms. Let alone understanding CAC, LTV and ARR. That’s where Graphite comes in.
Startups in the healthcare & tech space need a firm that has extensive experience with similar companies. We do everything from bookkeeping to revenue recognition to being your CFO in a board meeting, and help you keep an accurate pulse on CAC, cash flow, ARR, NDR, & more.
Request a ProposalOur Services
Your Healthcare/HealthTech focused Graphite accounting team will be made up of experienced Controllers, Accountants and Bookkeepers who understand your industry and work with you to develop accounting processes that fit your needs. Our accounting services are unmatched in the industry.
Comprehensive Bookkeeping
Always-on bookkeeping so your books are accurate, on an accrual basis, and ready to use for operating & growth.
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MSO/PC Models
Our team has deep expertise in supporting startups with MSO/PC entity structures that require specific & dedicated expertise.
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Revenue Recognition
With our healthcare accounting services, we fully manage your accrual-based accounting & own your revenue recognition.
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CFO & Fundraising
Every Graphite client has access to an experienced SaaS CFO, whether it’s ad hoc or long-term support.
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Tech Stack Implementation
We’ve built and integrated hundreds of scalable Healthcare/HealthTech startup accounting tech stacks.
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Expense Detail Reports
We keep a tight eye on your expenses each month and flag any variances or oddities.
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Financial Modeling & Analysis
We provide some of the most robust financial reporting in our industry, so founder & operators can focus on using data, not mining it.
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Tax Compliance
Fully managed income tax compliance & filing program where we manage all of your corporate income compliance tax deadlines.
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A True HealthTech Focused Startup Accounting Team
Why HealthTech Startups Prefer Us
Scalablity
We support from seed to exit. No more hopping from firm to firm.
A Full Stack
Each startup gets a team (not just a single accountant) that matches their needs.
Track Record
Our experience speaks for itself. 7+ years. 500+ startups.
Reporting
Startups receive robust and accurate financials each month.
Top Talent
Talent that has worked with hundreds of startups, at your fingertips.
Cost
A flexible, fractional & affordable engagement structure.
Other Firms
- Hourly pricing, large random bills
- Six months to get up to speed
- One accountant on many accounts
- Firm only handles bookkeeping
- Use whatever tools you use today
- Fixed monthly pricing, presented up-front
- Dedicated onboarding team for speed
- Dedicated team of accountants and CFO
- A one-stop-shop for accounting, CFO & tax
- Modern tech stacks and software
Answers to your questions
In reality, the second you start developing your product and spending money is when you need to start keeping clean books. There are always inflection points (for example a company raising money and investors needing them to provide clean financials, or a bank requiring GAAP compliant financials in order to provide a loan) where you don’t want to be scrambling to get those things together.
Yes, you need to have some sort of cash flow (investment dollars, working capital or revenue) to pay for a service like ours, but the earlier you do so, the more money you will save in the long run and the cleaner your books will be in order to fundraise and progress your business.
Our pricing structure is really simple and extremely fair…it has to be, as we focus on startups and growing companies. Because we are more of a long-term finance partner (which is what you want) compared to a short term “outsourced” bookkeeping firm, all of our engagements are custom.
Our engagements start at $1,250/mo and grow from there based on a startups goals and needs.
For a quick quote, click here.
Most of our clients come to us from a sub par experience with another firm, so we are used to facilitating and managing transitions. Along with your direct Graphite team, every client is also staffed with an onboarding manager who will be the one to manage the transition so you don’t have to.
Every client we work with is assigned a dedicated team, usually consisting of two to four team members. Of those team members, we will define a main point of contact. We love Slack, so if you use it, we can create a Slack instance and communicate there. We also will create an email alias so you can simply email one email address that will go to your entire Graphite team.
We are speaking with most of our clients on a regular basis. Some daily. Others have weekly or bi-weekly standing meetings. Think of it like this: However you would communicate with an internal finance team, that’s how we will communicate.
Yes! We are a “tech-focused” firm and recommend/setup all different types of tools and softwares to our clients. We have standard tools that we prefer and will recommend, but we can also mold to softwares you are using and prefer as well.
We do, yes! And we can quickly get you pricing. For a quick quote, click here.
Our financial planning & analysis (FP&A) support, aka Tier 2 in our service tiers, is a fully managed and always on FP&A service. On top of bookkeeping, we also handle building you a financial model and a financial health dashboard (demo here), and updating/maintaining that dashboard over time so we can provide you with full financial insights around your business.
We can also offer you a Fractional CFO to help with things like fundraising, M&A, and driving strategic initiatives.
Contact us here to speak with one of our CFOs.
Graphite works (and scales) with startups anywhere from a few founders working on their idea all the way to a growing startup with 100s of employees. We have yet to meet our match in terms of a company too large!
Our sweet spot is well capitalized startups who have found product market fit.
For most startups, you don’t need 40 hrs/wk of work from an internal finance hire or team, especially when you first hire them. Fractional work, like Graphite, provides a much more efficient approach, as you are only paying for the exact effort you need at that moment in time. You also don’t pay us for benefits, downtime or vacations, so our cost tends to be much more efficient than hiring an internal team member.
Our hubs are in New York and Florida, but our team is fully remote across the US working in all time zones.
Yes, we do handle sales tax! And we can quickly get you pricing. For a quick quote, click here.
Most companies work with Graphite for long periods of time, as our service is extremely scalable and cost-efficient. There are “bandaid” accounting services that are more so quick fixes for short periods of time, and then there is Graphite…one of the few long term partners. Most of our clients work with us for years and years, and we take many through their exits, M&As, etc.
We have an internal security team and take data security very seriously.
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Paul BiancoFounder, CEO
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Jocelyn WilsonCOO
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Chris MossaCSO
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Josh LeiderHead of Growth
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Lirjon FisnikuGrowth Manager
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Taylor PattersonGrowth Associate
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Sarah LeonardGrowth Marketer
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Michael SmithHead of Tax
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Ariel VigodnerTax, Senior Manager
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Ariton GuzeTax, Manager
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Raghav NavanathTax, Manager
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David RapoportHead of Finance