We are a tight, deeply-specialized team building the leading accounting MSO for California nurse practitioners and PT, OT, and SLP practices. If you want to do real, defensible, healthcare-specialty work — not generalist tax-return mills — let’s talk.
No promises about “family culture” or ping-pong tables. Here is the real version.
Every client is a CA healthcare practice. You will become a true specialist in NP, PT, OT, or SLP entity structure, payer dynamics, and compliance — not a jack-of-all-trades who knows a little about everything.
A senior CPA partner reviews every client engagement. We have never taken outside equity and we never will — which means we make decisions for our team and clients, not for an investor exit.
You will own client relationships from day one, with the partner’s backing. No grinding through low-margin compliance work that no one wants. Each engagement is a real, multi-year partnership.
All roles are California-based (remote-first, Pleasanton office optional). Healthcare experience is a plus, not required — we will teach you the specialty.
Own a portfolio of 15-25 healthcare practice clients. Lead tax planning, entity structuring, and quarterly reviews. CPA license required. 4+ years public accounting experience preferred; healthcare specialty a plus.
Handle bookkeeping, payroll reconciliation, and month-end close for a portfolio of healthcare practices. Bachelor’s in accounting required. CPA candidates encouraged. We will pay for your exam prep and time off to test.
Lead tax strategy, S-corp planning, and entity restructuring for CA healthcare practice clients. CPA required. 6+ years tax experience including S-corp and professional corporation work.
Run day-to-day bookkeeping for 10-15 healthcare practices in QBO. Reconcile bank, credit card, payroll, and merchant accounts. AR follow-up. 3+ years bookkeeping experience required. Healthcare RCM experience a plus.
We are always interested in talented people who care about healthcare specialty accounting. If your background fits the mission, send us a note and tell us what you’d build here.
We move fast. Most candidates go from first conversation to offer in under 3 weeks.
Email us your resume and a short note on why this role. No cover-letter essay required.
A short video call with the hiring partner. We learn about you; you learn about the role.
A 60-90 minute paid case study or technical conversation tailored to the role.
If both sides are excited, we extend an offer within 1 week of the working session.
If our mission resonates, we want to hear from you. Even if your role isn’t listed above — the right person makes a role.
[email protected]A 30-min call with a senior CPA partner. No pitch, no obligation. You leave with 1–2 specific tax moves your current CPA may have missed.
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