Monthly bookkeeping and financial reporting for doctors, dentists, and veterinarians who own their practices in Massachusetts, with a team that explains the numbers and stays within reach.
A short conversation about your practice, your books, and whether we’re a good fit. Prefer to call? 781-924-1489
Who you’ll work with
Liliane Larsen leads your first conversation and reviews every month-end. An assigned account manager handles the day-to-day work, and you meet with both of them to go over the numbers. Our whole team is based in the United States.
We work with your CPA at year-end, and whenever they need clarification during the year.
Woodard Top 50 Accounting Services Practice, 2024 and 2025 · #1 Best Bookkeeper, Best of South Shore, 2024
“LBS, LLC has managed our books since we opened in 2006. In the past few years, our growth has exceeded all expectations, and Liliane has been instrumental in organizing our finances as we reach each new level. She is knowledgeable, reliable and most importantly 100% trustworthy”
Dr. Grace StrakeSouth Coastal Animal Health · veterinary practice · Weymouth, MAEvery month
Practice books have their own details: supply and lab costs, equipment purchases and financing, compensation records, and sometimes a second location or a separately owned building. We set the books up for them, then keep them current.
We set up a chart of accounts suited to your type of practice, classify every transaction, and reconcile each bank account, credit card, loan, and line of credit. Payroll from your payroll provider is posted and reviewed.
You receive books you can rely on, ready for your CPA at year‑end.
We prepare a profit and loss, a balance sheet, and a cash analysis, delivered the following month on the same date each month.
You receive a clear view of income, costs, cash, and what the practice owes.
We walk through the reports with you, answer your questions, and raise anything that looks off.
You receive someone who can explain the figures, instead of numbers left for you to interpret alone.
We return calls and messages from clients within one business day, usually the same day.
You receive answers from people who already know your books.
From our practice work
Two recent examples, with client names and amounts left out.
Sales reconciliation
Expansion
Questions the numbers answer
“Where is my money going?” is the question we hear most. A practice can show a profit and still be short on cash, because the profit and loss is only half the story.
What the practice earned, what it spent, and the net income left over.
Cash in the bank, what the practice owes, and money that left outside the profit and loss: equipment and loan payments, owner distributions, supplies, and taxes.
Expected cash over the next few weeks, set against payroll, supplies and lab costs, upcoming bills, and decisions like an equipment purchase.
The longer version, with a calculator for your own numbers: why a profitable month can still leave less cash.
Getting started
Free, and about fit on both sides: your practice, how the books are kept today, and what you’d like to understand. Owners and practice managers are both welcome to reach out.
We may suggest an evaluation first. If the books need cleanup, we scope it separately as the start of monthly bookkeeping.
We set up view-only access to your bank, card, and loan accounts, and access to QuickBooks Online. Expect close contact in the first few weeks.
Reports arrive the following month on an agreed date, then we meet to review them. If questions are still open, that month’s report is preliminary.
What we need from you each month: answers to our questions, sent with reminders; approval of any bill payments; and time for the review meeting.
Fit
Claims and patient payments
Deposits reach the bank
The books, monthly reports, and the review with you, with sales checked against deposits
Books ready at year-end
Tax preparation
Yes, separately. Your billing company handles claims and patient payments. We record what reaches the bank and check that sales and deposits match. If they don’t, we tell you, and with your permission we can contact the billing software provider.
When bill management is part of your scope, we receive and review the bills, categorize them, and show you what’s coming due. You approve each payment, unless you have asked us to approve them for you. Payments go out electronically, and you get a weekly report of what was paid.
Most banks offer view-only access for bookkeepers, which lets us see statements and transactions but not move money. We ask for that on your bank, card, and loan accounts, plus access to QuickBooks Online. Paying bills, when included, runs through its own approval workflow.
No. The work runs on financial records: bank, card, and loan statements, bills, and payroll reports. If something unusual comes up, we ask you about it.
Cleanup is how monthly bookkeeping with us begins when the books need it. We scope and quote it separately, going back as far as necessary, and sometimes only to the last tax return.
Every engagement is scoped to the practice. Initial work such as a cleanup is quoted separately. Monthly bookkeeping is a recurring monthly fee, which holds for a year as long as the scope stays the same.
Our current practice clients are in Massachusetts, and the work is done online. Practices elsewhere are welcome to get in touch.
Consultation
Tell us about your practice, how your bookkeeping works today, and what you’d like help understanding. We’ll contact you to arrange a conversation about whether Larsen is a fit.
Choose a time in our online calendar for a conversation about your practice and whether Larsen is a fit.
You’ll speak with Liliane Larsen, founder of Larsen Bookkeeping.
Pick a time that suits you in our online calendar. It opens in a new tab.
Book a free consultation