Medical practices & clinics
Books and taxes for hormone and men's health clinics.
Baseline lab panels, medication shipped monthly, local draw partner fees, and a membership that can cancel any time. Gus sorts all of it, an accountant checks every transaction, and you get one number a month.
- From $197 a month
- An accountant on every transaction
- Cancel whenever
August came in at $17,500. Membership cancellations ticked up, so I flagged the churn against new enrollments instead of letting it blend into the total.
- Membership billing batchMembership fees
- Quest Diagnostics draw feesLab partner costs
- Mail-order pharmacy fulfillmentMedication and shipping costs
- Injectable supply orderInjectable supplies
- New patient consultation feesConsultation revenue
Why your books are different
A men's health clinic's books go wrong around labs, shipping, and churn.
Your patient never has to walk into your office, but the money still moves through a local lab partner, a mail-order pharmacy, and a membership that anyone can cancel. A generalist treats it like a normal office visit and misses where the real cost sits.
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1
Local lab draw fees get buried in general supplies
A baseline hormone panel and quarterly follow-up labs are usually drawn through a local partner lab under a standing agreement, and the fee for that arrangement is easy to lose inside a general supplies category.
What we doKeeps lab partner costs in their own line, tracked against membership revenue, so the real cost of running labs stays visible. -
2
Medication shipping costs hide inside the medication bill
A mail-order pharmacy fulfillment bill often includes both the medication cost and the shipping and handling for getting it to the patient, and blended together you cannot tell which one is driving the total up.
What we doSeparates medication cost from fulfillment and shipping so a shipping rate increase shows up as exactly that, not as a mystery jump in medication expense. -
3
Membership churn hides inside total revenue
A patient can cancel a monthly membership any time, and if cancellations aren't tracked against new enrollments, a real drop in patients can look like a normal slow month.
What we doTracks new enrollment revenue against cancellations, so churn shows up as a pattern instead of hiding inside one blended number. -
4
Injectable supplies get lost in office supplies
Needles, syringes, and alcohol swabs for self-administered injections are a real, recurring cost tied directly to how many patients you're serving, not a generic office expense.
What we doKeeps injectable supply costs in their own line, tracked against patient volume, so it reads as a per-patient cost, not overhead.
Your categories
The categories Gus keeps for a men's health clinic.
Set up once for how consultations, labs, and medication shipments all get paid. You never pick a category. He does, and an accountant checks it.
Money in
- Membership feesRecurring monthly fees covering ongoing care and medication.
- Consultation revenueInitial and follow-up telehealth or in-person consultation fees.
- Medication dispensing feesWhat patients pay directly for medication shipped or dispensed.
- Lab panel feesBaseline and follow-up testing billed apart from membership dues.
Money out
- Lab partner costsFees paid to a local draw partner such as Quest or a regional lab.
- Medication and shipping costsWhat a mail-order pharmacy charges for medication and fulfillment.
- Injectable suppliesNeedles, syringes, and swabs for self-administered injections.
- Clinical and telehealth staff wagesProviders and coordinators, kept apart from front desk pay.
- Telehealth softwareVideo visit and scheduling tools used for remote consultations.
- Marketing for new enrollmentsAdvertising that drives new membership sign-ups.
- Malpractice insuranceAnnual or quarterly premiums for the practicing providers.
What we watch for you
- Membership churn
New enrollments against cancellations, tracked from the billing batch each month.
- Lab cost per patient
What local lab draws cost against how many patients are actively being monitored.
- Medication versus shipping cost
How much of the fulfillment bill is the medication itself versus shipping and handling.
- The set-aside
What you will owe, tracked every month, so April is a number you already knew.
Ask Gus
Things men's health clinic owners ask Gus.
Text him like you would text anybody. He answers in plain English, and when a question is above his pay grade, an accountant looks and gets back to you.
I track new enrollments against cancellations every month, so you can see the real churn number instead of a feeling. This month it was a bit above average.
Mostly shipping this time. I keep the two apart so a rate increase from the carrier doesn't look like your medication got more expensive.
Yes, and I already do. Lab partner fees get their own line so you can see what running labs actually costs against what membership brings in.
The tax side
The tax side of a men's health clinic.
Most of what matters here is separating medication cost from fulfillment and knowing where the pass-through deduction starts to phase out.
What your return has to get right
Your accountant signs it, so it gets done right the first time.
- The pass-through deduction phases outA men's health clinic can lose part or all of the 20 percent pass-through deduction once taxable income passes $201,750 single or $403,500 joint, since medical practices are a specified service trade.
- Medication cost of goods soldWhat you pay for medication dispensed or shipped is generally tracked as the cost of what you sell, separate from shipping, labs, and your other operating expenses.
- Telehealth equipment and softwareEquipment and software used to deliver telehealth visits are generally deductible as ordinary business expenses in the year they are paid.
- Contract or covering providersA provider covering your clinic occasionally who bills you directly is often a contractor and gets a 1099-NEC if you pay them $2,000 or more in 2026, due January 31.
Deductions hormone and men's health clinics miss
Your bookkeeper knows what to look for in your statements. You never have to.
- Medication and fulfillment costs
- Lab partner draw fees
- Injectable supplies
- Telehealth software
- Malpractice premiums
- Marketing for new enrollments
- License and certification renewal
- Practice management software
- Shipping supplies and packaging
- Patient education materials
General information about 2026 federal rules, not advice for your business. Your accountant looks at your actual numbers before anything gets filed.
All year, not just April
A men's health clinic year, kept every month.
Memberships, lab cycles, and medication shipments each run on their own schedule. Your taxes come on a fixed one. Your team keeps you ahead of both. Every month in between, your bookkeeper closes the books and speaks up the moment something looks off.
- January
Plan the year
Last year's return gets started, and you get a monthly set-aside so April is already handled, even with membership churn moving through the year.
- April
Filed. Done.
Your return is filed and signed. No surprise bill, because the set-aside has been running since January.
- July
Halfway check
Where you stand, what you will owe, and whether new enrollments or medication costs changed the number.
- October
Before year end
Gus looks at anything worth doing before December, and checks whether shipping or medication costs shifted during the year.
What you get
What you pay depends on what your business needs, and it does not move after that, busy season or slow. No hourly bills, no surprise invoices, no setup fee.
Book a call- Monthly bookkeeping
Every transaction sorted into categories set up for hormone and men's health clinics. You never categorize a thing.
- An accountant checks every transaction
Real review, every month, before your books close. Not a spot check.
- Your business tax return, filed
Prepared, reviewed, and signed by that same accountant every year.
- The monthly number
What you made, what you spent, what to set aside for taxes.
- Your own bookkeeper
A real person assigned to your business, in the app whenever you need them. No hold music.
- On your books all year
Every month, not just in April. Your team speaks up whenever something is worth your attention.
- Cancel any time
No contract. No cancellation call. Your books are yours.
Straight answers
Questions men's health clinic owners ask first.
Do you handle insurance billing since we're mostly telehealth?
No. Gus does not handle insurance billing, medical coding, or claims of any kind. Most men's health memberships are cash-pay anyway, and Gus works from what actually lands in your bank account.
How do you track medication cost when our pharmacy bill includes shipping too?
Gus separates the medication cost from the shipping and fulfillment charge, so each one is visible on its own and a shipping increase doesn't look like a medication price hike.
Can Gus tell me how many members canceled this month?
Yes. He tracks new enrollments against cancellations from the billing data, so churn is a real number you can see, not a guess.
Our lab partner charges us per draw. Does that need its own category?
Yes, and Gus already keeps it separate so you can see what running labs costs against what membership revenue brings in.
We work with a local phlebotomy company under contract. Does Gus manage that relationship?
No, Gus doesn't manage vendor relationships or contracts. He tracks what you pay them as a cost so it's visible in the books, but the relationship itself is yours to run.
Is a real accountant checking my books?
Yes. You get your own bookkeeper, Gus does the first pass on every transaction, and an accountant checks every one before your month closes. That same accountant prepares, signs, and files your business return. Goatkeeper is not a CPA firm, and we never pretend a person looked when they did not.
What does it cost, and can I cancel?
It starts at $197 a month, depending on what your business needs. No setup fee, no hourly bills, no contract. Cancel any time from the app, and your books go with you.
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What makes a bookkeeper worth paying for Every business we keep books for
Book a call
Pick a time. That's the whole signup.
Fifteen minutes with a real person on our team. They look at where your books are, tell you straight what it takes to get caught up, and get you set up on the spot if it fits.
- $197 a month to start
- An accountant on every transaction
- Cancel whenever