Medical practices & clinics
Books and taxes for mobile phlebotomy services.
Per-draw fees from labs and facilities, mileage that adds up fast, contract phlebotomists paid by the stop, and specimen transport supplies. 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
June came in at $14,600. Route density improved with a new nursing facility contract, so mileage cost per draw actually dropped even though total miles went up.
- Quest Diagnostics draw feesLab draw fee revenue
- Sunrise Nursing Home contractFacility contract revenue
- Contract phlebotomist payoutContractor pay
- Specimen transport suppliesSpecimen handling supplies
- Fuel, route vehiclesVehicle and mileage costs
Why your books are different
A mobile phlebotomy service's books go wrong around the road, not the draw.
You're not paid by the patient, you're paid a per-draw fee by a lab or a facility contract, and the real cost that swings your margin is mileage, not supplies. A generalist treats this like a typical clinic and completely misses where the money actually goes.
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1
Mileage is the cost that actually moves your margin
Every draw means driving to a home or a facility, and mileage adds up fast across a full day of stops, yet it's easy to undertrack or lump into a vague fuel category instead of treating it as the real cost driver it is.
What we doTracks mileage and vehicle costs as their own category, so the real cost per draw is visible and the deduction doesn't get missed at tax time. -
2
Per-draw fees and facility contracts pay on different schedules
A lab such as Quest or LabCorp typically pays a flat fee per draw, often in a batch, while a nursing facility or hospice contract might pay monthly on its own invoice cycle, and blended together you cannot tell which relationship is actually worth expanding.
What we doKeeps lab draw fee revenue and facility contract revenue in separate lines, so you can see which relationships are actually paying the bills. -
3
Contract phlebotomists get paid without clear labor cost tracking
Many mobile phlebotomy services run largely on 1099 contractors paid per stop or per route, and if that pay isn't tracked against the routes it covers, you can't tell whether your per-draw fee actually covers what it costs to get someone there.
What we doKeeps contractor pay visible against draw and route volume, so the true cost of covering a territory is a real number. -
4
Route density hides in a flat mileage total
Five draws on one efficient route cost far less per draw than five draws scattered across a wide area, but a single mileage total for the month doesn't show that difference.
What we doTracks mileage against draw volume over time, so route efficiency shows up as a pattern instead of disappearing into one flat number.
Your categories
The categories Gus keeps for a mobile phlebotomy service.
Set up once for how labs, facilities, and routes all get paid. You never pick a category. He does, and an accountant checks it.
Money in
- Lab draw fee revenuePer-draw fees paid by labs such as Quest or LabCorp.
- Facility contract revenueMonthly or invoiced fees from nursing homes, hospice, or home health agencies.
- Direct patient draw feesAny draws paid directly by a patient rather than through a lab or facility.
- Rush and after-hours draw feesPremium fees for urgent or after-hours draws outside the normal route.
Money out
- Vehicle and mileage costsFuel, maintenance, and mileage for routes across every technician.
- Contractor pay1099 phlebotomists paid per stop or per route.
- Employee wagesAny phlebotomists on payroll, kept apart from contractor pay.
- Specimen handling suppliesCoolers, ice packs, tubes, and transport containers.
- Draw suppliesNeedles, tourniquets, gloves, and collection materials.
- Liability insuranceCoverage for technicians working in homes and facilities.
- Scheduling softwareRoute planning and appointment scheduling tools.
What we watch for you
- Cost per draw
Mileage and contractor pay combined, divided by draws completed, tracked over time.
- Facility versus lab revenue mix
How much comes from facility contracts versus per-draw lab fees.
- Route density
Draws completed per mile driven, since a tighter route costs less per stop.
- The set-aside
What you will owe, tracked every month, so April is a number you already knew.
Ask Gus
Things mobile phlebotomy 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.
It usually is for this business. I keep vehicle and mileage costs in their own category, so you can see the real cost per draw instead of it getting buried in general expenses.
I keep facility contract revenue apart from lab draw fees, so you can compare the two directly instead of guessing from the total.
If they set their own schedule and aren't on payroll, yes, once you pay them $2,000 or more this year, by January 31. I keep that list as the year goes.
The tax side
The tax side of a mobile phlebotomy service.
Most of what matters here is mileage tracking and worker classification for contract phlebotomists.
What your return has to get right
Your accountant signs it, so it gets done right the first time.
- Business mileage deductionBusiness mileage can be deducted at 72.5 cents a mile for the first half of 2026 and 76 cents a mile from July through December, or you can track actual vehicle costs instead, whichever your accountant finds works out better.
- Employee or contractor for phlebotomistsA phlebotomist who sets their own schedule and works multiple services is often a contractor, while one who works a set schedule under your direction usually looks like an employee, regardless of how they're paid.
- 1099-NEC for contract phlebotomistsAnyone not on payroll who is paid $2,000 or more in 2026 gets a 1099-NEC by January 31.
- Vehicle purchasesA vehicle used mainly for the business can sometimes be written off faster than standard depreciation allows, with 100 percent bonus depreciation available for qualifying property acquired after January 19, 2025.
Deductions mobile phlebotomy services miss
Your bookkeeper knows what to look for in your statements. You never have to.
- Vehicle mileage or actual costs
- Draw supplies and specimen containers
- Liability insurance
- Route scheduling software
- Cell phone for dispatch and scheduling
- Uniforms and identification badges
- Vehicle maintenance and repairs
- Cooler and transport equipment
- Licensing and certification renewal
- Biohazard disposal
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 mobile phlebotomy year, kept every month.
Facility contracts and lab draw volume each move 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, any contractor's 1099 is ready, and you get a monthly set-aside so April is already handled.
- 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 route density or new facility contracts changed the cost per draw.
- October
Before year end
Gus looks at any vehicle purchases worth making and anything worth doing before December.
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 mobile phlebotomy services. 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 mobile phlebotomy owners ask first.
Do you bill labs or facilities on our behalf?
No. Gus does not handle billing, claims, or contract invoicing of any kind. He works from what actually lands in your bank account from labs and facility contracts.
How do you track mileage across several technicians and routes?
Gus keeps vehicle and mileage costs in their own category and tracks them against draw volume, so cost per draw is a real number you can watch over time.
We use mostly 1099 phlebotomists. Does that change how the books work?
Gus keeps contractor pay visible against route and draw volume either way, and flags 1099 thresholds so the paperwork is ready when January comes.
Is it worth comparing our facility contracts against straight lab draw fees?
Many owners find it useful. Gus keeps the two in separate lines so you can see which relationships are actually paying the bills.
Our books are behind from focusing on routes instead of paperwork. Is that fixable?
Yes. Send the bank statements you have. Gus sorts them, the accountant checks them, and most owners know where they stand inside a week.
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