Medical practices & clinics
Books and taxes for regenerative medicine clinics.
Cash-pay treatment packages, PRP and biologic material costs, financing payouts that land short, and a consultation-heavy sales process. 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
May came in at $35,300. Two financed joint treatment packages paid out short of the invoiced price, so I booked the lender's cut as a fee instead of a discount.
- PatientFi payoutFinanced treatment revenue
- Cash-pay treatment package, HarmonTreatment package revenue
- Amniotic tissue product orderBiologic material costs
- PRP processing kitsPRP processing supplies
- Consultation marketing spendMarketing and consultations
Why your books are different
A regenerative medicine clinic's books go wrong around the treatment package.
You're almost entirely cash-pay, selling multi-session packages that cost real money in biologic material before a single session happens, often financed by a lender who takes a cut. A generalist treats this like a typical medical office and misses where the real cost and the real risk sit.
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1
Biologic material costs land before the treatment does
A tissue bank product or a PRP processing kit is often ordered and paid for ahead of the appointment, and the per-treatment cost can be substantial, sometimes a large share of what the patient pays.
What we doKeeps biologic material and processing costs in their own line, tracked against treatment revenue, so the real margin per treatment is visible. -
2
Financed treatment packages pay out short
When a patient finances a $6,000 joint treatment package through a company like PatientFi, the payout is the price minus the lender's fee, and booked as the full sale, both your pricing and your true cost read wrong.
What we doBooks the full package price as revenue and the lender's cut as its own fee, so your real pricing and your real cost both show up honest. -
3
Multi-session packages get spent before they're delivered
A patient who prepays for a series of joint injections hands you the full amount up front, but the sessions happen over weeks or months, and booked as one month's income, it hides what is still owed.
What we doKeeps prepaid package revenue visible as its own line, separate from single sessions, so a package sale doesn't overstate one month. -
4
Consultation marketing costs get lost in general advertising
Much of your new patient pipeline runs through paid consultations and educational seminars, a heavier and more specific marketing spend than a typical medical practice carries.
What we doKeeps consultation and seminar marketing costs in their own line, tracked against how many packages those consultations turn into.
Your categories
The categories Gus keeps for a regenerative medicine clinic.
Set up once for how packages, materials, and financing all get paid. You never pick a category. He does, and an accountant checks it.
Money in
- Treatment package revenueMulti-session cash-pay packages, kept apart from single sessions.
- Financed treatment revenueThe full package price, with the financing company's cut booked as a fee.
- Single-session cash revenueIndividual treatments paid directly at the time of service.
- Consultation feesPaid initial consultations, where charged separately from treatment.
Money out
- Biologic material costsTissue bank products and other regenerative material tied to specific treatments.
- PRP processing suppliesKits and consumables used to process platelet-rich plasma.
- Clinical wagesNurses and clinical support staff, kept apart from provider compensation.
- Financing and card processing feesWhat lenders or a card processor keep before you get paid.
- Marketing and consultationsSeminars, ads, and the consultation process that fills the treatment schedule.
- Malpractice insuranceAnnual or quarterly premiums for the practicing providers.
- Rent and utilitiesTreatment rooms and consultation space.
What we watch for you
- Material cost per treatment
What biologic material and processing supplies cost against what a treatment brings in.
- Financing cost
What lenders keep on financed packages, worth knowing before offering it on every consultation.
- Package revenue owed
How much prepaid package money still represents sessions not yet delivered.
- The set-aside
What you will owe, tracked every month, so April is a number you already knew.
Ask Gus
Things regenerative medicine 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.
Yes. I keep biologic material and processing costs in their own line against treatment revenue, so the real margin per treatment shows up instead of getting lost in general supplies.
The financing company took its fee before paying out. I book the full invoiced price as revenue and the fee as a cost, so your real pricing still shows on the books.
I keep consultation and seminar marketing costs in their own line so you can track that against how many consultations turn into packages. What to do with that number is a business call for you.
The tax side
The tax side of a regenerative medicine clinic.
Most of what matters here is tracking biologic material as its own cost 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 regenerative medicine 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.
- Biologic material and processing costsTissue bank products and PRP processing supplies are generally deductible as ordinary business expenses tied to the treatments they support.
- Treatment package revenue timingA prepaid multi-session package is income when received, but keeping it clearly labeled helps the accountant match it to the right period when the return is prepared.
- Processing equipment purchasesCentrifuges and other processing equipment can usually be written off the year you buy them, with 100 percent bonus depreciation available for property acquired after January 19, 2025.
Deductions regenerative medicine clinics miss
Your bookkeeper knows what to look for in your statements. You never have to.
- Biologic material costs
- PRP processing supplies
- Processing equipment maintenance
- Malpractice premiums
- Consultation and seminar marketing
- Financing and card processing fees
- CME courses and travel
- Practice management software
- Scrubs and clinical apparel
- 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 regenerative medicine clinic year, kept every month.
Consultations, treatment packages, and material costs each move on their own rhythm. Your taxes come on a fixed schedule. 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 treatment packages still being delivered.
- 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 consultation volume or material costs changed the number.
- October
Before year end
Gus looks at equipment worth buying and anything worth doing before December, as year-end often brings a push for new enrollments.
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 regenerative medicine 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 regenerative medicine clinic owners ask first.
Do you bill insurance for treatments?
No. Gus does not handle insurance billing, medical coding, or claims of any kind. Most regenerative treatments are cash-pay anyway, and Gus works from what actually lands in your bank account.
How do you track what a treatment actually costs us in material?
Biologic material and processing supplies are kept in their own line, tracked against treatment revenue, so the real margin per treatment is visible instead of buried in general costs.
Why does a financed treatment package show less revenue than we billed?
The financing company's fee comes out before the payout lands. Gus books the full invoiced amount as revenue and the fee as its own cost, so your real pricing still shows.
A patient prepaid for a series of injections but stopped after one session. What happens to that money?
Gus keeps prepaid package revenue tracked separately from earned revenue. What to do about an unfinished package is a policy call for you and your accountant.
Is our consultation marketing actually worth what we're spending?
Gus can show you what consultations cost against how many turn into paid packages. Whether that spend is worth it is a business decision for you to make.
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