Accounting and Tax Services
for Practice & Business Owners

You’re focused on your patients. We’re focused on your numbers, 
helping you save on taxes, unlock profit, and build a practice that works for you.

Book A Free Strategy Session →

20 minutes. No obligation. No pressure.

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Average tax savings

$55k/yr

Clear route ahead

Zero roadblocks projected

17+ Years

Trusted Expertise
Founded in 2009 & trusted nationwide

18-Person Team

Financial Specialists
CPAs, EAs, accountants and tax specialists

100% Virtual

Working Across U.S.
Modern, friction-free collaboration

200+ Business

Owners Served
94% client retention rate

THE RED BIKE DIFFERENCE

You pedal. We help steer.

Specialized accounting and tax services for healthcare practice and business owners.

 

You didn’t open your practice to spend your evenings worrying about the books.
Red Bike Advisors gives practice owners the accounting, tax strategy and financial insight to know what’s happening, what needs attention and what to do next.

Dental practices

General, pediatric, and orthodontic practices with multiple operatories.

Avg. tax reduction: 24%

Medical & Specialty Clinics

Dermatology, orthopedics, optometrists, and more.

Cash-flow clarity: +38%

Chiropractic clinics

Accounting and advisory for cash and insurance-based chiropractic practice owners.

Associate comp modeling

Veterinary practices

Small and large animal practices balancing service and inventory revenue.

Equipment ROI analysis

Physical Therapy groups

Accounting and advisory for physical therapy practice owners.

Margin lift: 18%

General service business owner? Our business accounting services work for you too.

Trusted by 200+ business owners

EXCELLENT
Google star 1Google star 2Google star 3Google star 4Google star 5.0.5
Based on 48 reviews
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Matthew Moreland profile picture
Matthew Moreland
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Incredible experience. They make my life so easy when it comes to reminders, taxes, financial planning etc. April especially is on top of it and I couldn't imagine navigating finances or taxes without her.
Posted on Google Google
Anna Barrett profile picture
Anna Barrett
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Alex is an exceptional accountant. He handled both my personal and corporate tax filings with a level of professionalism, engagement, and expertise that made the process easy. He is extremely knowledgeable and took the time to ensure I understood every aspect of my returns. His thoroughness and commitment to accuracy gave me complete confidence throughout the process. I highly recommend Alex — he is outstanding at providing tax accounting services!
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TJ Bunday profile picture
TJ Bunday
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
We have a strong working relationship with Red Bike Advisors, a CPA firm based in Wilmington, NC, and we value the care and professionalism they bring to the clients we refer to them across North Carolina. Our primary point of contact has been Adam Shay, who has been excellent to work with. Adam is knowledgeable, approachable, and clearly committed to serving clients thoughtfully and thoroughly. He takes the time to understand each situation and provides guidance with clarity and integrity. We place a high priority on referring business owners to professionals who genuinely care about their clients, and Red Bike Advisors consistently reflects that standard. They are a firm we trust and feel confident recommending to business owners seeking a reliable, client-focused CPA firm.
Posted on Google Google
Hunter Kailos profile picture
Hunter Kailos
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Working with Red Bike Advisors has been an outstanding experience from start to finish. Their whole team and specifically Alex Rader brings a rare combination of professionalism, deep expertise, and genuine care for their clients success. Alex went above and beyond throughout the entire process explaining the return to me. His strategic insight, attention to detail, and ability to navigate tax preparation, which I have no understanding of, made it clear to me. He communicated clearly and consistently and delivered results. You can tell he’s not just doing a job he’s invested in the outcomes and the people behind them. If you're looking for a partner who not only knows their stuff but also makes the process smooth and transparent, I highly recommend Red Bike Advisors and specifically Alex Rader.
Posted on Google Google
Chris Linger profile picture
Chris Linger
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Patient and easy to work with. Would refer to anyone who needs help resolving tax issues.
Posted on Google Google
Mark & Debbie Bandy profile picture
Mark & Debbie Bandy
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Thank you Chris & Richard for all your help resolving our issues I have been trying to get resolved for several years. Thank you for stepping in and making this so much easier and easier to understand.
Posted on Google Google
David Smith II profile picture
David Smith II
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
The absolute best CPA in town. Vanessa is the best to deal with and is a total professional. I interviewed with over a dozen CPAs and am so glad I found them.
Posted on Google Google
J Fn B blackburn profile picture
J Fn B blackburn
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I was told Adam Shay was the one to go to and I went there and since my return was going to be a little harder for them they wouldn't take the job, just because you have to work a little bit more is not for them.
Posted on Google Google
Stephen Walsh profile picture
Stephen Walsh
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had a complex estate problem that no one wanted to touch but thanks to a referral, I got in touch with Adam Shay. We discussed the challenges and they were immediately willing to help me. I am delighted to say they got everything taken care of and straightened out and I was so relieved. I highly recommend them. I am indebted to Rachel, Ricard and the team at Adam Shay. Thank you!

Backed by 17+ Years of Credentials.

Our Services

Everything you need for the road ahead.

Whether you’re trying to get caught up, increase profit, save on taxes, or prepare for your next chapter, our accounting and advisory services help you build a practice that works for you.

Accounting & Bookkeeping

Keep your numbers running smoothly.

Tax Filing & Strategy

Plan ahead. Keep more.

CFO Advisory

Know when to shift gears & where to accelerate.

M&A Support

Navigate the bigger moves with confidence.

Tax Resolution

Behind on taxes? We'll help you get current.

Forensic Accounting

When the numbers don't add up, we find out why.

Experts In The Software Your Practice Already Uses

We plug directly into the software you already use, so outsourced accounting services never mean changing how you run things day to day.

 

The Tools Behind the Numbers

Don’t wait until tax time to think about taxes

Traditional accounting looks in the rearview mirror. We scout the road ahead.

TRADITIONAL ACCOUNTING

Once-a-Year Approach

Tax time

Look back

File

Move on

THE ADVANTAGE

RED BIKE ADVISORS

Proactive Red Bike Approach

January

Plan

Adjust

Save

Move forward

16+ Years of Experience.
A Growing Team Behind Your Practice.

For more than 16 years, Red Bike Advisors has helped practice owners navigate accounting, tax and financial decisions. Today, our growing team brings that experience together to give you the expertise, support and perspective you need to make confident decisions and keep your practice moving forward.

Experience You Can Count On. A Team You Can Rely On.

A Proven Team for the Road Ahead.

Proactive Forward Approach

A proactive, forward-looking approach to your taxes and financials, with recommendations for adjusting your strategy as your business changes and grows.

No Hourly Billing Surprises

Fixed monthly subscription tiers. Call, email, and consult without watching the 15-minute billing clock run. We are your embedded team.

A Team That's Part of Yours

A holistic team approach to your finances and tax strategy, from a team that’s part of yours and invested in your success, not just billables and deliverables.

Frequently Asked Questions.

Everything you need to know about partnering with Red Bike Advisors, our proactive
approach, and how we compare to traditional CPAs.

What are outsourced accounting services, and what's included?

Outsourced accounting services, sometimes described as having your accounting services outsourced to a specialist firm, means hiring an external team instead of building one in-house. With Red Bike Advisors, that includes bookkeeping and financial reporting, business tax filing and projections, proactive tax strategy, and advisory support, plus access to the Tax Savings Blueprint, our guaranteed, documented tax strategy engagement.

For most businesses under $5 million in revenue, hiring a full in-house accounting department, bookkeeper, controller, and tax specialist, is more expensive and harder to manage than outsourcing accounting services to a firm that already has that expertise. It gives you senior-level strategy, entity structure, tax planning, forecasting, that a single in-house hire rarely provides, at a predictable monthly cost.

We generally work with business owners in the $500,000 to $5 million annual revenue range, across industries. We do not prepare individual 1040 tax returns.

The Tax Savings Blueprint is a guaranteed, standalone engagement that documents specific tax savings opportunities. Most owners use it as a low-risk way to see what a proactive firm finds before committing to an ongoing relationship. Ongoing accounting and advisory services follow after, for owners who want a year-round partner.

No. Many clients start with the Tax Savings Blueprint while still working with their current accountant. The relationship decision comes after you’ve seen what we find, not before.

Red Bike Advisors is headquartered in Wilmington, North Carolina, and works with business owners nationwide as a fully remote, outsourced accounting partner. Location isn’t a barrier to working together.

We work with business owners across industries, with particular depth in dental, medical, chiropractic, veterinary, and physical therapy practices. See how we work with your industry.

Every strategy in a Tax Savings Blueprint is documented and defensible, not an aggressive position designed to fly under the radar. We show you the reasoning behind each recommendation so you understand exactly what you’re implementing and why.

Have a specific question not covered here? Speak directly with our advisory team.

THE PROPRIETARY SOAR FRAMEWORK

Every business has a different road.

Our proprietary SOAR framework guides you through each distinct stage of ownership.

STAGE 01

STABILIZE

Get back on track.

Focus: Catch-Up Bookkeeping & Setup | Tax Controversy & Resolution | Fraud Investigation & Forensic Accounting

Resolve historical inaccuracies and establish clean weekly visibility.

STAGE 02

OPTIMIZE

Find your rhythm.

Focus: Accounting, Tax & Advisory

Eliminate capital drag through
strategic tax structures and KPI alerts.

STAGE 03

ACCELERATE

Build momentum.

Focus: Breakaway Growth Accelerator | Tax Savings Blueprint

Unlock growth financing, add locations, and optimize partner equity.

STAGE 04

RETIRE

Reach your destination.

Focus: Retirement, Estate Strategy & Legacy | Exit & Succession Planning

Crystallize wealth with tax-shielded asset transfers and exit deals.

Unsure where your practice sits on the road?

Take our 3-minute assessment to see which stage your practice or business is in.

See Where You Fit →

Ready to Break Away From the Pack?

Clear numbers, proactive tax savings and a team that rides with you all year.

Book A Free Strategy Session →

20 minutes. No obligation. No pressure.

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