Accounting for Medical Practice and Business Owners
Accounting for Medical Practices and Business Owners
You didn’t get into the medical field or start your own business to become a bookkeeper. Get accounting services for medical practices and businesses, built around how your industry actually works.

20 minutes. No obligation. No pressure.

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
Find Your Industry

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%

Don't see your industry?
We may still be a fit, especially for other practice-based and professional service businesses. Book a session and let’s talk.
Our Typical Client
Practice and business owners generating roughly $1M to $15M in revenue, ready to move from reactive bookkeeping to a proactive financial partner.
Breakaway Business Packages
Fixed monthly pricing, a year-round partnership, and room to grow as your practice does.
Fixed monthly pricing
One predictable fee, with no hourly billing surprises.
Year-round partnership
Monthly check-ins, not just a call at tax time.
Grow together
Your package scales as your practice grows.
Books You Can Trust,
Since 2009
EXCELLENT
Based on 48 reviews
Posted on Google![]()
Matthew MorelandTrustindex 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![]()
Anna BarrettTrustindex 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!Posted on Google![]()
TJ BundayTrustindex 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![]()
Hunter KailosTrustindex 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![]()
Chris LingerTrustindex 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![]()
Mark & Debbie BandyTrustindex 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![]()
David Smith IITrustindex 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![]()
Stephen WalshTrustindex 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!









Frequently Asked Questions.
Answers to common questions about working with accountants that specializes in your industry.
What industries does Red Bike Advisors work with?
Dental, medical, chiropractic, veterinary and physical therapy practice owners, plus other practice-based and professional service businesses.
What size business does Red Bike typically work with?
Most clients generate roughly $1M to $15M in revenue and are ready to move from reactive bookkeeping to a proactive financial partner.
My industry isn't listed. Can Red Bike still help?
Often, yes. The five industries listed are where we have the deepest experience, but we work with other practice-based and professional service businesses too. Book a session and let’s talk.
Do you work as a CPA for doctors and medical practices?
Yes. We work as a CPA for doctors and medical practices across several specialties, handling entity structure, overhead management and tax strategy built around how a medical practice actually runs.

Have a specific question not covered here? Speak directly with our advisory team.
Ride With a Team That Knows Your Road.
Let's talk about your practice.
Take the first step toward a financial partner who understands your industry, not just your numbers.
