Smart Financial Infrastructure and Revenue Optimization for Growing Businesses.
Scale faster with elite accounting, bookkeeping, automated payroll, and specialized medical billing designed for startups, small businesses, and healthcare practices.
Certified QuickBooks ProAdvisor · No long-term contracts · Flat monthly pricing · Reply within one business day
Outsourcing Value Estimator
See what your finance function is really costing you
Slide to input your team size and monthly transactions to instantly reveal how many operational hours you can reclaim this month.
- Monthly hours saved
- 55
- Est. monthly cost saved
- $3,410
- Productivity lift
- 35%
Margin diagnostic
Three leaks quietly costing you money right now
Most owners don't lose money on one big mistake. They lose it in the gap between what the books say and what's actually happening.
- LEAK 01
Books that are always a month behind
You're pricing jobs, hiring, and drawing owner pay off last quarter's numbers. By the time the ledger catches up, the decision is already made.
Cost signal
18–30 days
Average decision lag on stale books
How NEXACC closes it
Five-day close with weekly flash reporting
Decision lag drops to under 7 days
- LEAK 02
Compliance you find out about late
Multi-state payroll registration, sales tax nexus, and 1099 deadlines don't send warnings. The first signal is usually a notice with penalties attached.
Cost signal
5% + interest
IRS late-filing penalty, per month, capped at 25%
How NEXACC closes it
Deadline calendar, nexus tracking, notice handling
Zero missed statutory filings across our book
- LEAK 03
A finance hire you can't justify yet
A full-time controller runs six figures loaded with benefits, software, and PTO coverage. Your problem is ten hours a week of senior judgment — not a headcount.
Cost signal
$118k+
Loaded annual cost of an in-house controller
How NEXACC closes it
Fractional senior review at a flat monthly fee
Typically 60–75% less than an in-house seat
- 96%
- First-pass claim acceptance
- 5 days
- Median monthly close
- 100%
- Books reconciled every month
- 1 day
- Response-time commitment
End-to-end management
One team. Every financial function. No handoffs between vendors.
Most growing companies stitch together a bookkeeper, a payroll app, a billing service, and a tax preparer who meets them once a year. NEXACC replaces that stack.
Launch | Fund| Get paid
Before the books matter, the structure does.
Registering the entity, writing a plan a lender will fund, modeling the next hire, and getting credentialed with payers are the decisions that set your first three years. NEXACC handles all four — and then keeps the books that prove them out.
Starting or restructuring? Get a free 20-minute structure review: entity choice, registration steps, funding readiness, and credentialing timeline — mapped to your situation before you spend a dollar.
Book the structure reviewWhat | We do
Ten integrated service lines under one roof.
Scaled up or down to fit your business — you keep control while we carry the financial workload.
- 01Accounting & BookkeepingFinanceStatements, general ledger, AR/AP, reconciliations, monthly closes
- 02Tax ServicesFinancePreparation & filing, planning, IRS representation, sales tax
- 03Medical Billing & RCMHealthcareCredentialing, coding, claims, collections
- 04PayrollFinanceProcessing, time & attendance, benefits & deductions
- 05Assurance & ControlsFinanceReviews, internal controls, M&A diligence support
- 06Virtual CFOGrowthForecasts, budgets, projections, strategic planning
- 07Business ConsultancyGrowthMargin diagnostics, pricing reviews, KPI dashboards, 90-day roadmaps
- 08New Business RegistrationGrowthEntity selection, state filing, EIN, licensing, account setup
- 09Business Plans & Financial ModelsGrowthSBA & investor plans, three-statement models, scenarios, break-even
- 10Provider CredentialingHealthcareCAQH, Medicare, Medicaid, commercial panels, revalidation
Why | NEXACC
Why growing companies move their accounting to NEXACC
Not sure which service you need? That's exactly what the consultation is for — senior review, certified systems, fixed pricing, and specialists on the hard parts.
Book a Free Consultation- 01
Senior judgment, not just data entry
Every account is led by an experienced accountant who reviews the work, flags what looks wrong, and tells you before it becomes a problem. You get advisory-grade thinking at outsourced-team pricing.
- 02
Certified in the software you already use
We're a Certified QuickBooks ProAdvisor practice. We build on QuickBooks Online with automated bank feeds, receipt capture, and integrated payroll — configured properly the first time, instead of bent into shape by someone learning as they go.
- 03
Flat monthly pricing, scoped up front
You get a fixed monthly fee based on transaction volume and scope — agreed before we start. No hourly billing, no surprise invoices for a phone call.
- 04
Specialists for the hard parts
Medical billing, multi-state payroll tax, and startup tax compliance each require their own expertise. We have dedicated people for each, instead of one generalist guessing.
Who we serve
Built for the businesses that outgrow DIY bookkeeping first
We work best with owner-led companies between roughly $250K and $15M in annual revenue — the stage where transaction volume has outpaced spreadsheets but a full finance department is still years away. Pick your world below to see exactly what we run.
Engagement fit
Flat monthly fee · No long-term contract · US-based lead accountant
Investor-grade books from the first wire, not the first diligence request
Sound familiar?
- A lead investor asked for monthly financials you don't have
- Runway is tracked in a spreadsheet nobody trusts
- Deferred revenue and SAFE/note treatment were never booked properly
5 days
Typical close after month end
ASC 606
Revenue recognition applied
What we run for you
- Accrual books on GAAP-aligned revenue recognition (ASC 606)
- Burn, runway and cash-out-date reporting refreshed every close
- R&D payroll-tax credit coordination (up to $500K/yr offset)
- Delaware franchise tax, 83(b) tracking, cap-table-ready equity entries
- Board and investor reporting pack: KPIs, variance, cohort view
Onboarding | Timeline
Getting started takes about two weeks, not two months
A fixed, transparent sequence — you always know what happens next and what it costs.
- 01Day 0
Free consultation (30 minutes)
We look at where your books stand today, what's actually broken, and what compliance exposure you're carrying. You leave with a clear read whether or not you hire us.
- 02Day 2
Scope and flat-rate proposal
Within two business days you get a written proposal: exactly which services, exactly what it costs monthly, exactly what we need from you.
- 03Week 1
Onboarding and cleanup
We take over your ledger, reconcile any backlog, migrate or clean up your chart of accounts, and set the close calendar.
- 04Ongoing
Monthly rhythm
Books closed on schedule. Financials delivered with a written summary of what changed and what to watch. A standing call whenever you want one.
Free review
Not ready to switch? Start with a free Books Health Check.
Send us read-only access to your accounting file and we'll return a written review of what's clean, what's exposed, and what it would take to fix.
- Reconciliation gaps & unmatched transactions
- Misclassified accounts and chart cleanup
- Aging receivables and collection risk
- Payroll tax and compliance exposure
No cost, no obligation, and you keep the findings whether you work with us or not.
Credentials | Verified, not claimed
NEXACC is a Certified QuickBooks ProAdvisor practice.
Every badge below links straight to Intuit's directory — click any one and confirm it yourself. No screenshots, no claims you have to take on faith.
Certification register
5 active certifications- 01
QuickBooks OnlineCertified — Level 2Cloud ledgers, bank feeds, month-end close - 02
QuickBooks DesktopCertifiedLegacy files, job costing, clean migrations - 03
QuickBooks EnterpriseCertifiedInventory, advanced reporting, user roles - 04
QuickBooks WorkforceCertifiedPayroll records and employee self-service - 05
Intuit Enterprise SuiteCertifiedMulti-entity groups and consolidations
NEXACC is an independent accounting firm and a member of the QuickBooks ProAdvisor Program. QuickBooks and Intuit are trademarks of Intuit Inc.
Scope of engagement
One team for the entire financial back office.
The books, the monthly close, payroll, tax filings, medical billing, and the reporting that tells you how the business is actually doing — plus support when it counts: IRS and state notices, dispute resolution, and lender-ready files whenever an investor, bank, or acquirer asks.
- Bookkeeping & close
- Payroll
- Tax filings
- Medical billing
- IRS & state notices
- Lender-ready files
Phoenix, Arizona · Live desk
Local enough to visit. Cloud enough to scale.
We know Arizona TPT filing, state withholding, and exactly what local lenders and landlords want to see in a financial package — and we run the same close calendar for clients three time zones away.
- Live
Phoenix, AZ
Scottsdale · Mesa · Tempe
- Live
AZ TPT license active
License 21416089 · valid through Dec 31, 2026
- Live
Same close calendar
Books closed by business day 5
100% cloud, every time zone
Same close calendar whether you're local or remote
Questions worth asking
6 answersStop guessing what your numbers mean.
Bring your current setup and your biggest frustration — we'll tell you exactly what we'd do about it.
- 30 minutes
- No obligation
- No pitch deck