At StartupFino, we realize that healthtech startups frequently face a unique combination of challenges - tight healthcare regulations, high investor expectations, rapid innovation and complicated revenue systems. That is the reason we offer U.S.-customized accounting services for healthtech businesses, healthcare tech startups and healthcare SaaS companies.
Whether you are developing an innovative health tech business, launching a HIPAA compliant app or even managing several clients at a healthcare technology consulting company, we have your financial backend covered. StartupFino is a partner for both healthcare technology consulting firms and expanding health care tech businesses as well.
This is what we offer to help you grow with confidence & in compliance with US laws:
Bookkeeping for HealthTech Companies
Clean and organized books are important in case you are managing multiple income sources (patient payments, insurance reimbursements, subscription billing). We carry out accurate, accrual based bookkeeping under GAAP, mandated by U.S. investors and financial institutions. Our team handles your financial records in real time to make sure you are investor-friendly and audit-ready.
Our Bookkeeping Services Include:
- Accrual-based accounting in conformity with GAAP guidelines.
- Integration with billing & healthtech software tools.
- Monthly reconciliations, cash flow reporting and tracking.
- Support for complex MSO/PC models of health care tech companies.
Revenue Recognition & Financial Reporting
Revenue recognition is tricky for healthcare SaaS businesses & healthtech startups which deliver subscription or usage based services. We carry out this complex task by utilizing ASC 606 - the U.S. accounting standard for revenue recognition. Our reports are detailed, investor-ready and VC-ready for the best health tech businesses.
We Help You With:
- Complete compliance with ASC 606 revenue recognition.
- Tracking of deferred revenue and accurate financial reports.
- Real time dashboards with metrics like MRR, CAC, ARR.
- Bring financial clarity to attract investors and board members.
Payroll & Contractor Payments
All payments made to your team, be it full time, remote or even on contract basis should comply with IRS & labor laws. We manage payroll for healthcare technology companies hiring throughout the U.S. This includes tax withholdings and filings and end of year forms as W-2s and 1099s.
Our Payroll Services Cover:
- Setup & management of payroll systems (Gusto, ADP, etc.)
- Contractor payments & 1099 filings.
- State employee tax compliance.
- Integration with HR platforms for health tech companies hiring.
Tax Compliance & Filing
We are here to help health tech firms abide by all federal, state and local tax laws. Our team makes sure you're filing on time, obtaining the maximum deductions possible on corporate income taxes. We keep up with IRS updates so you don't have to worry about constantly being updated with such regulations.
With Our Tax Services, You Get:
- Full corporate income tax prep & filing (IRS + State)
- Quarterly estimated tax calculations & payments.
- R&D tax credit assistance for healthtech software development.
- Audit support and representation where needed.
CFO Services & Fundraising Support
Need to pitch investors or plan your next funding round? Our Virtual CFOs provide the strategic support that healthcare tech startups need to scale up. We offer forecasting, budgeting, investor reports and board meeting prep so you are always ready for raising essential funding for your startup.
What Our CFO Services Include:
- Financial modeling and long term forecasting.
- Cash flow & runway planning.
- VC and Series A / B / C fundraising preparation.
- Presentations to investors & board prepared financials.
Tech stack Implementation & Optimization
We implement and also optimize your financial tech stack from accounting platforms to billing systems. Whether you are a startup or among the largest healthtech companies, we develop scalable systems which grow along with your business. This scalability is unique to StartupFino’s expert financial team.
We Set You Up With:
- Integration of accounting, billing and payroll tools.
- Designed dashboards with startup KPIs (ARR, CAC, burn rate).
- HIPAA compliant tools for mental health tech firms.
- Automation to eliminate manual mistakes and improve efficiency
Expense Management & Cost Optimization
For healthtech startups, controlling operating costs is as essential as raising capital. From software subscriptions to clinical tools and staffing, we track every dollar and help you save money. You receive monthly expense breakdowns, cost variance reports and custom alerts on unusual spending with StartupFino. This keeps your finances lean and sensible and in line with your burn rate. We also prepare you for investor questions on expense ratios - essential for healthcare SaaS businesses & healthcare tech startups planning for funding rounds.
Our Expense Management Services Include:
- Monthly expense categorization & price tracking.
- Justifications and warning signs for cost variance reports.
- Budget versus actual comparisons for smarter planning.
- Tools to monitor vendor costs and recurring subscriptions.
Entity Structuring & MSO / PC Model Support
Many health tech firms have MSO (Management Services Organization) and PC (Professional Corporation) structures that require specialized financial handling and state specific regulations. Our team knows exactly how to manage these structures - particularly in states like California, New York and Texas which adhere to the Corporate Practice of Medicine Doctrine. We assist you form a new entity or restructure to support long-term growth and investor interest.
We Support You With:
- MSO / PC model accounting and legal structure alignment.
- Conformity with Corporate Practice of Medicine statutes.
- Multi-entity accounting / financial consolidation.
- State-specific guidance for health tech companies.
Financial Planning & Forecasting
Every growing healthtech company needs a clear financial roadmap for the long term. StartupFino offers financial planning based upon your business model, market stage and growth objectives. We make use of industry standard forecasting models and think about SaaS-specific metrics like MRR, CAC, churn, and LTV to help you make informed as well as data-driven choices.
Our Planning & Forecasting Services Include:
- 12 to 36 month growth estimates for growth planning.
- Scenario analysis for fundraising, product launches or market shifts.
- Unit economics breakdown by SaaS and subscription model.
- Investor-ready forecasting reports & pitch deck inputs.