Keane Management Accountants LLC

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Keane Management Accountants LLC We create the accounting framework for successful companies. Bookkeeping | Business Strategy | M&A⁣ Let me get you organized!

Bookkeeping can be cumbersome, especially when you are also trying to run a business. I want to alleviate that stress and help small business owners save time and get a better understanding of their finances. We can set up a monthly, quarterly or as-needed bookkeeping service. I will enter in your company's transactions, reconcile cash and credit card accounts, and organize receipts for proper backup. I can answer questions and work with your accountant to suggest ways to increase profit and maximize tax deductions. If you want to learn to do your own books, I am more than happy to train you.

Want to know if your community can support a concierge practice? Look for a Starbucks.That was one of my favorite hacks ...
10/23/2026

Want to know if your community can support a concierge practice? Look for a Starbucks.

That was one of my favorite hacks from the Concierge Conference in Atlanta last week.

You can pay for a feasibility study to see if the community around you can afford membership fees. Or you can see that Starbucks already did that study for you. $10 coffee, anyone?

New friends with Spurlock and Nichols, spontaneous dinners with Angelova, and finally meeting the legendary Tetrault of Today in person. It is incredible to see the world he has built.

A few things I’m bringing home:

- Membership fees across the country range from $3,500 to $25,000
- Build annual increases into your agreements
- Consider a scholarship program for some patients
- Claims-made vs. occurrence malpractice coverage is a bigger decision than I realized
- AI scribes are everywhere now, and practices are really using them

One of my favorite hangout moments was with Joyner, CPA and Partner at Moore, where we got to talk all things medical accounting and exchanged ideas on how to boost profit margins.

My favorite keynote line: “It’s not about making people feel bad, it’s about making them feel good.”

I’ve been carrying that into my monthly conversations with clients, thinking more about what it feels like to be on the receiving end of the financials.

How we talk matters.

Thank you to everyone for the memories. See you next year!

All medical practices need a line of credit.When you walk in prepared, you walk out with better terms.𝗙𝗼𝗰𝘂𝘀 𝗼𝗻 𝘁𝗵𝗿𝗲𝗲 𝘁𝗵𝗶...
10/22/2026

All medical practices need a line of credit.

When you walk in prepared, you walk out with better terms.

𝗙𝗼𝗰𝘂𝘀 𝗼𝗻 𝘁𝗵𝗿𝗲𝗲 𝘁𝗵𝗶𝗻𝗴𝘀:

𝟭. 𝗞𝗻𝗼𝘄 𝘆𝗼𝘂𝗿 𝗻𝘂𝗺𝗯𝗲𝗿𝘀 𝗯𝗲𝗳𝗼𝗿𝗲 𝘆𝗼𝘂 𝘀𝗶𝘁 𝗱𝗼𝘄𝗻
• Tax returns, financial statements, and bank statements
• Your personal and business credit scores
• The exact amount you need and what it’s for

𝟮. 𝗟𝗼𝗼𝗸 𝗽𝗮𝘀𝘁 𝘁𝗵𝗲 𝗶𝗻𝘁𝗲𝗿𝗲𝘀𝘁 𝗿𝗮𝘁𝗲
• Is it fixed or variable?
• What’s the total APR, including fees?
• Is there a personal guarantee, collateral, or covenants?

𝟯. 𝗡𝗲𝘃𝗲𝗿 𝗻𝗲𝗴𝗼𝘁𝗶𝗮𝘁𝗲 𝘄𝗶𝘁𝗵 𝗷𝘂𝘀𝘁 𝗼𝗻𝗲 𝗯𝗮𝗻𝗸
• Compare 2 or 3 proposals
• Use your existing banking relationship as leverage
• Can fees be waived and is there a pre-payment penalty?

If a line of credit is on your radar, we’ll help you walk into that meeting with clean financials and the right questions.

Your first month at Keane.Wondering what happens after you say yes? Here’s how we get you set up:- Sign and get started:...
10/13/2026

Your first month at Keane.

Wondering what happens after you say yes? Here’s how we get you set up:

- Sign and get started: we send your engagement letter, BAA and onboarding invoice.
- Onboarding day: we get secure access to your QuickBooks, bank and credit card accounts, loans and payroll.
- Review results: about 2–3 weeks after onboarding, we meet to walk through your numbers and dashboard and build a plan together.

Simple, secure and built around your practice.
Ready to get started? Send us a message, we’d love to hear from you.

"The Highland Healthcare Associates IPA helped me a lot."When Dr. Johnson (name changed) came to me, he was getting read...
10/08/2026

"The Highland Healthcare Associates IPA helped me a lot."

When Dr. Johnson (name changed) came to me, he was getting ready to open his own private practice.

I expected we'd start from scratch. Instead, he already had so many resources in place. How? The Highland IPA.

Nancy Fainzin Sachetti, Executive Director at Highland Healthcare Associates IPA, had already helped him get set up.

Thanks to an introduction from Stefan Zelich of Focus Healthcare Realty, I've had the pleasure of getting to know Nancy and her team.

Last week, Highland IPA sponsored a Business Support Program launch, and I was invited to give two presentations alongside Jeff Gross of Physician Growth Advisors, who helps physicians start, grow, and transition practices.

What I love about Highland IPA is their mission: keeping private practices independent and thriving.

In addition to offering payer contracts through a network affiliation, they support their members with provider-payer relations, payer enrollment, a variety of business support programs that offer special pricing, value-added services, and more.

But mostly, they are real champions for private practice.

So many doctors are starting their own practices now. It's never been easier to start a business. Keeping it running is another story.

So, if you're a P*P in Massachusetts, consider Highland IPA to help set you up for success from the start. You'll have a real community behind you.

We don't share an office. We share something better.Our team works from different places, and most of our meetings happe...
10/06/2026

We don't share an office. We share something better.

Our team works from different places, and most of our meetings happen on Zoom. But distance has never made us feel apart. We check in, we cheer each other on, and we show up for one another, on the good days and the busy ones. That connection is what our clients feel in every close, every report and every answer we give.

At Keane Management Accountants, we provide accounting and advisory for medical practices. Here are the women behind the work:

Cianna — Founder & Accountant
20+ years in public accounting, 10+ as a business owner. First job: Pizza Hut.

Jill — Controller
Lecturer at Wentworth Institute of Technology and software trainer for Fortune 500 companies. First job: McDonald's.

Lorrelle — Controller
Decades in reporting and analysis, specializing in systems and automation. First job: an ice cream truck.

Brooke — Controller
10+ years in private accounting. First job: an Italian bakery.

Bianca — Accounting Specialist
Trained in dentistry, with experience running a dental practice, so she knows our clients' world from the inside. First job: a clothing store.

Melissa — Operations Manager
20+ years streamlining operations as a C-level executive assistant. First job: a boutique sales associate.

Miles apart, always together.

Before 9/30:1. Reconcile every account2. Clean up aging receivables3. Review payroll and owner pay4. Collect missing W-9...
09/29/2026

Before 9/30:

1. Reconcile every account
2. Clean up aging receivables
3. Review payroll and owner pay
4. Collect missing W-9s
5. Compare actuals to forecast

Why is this important?
When the first three quarters are clean and closed, we begin forecasting next year.

Need help with your Q3 close? We're here.

Your patients count on you. You should be able to count on your financials.We provide accounting and advisory services t...
09/22/2026

Your patients count on you. You should be able to count on your financials.

We provide accounting and advisory services that help medical practices improve profitability, streamline operations, and plan for sustainable growth.

Reach out today to see how we can help your practice succeed.

Less financial stress, more time for what matters: your patients.Running a medical practice is already challenging—your ...
09/15/2026

Less financial stress, more time for what matters: your patients.

Running a medical practice is already challenging—your finances don't have to be another headache.

We help you gain financial clarity, improve cash flow, and make business decisions with greater confidence.

Send us a DM to find out how we can support your practice.

Q3 estimated taxes are due September 15.Physicians with their own private practices need to pay quarterly estimated taxe...
09/08/2026

Q3 estimated taxes are due September 15.

Physicians with their own private practices need to pay quarterly estimated taxes.

Here's a simple framework to calculate what you owe:

- Take your net income plus gross wages
- Multiply by 30%
- Subtract what you've already paid in taxes this year through salary deferrals

Once you know the number, set it aside.

Move your tax dollars into a separate account before using cash for operations.

Reviewing this today avoids headaches in April.

Your clinic takes care of your patients' health. Who takes care of its financial health?Having an accounting and consult...
09/02/2026

Your clinic takes care of your patients' health. Who takes care of its financial health?

Having an accounting and consulting team that specializes in medical practices means more time to care for those who matter, and less time worrying about the numbers.

Send a DM, and let’s talk about the next step in your growth.

Address

Natick, MA
01760

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

(781) 898-8904

Website

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