Nonprofit, healthcare & regulated
Held to a higher standard? Your books should be too.
Outsourced accounting for nonprofits, healthcare organizations, and regulated providers, built around audit-readiness, confidentiality, and reporting your board can rely on.
Organizations like yours are held to a higher standard. Boards expect clear reporting. Donors and members expect their funds to be used as promised. Auditors, insurers, and regulators expect documentation that holds up. And the staff member keeping your books is often wearing three other hats, with access to payroll and financial data that probably shouldn't sit with any one person inside your office.
AccountingDepartment.com gives you a dedicated, professional accounting team outside your organization, keeping your books audit-ready all year and your sensitive financial data in the right hands.
Request a confidential consultation
A confidential conversation about where your books stand and what your board, auditors, and regulators need.
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Who on your staff can see payroll right now?
Confidentiality is one of the most common reasons organizations like yours finally outsource. Here's the difference it makes.
An informal internal setup
- One staff member with access to every salary and every account
- Audit preparation rebuilt from scratch each year
- Restricted funds tracked in side spreadsheets
- Board reports assembled by hand before each meeting
- No coverage when that person is out or leaves
An outsourced accounting team
- Payroll and sensitive data handled by W-2 accounting professionals outside your office
- Books kept audit-ready throughout the year
- Restricted and designated funds tracked by source
- Board and donor reporting on a set schedule
- Professional liability (E&O) and employee dishonesty coverage
What changes
- Audit season stops being a fire drill
- Sensitive payroll and financial data leaves internal hands that shouldn't have it
- Every restricted dollar is traceable to its source and its use
- Your board receives clear, consistent reporting it can act on
- Related entities, foundations, or programs are reported cleanly and consistently
Healthcare sharing nonprofit
3 entities. One confidential platform.
Brought three entities under one platform with audit-ready, confidential reporting during a period of rapid growth.
Aviation consulting firm
Audit-ready in a regulated industry
Centralized accounting and delivered audit-ready reporting in a highly regulated industry.
“AccountingDepartment.com has the expertise and the ability to scale up our accounting function much more quickly than we could have accomplished if we chose to do it internally.”
Rich Oakes · President/CEO, GigSmart
Audit-ready. Confidential. Built for organizations that answer to someone.
Audit readiness
Books maintained to audit standard every month, so fieldwork starts from a clean file.
- Audit-ready financials year-round
- Supporting schedules for your auditor
- Documented reconciliations
- Direct coordination with audit teams
Restricted & designated fund tracking
Funds tracked from receipt to use, so you can show donors and grantors exactly where their money went.
- Restricted fund tracking
- Grant and program reporting
- Designated fund reporting
- Release of restrictions
Confidential payroll & sensitive data
Keep compensation and financial data out of internal hands that shouldn't see it.
- Payroll entries handled outside your office
- Role-based access controls
- Encrypted file transmission
- W-2 professionals, not contractors
Board, donor & regulator reporting
Reporting built for the people you answer to.
- Board-ready financial packages
- Donor and member reporting
- Insurance and regulatory reporting support
- Budget-to-actual tracking
Related entities
Many organizations operate more than one entity. We keep each set of books clean and report them together when you need it.
- Multi-entity accounting
- Foundations and affiliated entities
- Consolidated reporting
- Intercompany tracking
Tax & audit coordination
We work alongside your CPA and auditors.
- Supporting schedules for your Form 990 preparer
- Coordination with your audit firm
- Clean year-end close
- 1099 support
Service built around your obligations, not your revenue
For organizations like yours, the right level of service depends on your audit, reporting, and confidentiality requirements more than your budget size.
Complete
Accounting + controller + advisory
Full accounting with a dedicated CPA controller leading your close, plus budgeting and board reporting.
Starting at
$5,500/mo
Pinnacle
Controller + CFO support
Everything in Complete, plus CFO-level support, board-ready reporting, and strategic planning.
Starting at
$8,500/mo
How we get you audit-ready
01
Discovery
We review your current books, audit history, fund structure, and who has access to what.
02
Solution design
We design reporting around your board, donor, insurance, and regulatory requirements.
03
Onboarding
We restructure funds and accounts where needed and move sensitive processes outside your office.
04
Dedicated team
Your team runs the monthly close, keeps the books audit-ready, and delivers your reporting on schedule.
05
Ongoing support
As programs, entities, or requirements change, your reporting changes with them.
Organizations we serve
- Nonprofits & foundationsRestricted funds, grant reporting, and board-ready financials.
- Medical & dental practicesConfidential payroll, clean monthly financials, and insurance-audit support.
- Behavioral health & treatment providersComplex billing, insurance reporting, and multi-entity structures.
- Associations & member organizationsMember reporting and board oversight.
- Licensed & regulated providersDocumentation and reporting that stand up to regulators and insurers.
Common questions
Can you work directly with our auditor?
Yes. We prepare supporting schedules, answer auditor requests, and keep reconciliations documented throughout the year.
Who will see our payroll and financial data?
Only the dedicated AccountingDepartment.com team assigned to your account, under role-based access controls. Our team members are full-time W-2 employees, and we carry professional liability and employee dishonesty coverage.
We're a nonprofit. Can we really afford this?
The better comparison is what a failed audit, a restatement, or a loss of donor confidence would cost your mission. We'll help you weigh that in a free consultation.
Do you prepare our Form 990?
No. We don't prepare tax returns, but we deliver clean financials and supporting schedules to your 990 preparer.
Can you handle more than one related entity?
Yes. We regularly support organizations with foundations, affiliates, or multiple related entities.
“I should have done this when I started the business in 2016.”
President, Healthcare Sharing Nonprofit Client
Talk through your audit and reporting requirements.
A confidential conversation about where your books stand and what your board, auditors, and regulators need.