Can you handle both bookkeeping and higher-level financial strategy?

Yes. We handle day-to-day bookkeeping and close, and we also provide FP&A, burn rate and runway modeling, and CFO-level strategy. You're not stuck choosing between a bookkeeper and a strategic finance partner.

Can I hire a full-time accountant or finance person through Litrivis?

We help you determine whether a full-time hire makes sense for your stage, and we help structure the role and the finance function around it. We're an accounting and advisory firm, not a staffing agency, so our role is to help you get the structure right.

What's the difference between your virtual, fractional, and full-time support?

Virtual finance team means we handle the accounting function end to end as an outsourced team. Fractional means you get senior-level expertise, controller, FP&A, or CFO, on a part-time or as-needed basis. Full-time support means we help you build out a dedicated internal hire. Many healthcare startups use more than one model as they move between stages.

Can you help with payer billing and revenue cycle issues?

Yes. Revenue cycle optimization and payer billing reconciliation are core parts of our healthcare bookkeeping and accounting work.

Can you help us track burn rate and runway?

Yes. Real-time burn rate and runway dashboards are part of our Growth Finance support, particularly for venture-backed healthcare startups.

Do you handle compliance-adjacent financial controls?

Yes. We build compliance-specific accounting controls, structured financial policies, and audit-readiness into your monthly close. We are not a compliance or legal firm, so we recommend pairing this with your compliance counsel for full regulatory coverage.

Can you help prepare our company for fundraising?

Yes. We help get financial statements, forecasts, and board packages investor-ready, and we support due diligence preparation so you're not scrambling once a term sheet is on the table.

Can you work with our existing accounting team?

Yes. Our advisory engagements are designed for companies that already have internal accounting staff but want additional strategic finance expertise layered on top.

What stages of healthcare startups do you work with?

We work with companies from Idea stage through Growth, Scale, and Exit/IPO. The engagement model and level of support are shaped by your stage, not a fixed package.

Do you only work with venture-backed healthcare companies?

No. We work with venture-backed and founder-funded healthcare startups. The support is shaped by your complexity and stage, not by how you're funded.

How do we determine which engagement model is right for us?

That's typically the first conversation we have. We look at your current stage, team, and financial complexity, and recommend a starting point, full-time, fractional, virtual, project-based, or advisory, with room to change as you grow.

QUESTIONS WE HEAR FROM HEALTHCARE FOUNDERS

Is revenue leaking through payer adjustments we haven't reconciled?

What's our real burn rate, not the version from three weeks ago?

Would our financial controls hold up if an investor or auditor looked closely?

How long would it take us to produce a clean board package right now?

What financial issues are sitting unnoticed because no one is reviewing the numbers regularly?

We answer these questions every month, not just when a fundraise forces the issue.

Specialized CPA · Law Firms

The Financial Operating System Built for Healthcare Startups

Q: Do you provide accounting services specifically for healthcare startups?

Yes. We structure your books, revenue tracking, and reporting around how healthcare startups actually operate, including payer billing reconciliation and multi-stream revenue, rather than applying a generic chart of accounts.

From first idea to exit, healthcare startups carry a financial backend that generic accounting wasn't built for: payer billing, compliance-adjacent controls, burn rate, and investor scrutiny, all at once. We build the financial infrastructure your stage actually demands.

🌐 Available virtually, serving law firms nationwide

Talk to a Litrivis Advisor About Your Firm Schedule a Consultation

Who This Is For

Built for healthcare startups like yours

If you're building in healthcare, you're managing regulation, revenue complexity, and investor pressure at the same time. We work with healthcare and healthtech companies that need financial infrastructure, not just a bookkeeper who happens to take healthcare clients.

Digital Health Platforms

Patient engagement, telehealth, remote care, and virtual-first solutions.

AI-Driven Healthcare

AI-powered diagnostics, automation, decision support, and clinical intelligence tools.

Care Delivery & Coordination Models

Value-based care, chronic care management, and care coordination platforms.

Mental Health & Wellness Platforms

Therapy, behavioral health, wellness, mental health, and integrated care solutions.

Health & Fintech Innovations

Billing, payments, revenue cycle innovation, and fintech-enabled health solutions.

The Real Challenge

Most healthcare startups lack full clarity on their finances

You didn't build a healthcare company to manage accounting complexity. But in healthtech, the financial backend is one of the highest-risk areas, and most founders discover that too late.

Revenue leaking through insurance billing gaps and unreconciled payer adjustments

No clear burn rate visibility, making hiring decisions on incomplete numbers

Investor reporting taking your team days to prepare instead of hours

Compliance-adjacent financial controls missing before an audit or diligence request

Financial reports get produced but rarely inform pricing, staffing, or growth decisions

From first idea to exit, healthcare startups carry a financial backend that generic accounting wasn't built for: payer billing, compliance-adjacent controls, burn rate, and investor scrutiny, all at once. We build the financial infrastructure your stage actually demands.

88%

Average Revenue Realization Rate - the percentage of healthcare revenue that is ultimately realized after insurance adjustments, denials, contractual write-offs, and billing discrepancies.

93%

Average Collection Rate - the percentage of billed healthcare revenue that is successfully collected from insurance payers and patients.

93 days

Median Revenue Lockup - the typical time healthcare revenue can remain tied up between providing services, submitting claims, resolving billing issues, and receiving payment.

32 days

Median Revenue Lockup - the typical time healthcare revenue can remain tied up between providing services, submitting claims, resolving billing issues, and receiving payment.

Find Your Fit

Built around your stage

A healthcare startup at Idea stage needs something very different from one preparing for Series B. Select your fit to see exactly how we work with companies like yours.

Where the gap usually is:

Job descriptions get written before anyone has defined what the role needs to own in a healthcare-specific context

New hires inherit unreconciled payer billing and spend months on cleanup instead of adding value

There's no compliance-adjacent reporting structure for the new hire to plug into

No one has confirmed the company can financially support a senior healthcare-finance salary yet

What to Have in Place Before You Hire

Define healthcare-specific role ownership before hiring.

Start with reconciled books instead of financial cleanup.

Give every new hire a reporting structure that already works.

Validate the budget before committing to a senior finance salary.

What we build for companies hiring in-house

We help healthcare companies hire with confidence by putting the right structure, reporting, and financial controls in place before and during the transition. The result is an in-house finance team that ramps up faster, avoids costly revenue-cycle mistakes, and has experienced healthcare support when complex issues arise.

Role & Function Design - Defining the scope and reporting structure of a healthcare-savvy finance hire before you post the job

Onboarding Infrastructure - Chart of accounts and revenue-cycle reporting ready before your new hire's first day

Transition Support - We stay involved during handoff so payer reconciliation and compliance controls don't lapse

Ongoing Backstop - Senior support available for anything your new hire hasn't handled before in a regulated environment

Get a Full-Time Hiring Assessment

Where the gap usually is:

The founder is still the most senior person interpreting burn rate and runway

Board packages and investor reporting are built by whoever has time, not whoever has the expertise

No one internally can explain a revenue-recognition or payer-adjustment variance

Compliance-adjacent financial controls exist on paper but aren't actually reviewed by anyone senior

Where financial visibility is missing

Revenue visibility starts with consistent payer and multi-stream reconciliation.

Month-end reporting follows a fixed schedule, so leadership sees current numbers.

Burn rate and runway stay updated in a reliable financial model.

Senior expertise fills the gap before a full internal finance team makes sense.

What we build for companies that need senior expertise part-time

Not every company needs a full-time CFO or Controller. We provide experienced healthcare finance leadership on a flexible basis, giving you the expertise, reporting, and strategic support you need without the cost of a permanent senior hire.

Fractional Controller - Close oversight and compliance-adjacent controls without a full-time salary

Fractional FP&A - Burn rate, runway, and unit economics (CAC, LTV, gross margin) on a recurring cadence

Fractional CFO - Strategic finance, fundraise preparation, and investor-ready board reporting

Flexible Time Commitment - Scoped to weekly, monthly, or as-needed based on your stage

Talk to a Fractional Healthcare CFO

Where the gap usually is:

A fundraise is coming up and the financials aren't ready for a data room

Revenue cycle cleanup is needed after months of unreconciled payer adjustments

No one has reviewed whether financial controls would hold up under diligence

A financial model exists but hasn't been updated since the last round

What to Have in Place Before the Project Starts

Financials are cleaned up and organized before the data room opens.

Payer adjustments are reconciled so revenue reporting reflects what the company actually earned.

Financial controls are reviewed before investors or auditors start asking questions.

Forecasts and financial models are updated to reflect the company’s current position.

What we build for defined-scope engagements

Hiring in-house doesn’t mean you have to build the financial infrastructure alone. We help healthcare companies define the role, prepare the systems, and support the transition so your new hire can step into a well-structured financial operation from day one.

Financial Models & Forecasts - Scenario modeling and runway planning for seed through Series B

Accounting Cleanup - Catch-up bookkeeping and payer reconciliation cleanup before a raise or audit

Fundraising Preparation - Investor-ready financials, data room support, and due diligence prep

Compliance & Audit Readiness Review - A one-time assessment of your financial controls before diligence begins

Get Multi-Partner Firm Assessment

WHAT MAKES LCPA DIFFERENT

Not a generic accounting firm - your healthcare finance partner

Differentiators:

Healthcare-Specific Financial Structure - We set up your books to reflect how healthcare startups actually operate, including payer billing reconciliation, multi-stream revenue (SaaS plus care delivery), and compliance-adjacent controls built in from day one.

Decision-Ready Reporting - Monthly insight into burn rate, runway, and revenue leakage, not just what happened last month.

Strategic Support - Without a Full-Time Hire Fundraise prep, compliance strategy, and growth tradeoffs, with CFO-level thinking without the cost of a full-time hire.

Plain Language for Founders - We translate financials into clear, plain language. No jargon. Every conversation ends with you knowing exactly what your numbers mean and what to do with them

Available Virtually, Nationwide - We work with healthcare startups across the United States, fully remotely.

Scales as You Grow - Engagements begin with clean books and solid reporting, then expand into compliance, FP&A, and CFO-level strategy as your business grows. You never outgrow the relationship.

✓

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✓

Litrivis CPA

Generalist Bookkeeper/CPA

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Fundraising and investor-readiness support

Healthcare-specific accounting structure

Compliance-adjacent financial controls

Burn rate and runway dashboards

FP&A and financial modeling

CFO-level strategic advisory

Tax compliance and preparation

Monthly close and bookkeeping

Capability

Why LAw Firms Choose Litrivis

More than accounting - a financial partner for Healthcare

Still have questions? Book a Consultation

FAQ

Frequently Asked Questions

Get answers to the most common questions about working with Litrivis and how our industry-focused solutions support media companies, creative agencies, production houses, and digital content businesses.

Get Started

Schedule Your Free Healthcare Industry Consultation

30 minutes with a media-focused financial advisor. No sales pressure just a genuine discussion about your business, production budgets, revenue opportunities, and growth strategy.

Your Healthcare Startup Is Growing. Your Finance Function Should Grow With It.

If your financial systems aren't built for scale, they will slow you down, and in healthcare, they create real compliance exposure. Whether you need a bookkeeper, a controller, FP&A support, fractional CFO strategy, or help preparing for your next raise, we'll help you determine what your company actually needs.

Talk to a Healthcare CPA

info@LitrivisCPA.com +1 845-208-4495