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Bookkeeping · Pharma COGS · Production Comp · Dashboards | Austin, TX · Nationwide

Your patients get precision care. Your books should too.

Bookkeeping built for how veterinary practices actually operate — pharmaceutical COGS tracking, CareCredit reconciliation, production-based associate compensation, controlled substance documentation, and equipment depreciation. From single-doctor clinics to multi-associate hospitals.

Free intro call. Instant estimate in about two minutes. No pressure, no spam.

Pharma
COGS tracked correctly
CareCredit
Net remittance reconciled
Production
Comp per associate
Day 10
Books closed monthly
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Who we are

Turnkey CFO is a bookkeeping firm in Austin, Texas built for veterinary practices and animal hospitals. We handle pharmaceutical COGS, CareCredit and Scratchpay reconciliation, associate production compensation, controlled substance tracking, and equipment depreciation — the bookkeeping complexities most general firms have never encountered.

Ricky West, founder of Turnkey CFO
Ricky West
Founder, Turnkey CFO
"We work with practices from single-doctor clinics to multi-associate hospitals on the accounting most bookkeepers have never touched — and get it right the first time."
The difference

Generic bookkeepers miss what matters in veterinary practice.

Veterinary practices have accounting requirements most general firms have never seen — pharmaceutical inventory COGS, third-party financing reconciliation, production-based associate compensation, controlled substance documentation, and equipment depreciation. We handle every one.

What most bookkeepers miss

  • Pharma purchases expensed immediately — gross margin unknowable, P&L distorted
  • CareCredit deposits booked at gross — financing fees buried and untracked
  • Production comp calculated manually with no books integration — errors accumulate
  • Controlled substances in the same account as general supplies — no DEA audit trail
  • Major equipment written off in month of purchase — balance sheet understated

What Turnkey CFO gives you

  • Pharma & supply inventory tracked as COGS — not expensed at purchase, so gross margin is real
  • CareCredit & Scratchpay reconciled net of fees to the actual invoices every month
  • Associate production comp calculated correctly per pay period, by doctor
  • Controlled substances tracked separately from general pharma to support DEA log alignment
  • Medical equipment depreciated on schedule — x-ray, ultrasound, dental, surgical tables
Two happy dogs outdoors
BUILT FOR VET PRACTICES

Services, inventory, and payroll, always clean.

Collections and drug inventory, reconciled monthly.

What we handle

Everything your veterinary practice needs. Nothing it doesn't.

Every service below is built for how veterinary practices actually operate — inventory-intensive, associate-compensated, third-party-financed, and equipment-heavy.

01

Monthly bookkeeping & close

Full monthly close for your veterinary practice — accurate categorization of medical revenue, pharmaceutical COGS, associate payroll, staff wages, facility costs, and equipment. Monthly close package with P&L, balance sheet, and written commentary ready for your review every month. See all services

Core
02

Pharmaceutical inventory & COGS tracking

Pharmaceutical and medical supply purchases recorded to inventory — not expensed at purchase. COGS recognized when product is dispensed to patients. Inventory value on the balance sheet reflects what's actually on your shelves, and gross margin on medical services reflects the true cost of what was delivered. If you use practice management software (Avimark, EzyVet, Cornerstone, Impromed), we reconcile to your dispensing records.

Inventory
03

CareCredit & Scratchpay financing reconciliation

Third-party financing deposits reconciled to originating invoices every month — gross invoice, financing fee, net remittance, and timing difference each tracked separately. Your accounts receivable reflects only what you actually expect to receive, and financing fees are tracked as a distinct expense line so you can see the true cost of offering client financing. No more mystery gaps between invoiced revenue and bank deposits.

Financing
04

Associate production compensation

Associate veterinarian production pay (typically 18–25% of production) calculated correctly per pay period — gross production by associate tracked in your practice management software and reconciled to payroll. Contra-production adjustments (refunds, discounts, write-offs) accounted for before the percentage is applied. Every associate's compensation documented and reconciled before payroll runs.

Compensation
05

Controlled substance expense segregation

DEA-regulated pharmaceuticals tracked in a dedicated expense account separate from general pharmaceutical inventory. Controlled substance purchases reconciled to your DEA log on a regular basis. If your financial records and your DEA usage log ever diverge, we find the discrepancy before it becomes a compliance issue. Controlled substance cost visibility also helps identify shrinkage that should be investigated.

Compliance support
06

Equipment depreciation schedule

Major veterinary equipment — digital radiography systems, ultrasound units, dental units, surgical tables, anesthesia machines, laboratory analyzers, and centrifuges — depreciated over their useful lives on a documented schedule. Purchases correctly classified as capital expenditures vs. repairs or maintenance. Your balance sheet reflects real asset value; your monthly P&L shows smooth depreciation expense rather than lumpy write-offs when you buy new equipment.

Assets
07

Practice vs. boarding & grooming revenue split

Veterinary medical services, boarding, and grooming have very different cost structures and margins. We track revenue and direct costs by service category so you see true medical margin separate from boarding and grooming. Multi-doctor practices get revenue allocation by associate — the foundation for production compensation calculations and practice performance evaluation. Behind on the books? Catch-up bookkeeping

Revenue clarity

Tax filings and legal matters are coordinated with your CPA or attorney. Turnkey CFO does not provide tax or legal advice; we keep your books filing-ready and support the process.

See it live

Your numbers, live — not a PDF once a month.

Every practice we serve gets a live dashboard that turns clean books into decisions — medical margin, pharma cost, and production by associate, always current.

  • Medical margin by service line — medical, boarding, and grooming separated so you see what actually earns.
  • Pharma COGS & inventory value — cost of care and what's on your shelves, tracked in real time.
  • Production by associate — the numbers behind every production-based compensation calculation.
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Turnkey CFO live dashboard preview
Client results

Books as precise as the medicine.

★★★★★
"For the first time we have accurate pharma COGS and can actually see our true medical margin — and CareCredit is finally reconciled properly instead of just booking the deposit as revenue."

Pharmaceutical inventory COGS tracking set up from scratch, CareCredit net remittance reconciled correctly, associate production comp calculated accurately, and controlled substance expenses in their own account. The books finally reflect how the practice actually works.

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Veterinary Practice Owner
Multi-Doctor Small Animal Hospital
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To get started
Getting started

Onboarding takes days, not months.

Step 1
Day 1

15-minute intro call

We learn your practice — doctor count, associate compensation structure, financing providers, practice management software, and your pharma inventory approach. No sales pitch.

Step 2
Days 2–5

Books & access review

We connect to QuickBooks, review your chart of accounts, assess pharma inventory setup, map your associate production tracking, and build your depreciation schedule for existing equipment.

Step 3
Within 2 weeks

Live visibility

Monthly close package, pharma COGS tracking, CareCredit reconciliation, production comp by associate, controlled substance segregation, and equipment depreciation running clean from month one.

Industries

Bookkeeping that speaks your industry.

Questions

Answers, up front.

How do you handle pharmaceutical COGS vs. expensing at purchase?+
Pharmaceuticals and medical supplies are inventory — they become a cost of goods sold when they're dispensed, not when they're purchased. Expensing at purchase distorts your monthly P&L (large purchases create artificial expense spikes) and understates your inventory asset. We track pharma and supply inventory, record purchases to inventory, and recognize COGS when product is dispensed. Your gross margin on medical services reflects the actual cost of what was delivered.
How do you reconcile CareCredit and Scratchpay financing?+
Financing through CareCredit and Scratchpay doesn't pay you the full invoice amount — there's a processing fee, a delay between when the client signs and when you receive funds, and sometimes a discount rate that varies by repayment plan. We reconcile every CareCredit and Scratchpay deposit to the originating invoice, track the financing fees as a separate expense line, and make sure your accounts receivable and cash always reflect actual net remittances — not gross invoiced amounts.
How do you calculate associate veterinarian production compensation?+
Associate production compensation (typically 18–25% of production) requires tracking each associate's gross production by pay period, deducting any contra-production adjustments (refunds, discounts, write-offs), and calculating the production percentage against your contract terms. We set up the compensation tracking in your books so every associate's production-based pay is calculated correctly, documented, and reconciled to payroll before it runs.
Why do you separate controlled substance expenses?+
DEA-controlled substances must be tracked with much greater specificity than general pharmaceutical inventory — quantity purchased, quantity administered, quantity on hand, and any discrepancies. Separating controlled substance expenses from general pharma inventory in your books supports your DEA log reconciliation and creates a clear audit trail. If your usage records and your financial records ever need to be compared, having them in sync from the start is what matters.
What equipment in a veterinary practice should be depreciated?+
Major veterinary equipment — digital x-ray systems, ultrasound units, dental units, surgical tables, anesthesia machines, and laboratory analyzers — are capital assets that should be depreciated over their useful lives, not expensed when purchased. We build and maintain a depreciation schedule for all capitalized equipment. The distinction between a capital purchase and a repair or maintenance item is also something we make on every transaction so your P&L and balance sheet are always right.
Can you separate boarding and grooming revenue from medical revenue?+
Yes — and for most practices this is important. Boarding and grooming have very different cost structures and margins compared to veterinary medical services. Blending them in one revenue line makes it impossible to know your true medical margin or evaluate whether the boarding/grooming operation is contributing to profitability. We track revenue by service category so you see the real picture for each part of your business.
Do you handle multi-doctor revenue allocation?+
Yes. In multi-doctor practices, allocating revenue by associate is essential for calculating production compensation, evaluating each doctor's contribution, and making staffing decisions. We set up doctor-level revenue tracking in your practice management software and QuickBooks so you always have accurate production numbers by associate — the foundation for all production-based compensation calculations.
Can we cancel if we're not satisfied?+
Month-to-month engagement, 30-day notice. No multi-year contracts. We keep clients because the work is good, not because paperwork traps them. Use the Instant Estimate to see a real price range before we ever talk.
Ready when you are

Ready for books as precise as your medicine?

Use the instant estimate to see a real price range, then book a 15-minute call to talk through fit and scope. No pressure, no sales pitch.

  • Free 15-minute call, straight answers
  • Instant estimate available before you ever talk to us
  • For tax or legal questions, talk to your CPA or attorney
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