Bookkeeping & Fractional CFO Firm for Private Practices

Clear numbers, better decisions, & momentum that matters.

Bookkeeping and advisory that calms the chaos and informs your next move — plain language, no jargon, no shame about the messy middle.

15 minutes. No prep needed. No pressure.

5.0 on Google · 12 reviews

Robin Angaiak, owner of Line & Ledger, standing in her Alaska office
Your books, finally current — and explained in plain words.

HIPAA

Trained on healthcare privacy requirements

Cyber-secure

Encrypted, access-controlled

Background-checked

VETTED AND INSURED

Since 2019

Private practices nationwide

The messy middle

Do these sound familiar?

  • You're not sure if you can afford to hire another provider.
  • Your books are behind and you keep meaning to catch up.
  • You look at your bank balance to decide how the practice is doing.
  • Tax time is a scramble every single year.
  • You know the numbers matter — you just don't have time to sit with them.

If you nodded at any of these, a 15-minute call will tell you whether we're the right fit.

Book a Quick Call
Tax time doesn't have to be a scramble.

The path

How it works

Step one

Book a 15-minute quick call

A short, no-pressure conversation about your practice and where things stand today.

Step two

Review your books together

We look at your numbers side by side, and get to know your goals and what's getting in the way. If step one shows we're a good fit and you have the time, we can roll straight into this on the same call.

Step three

Start with Connect onboarding

Books cleaned up, systems aligned, and a clean slate before we settle into a rhythm.

Step four

Settle into your membership level

Core, Clear, or Compass — the level of support that fits the season you're in.

The membership

Four support levels. Zero pressure to stay put.

Start where you are. Shift when it fits.

First — for everyone

Everyone starts with Connect onboarding, then settles into Core, Clear, or Compass.

Connect

Clean Slate, Strong Start

$3,000/mo

Connect runs at this rate for one to three months, depending on how much clean-up your books need. We'll scope it with you before we start so you know the number of months up front. When the clean-up is done, you move down into Core, Clear, or Compass.

Onboarding & clean-up step

  • Clean up/Catch Up Bookkeeping
  • Systems Review
  • Meetings to understand your goals and focus
See full details

Pricing shown is for single-location practices.

Core

Solid foundation, ready to build.

$1,500/mo

Quarterly strategy meetings

  • Clean, current bookkeeping every month
  • Monthly reports with a custom video walkthrough
  • Payroll support
See full details

Clear

Where smooth systems feel easy.

$2,750/mo

Monthly meetings

  • Everything in Core Framework
  • Money Systems review and process improvement recommendations, support
  • Payroll processing
See full details

Compass

Your next move, mapped together.

$5,500/mo

Weekly strategy meetings

  • Everything in Core and Clear, plus:
  • Weekly strategy meetings
  • Comprehensive cash flow forecasting
See full details

Custom

Multiple locations? Let's chat.

Multi-location practices are a custom fit, with custom pricing. What it costs depends on how many locations you run and how they actually operate — some barely change the work, others change it a lot. We'd rather understand your setup and quote you something real.

Don't see a box that fits for another reason? Same answer. Let's talk and find out whether we're a good fit — or whether we know someone who is.

Book a quick call

15 minutes. No prep needed.

Not sure if it's our time yet?  Here are 7 signs it might not be our season.

Questions about cost, S-Corps, or HIPAA? Read the FAQ

“Her guidance and support helped restore my clarity + confidence in my biz finances. Her process was full of ease and didn't take up much of my time.”
Meg Collier · Self-employed
See the Membership
Robin Angaiak, bookkeeper and fractional CFO for private healthcare practices
Robin — founder, and the one reading your numbers.

Meet Robin

You built a practice to help people. We're here to help you run it.

We're the steady partner in your corner — translating numbers into next steps so you can make decisions with confidence instead of guesswork.

More about Robin

Next step

Not sure where you land?

If you nodded at any of these, a 15-minute call will tell you whether we're the right fit.

Book a quick call

15 minutes. No prep needed. No pressure.

“Really top notch in terms of the quality of their work but also the humanity and flexibility that a small business really needs. I cannot recommend them enough.”
Ivy Spohnholz · Small business owner

Next step

Join the community circle

A gathering place for private practice owners who want clear numbers and honest conversation. Add your email and we'll let you know the moment doors open.