Clean monthly books, a Stride Score for your practice and benchmarks against other podiatry practices, from a CPA firm that works with podiatrists and nobody else. Know where you stand, see what is coming, keep more of what you earn.
One of four vitals on target. Costs are inside every podiatry range; cash covers one month of outflow against a target of two to three. See the full sample portal.
The fastest way is to connect QuickBooks Online read-only and let the numbers come in by themselves. Or type six numbers from your last twelve months. Either way you get a Stride Score on the spot, then a free snapshot against the podiatry ranges, and if you want it, where you sit against practices your size and in your state. Nothing is stored anywhere but your browser in this prototype.
Every practice on Stride gets a 0 to 100 score each month, built from the closed books and named the way a podiatrist would name them. Twenty-five points each.
What the practice earns after paying its owners a market wage. Target 10% of collections, excellent at 15%. This is the return on owning the practice, not on working in it.
Gross profit for every dollar of labor, owners counted at market wage. Podiatry runs 2.0 to 2.5x. Below 2.0, payroll is carrying more than the collections behind it.
Months of outflow in the bank. Two to three is the target. Under one and a slow remittance cycle puts the practice on its line of credit.
Collections over the trailing twelve months against the twelve before. Three to eight percent is healthy; more usually means a new physician, less usually means a schedule problem.
Ranges come from the practices whose books we close every month, aggregated so no one can be identified, plus the small-practice bands we have used since the program began and podiatry-specific figures where they exist. Expand a group to see the range and what it means in plain language.
Medians are recomputed each quarter from real closed books across the podiatry practices we serve. When your practice is on Stride it contributes in aggregate and is never shown to another client.
Routine foot care, DME and orthotics, injections, imaging and in-office procedures are tracked as service lines, because that is how a podiatry practice actually makes money and where Medicare looks.
Each benchmark links back to the QuickBooks lines and EHR fields behind it. If a figure looks wrong you can see why, and so can we.
The 20-20 approach, the way it has run since 2013: get the foundation right, then advise, then plan tax, then manage the whole picture, and let compliance take care of itself.
QuickBooks Online coded daily, month-end closed automatically, EHR data pulled in. Clean books by the 12th, every month.
Stride Score, benchmarks, a rolling forecast and the daily cash ledger, reviewed with an advisor who only sees podiatry practices.
A projected liability by owner, safe-harbor tracking and scored strategies, so April is a formality rather than a surprise.
Practice value, sale readiness and the personal side through 20-20 Financial Services: retirement, risk, estate.
Returns, business taxes, sales tax on retail products and 1099s, filed from books that were right all year.
Each page opens with the number that matters and a sentence that explains it. The full statement, the payer scorecard or the month-by-month forecast is one expand away. Owners see everything, associates see their own figures, office managers see operations, never owner pay.
What needs attention: cash covers 1.0 months of outflow; labor efficiency 1.77x; $36K of 2026 tax not yet paid in; 42 days from service to cash.
Move a slider: clinic days, patients per day, reimbursement, time off, a hire. The books recalculate through your own collection curve.
Strategies scored on saving, cost and effort: cash balance plan 71, Section 179 on the new laser 58, Augusta Rule 47. Tick one and its steps land in the action plan.
Explore the sample portal Three sample practices, three roles, any password.
Every plan includes the monthly close, financial statements and your Stride Score. Pricing shown is illustrative for this prototype.
Books you can trust, a score you can read.
See where you stand and what is coming.
Keep more of what you earn, on purpose.
For practices building toward a buy-in, a sale or a second location.
Partner. Has worked with podiatry practices since 2011 and founded 20-20 Accounting Solutions in 2013 to serve them exclusively. Builds the dashboards and closes the books himself.
Partner. Tax planning and compliance for practice owners, and the financial-management side through 20-20 Financial Services.
Team descriptions are drawn from 2020podiatry.com. Sample quote for the prototype.
Usually the bookkeeper stays for daily entry and we take the close, the statements and the advisory layer. Where the books are being coded by the owner or the office manager, we take that over too. Either way the books are closed by the 12th and the Stride Score comes out of the closed numbers, not a draft.
QuickBooks Online is required. On the clinical side we pull from eClinicalWorks, Athenahealth, NextGen, ModMed and most other podiatry EHRs through their reporting exports, plus your bank feed and payroll provider. Data moves one way, into the portal.
Owners see everything. Associates see their own scorecard and their own provider figures against the practice average, never another physician\u2019s numbers. Office managers see operations: financial statements, cash ledger, revenue cycle and denials, but not owner pay, distributions or tax. Owners can change any of this in Settings.
Yes. Every measure is a ratio: per dollar collected, per clinic day, per physician FTE, or months of outflow. Owners are counted at a market wage so a practice that pays its owner nothing does not look artificially profitable. Cohort medians can be filtered by practice size and by state.
That is what the Partner plan\u2019s custom dashboards are for: a Medicare TPE audit tracker, a new-associate ramp against the bonus threshold, a second-location budget against actuals. They are built from your books and retired when the situation is over.
No cost, no obligation. In this prototype the request is kept in your browser only.