For Direct Primary Care Practices

Accounting built for DPC practices

From solo startups to multi-location groups we handle your books, payroll, and financial strategy so you can focus on patients.

Why Osprey CFO

We understand the DPC model

Payroll, AP and AR on autopilot

We set up and manage the right systems so your payroll, bills, and receivables run smoothly without extra admin.

On-time financials, every time

Your financials are accurate and up to date so when it is time to hire, expand, or make a big call, the data is already there.

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Accounting-first, not tax-first

We lead with the managed accounting and CFO work you need day-to-day, not a once-a-year tax plan.

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Monthly service, like DPC itself

Predictable flat-fee pricing on a monthly basis.

What We Do

Our services for DPC practices

Monthly Accounting

Membership revenue tracking, bank and credit card reconciliations, and monthly financials formatted for DPC.

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Payroll and Controller

Staff payroll, provider compensation, AP automation, spending controls, and a clean monthly close.

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Pricing: Real Client Examples

Flat-fee pricing customized to your exact needs. We quote based on practice size, complexity, staff, and the services you need.


Example 1
Solo DPC Practice
$450/month

Solo physician with a growing membership panel and straightforward monthly bookkeeping needs.

Staff1-2
Monthly Transactions~60
Patient Panel200-400
Complexity
Services Included
  • Full Bookkeeping
  • Quarterly Financials
  • Quarterly Strategy Calls
  • Annual Budget
Example 2
Growing DPC Practice
$900/month

Multi-provider DPC clinic with staff payroll and a need for clean financials and cash flow visibility.

Staff4-8
Monthly Transactions~150
Patient Panel500-800
Complexity
Services Included
  • Full Bookkeeping
  • Payroll Management
  • AP Automation
  • Monthly Financials
  • Quarterly Strategy Meeting
  • Budget vs. Actual
Example 3
Multi-Location DPC Group
$1,600/month

Multi-site DPC group with complex payroll and CFO-level strategic guidance.

Staff10-20
Monthly Transactions300+
Patient Panel1,000+
Complexity
Services Included
  • Full Bookkeeping
  • Payroll Management
  • AP Automation
  • Monthly Financials
  • Monthly Strategy Meeting
  • Budget vs. Actual
  • Multi-Entity
  • CFO Advisory
  • Growth Planning

Every engagement is custom-quoted.

From DPC Owners

What our clients say

Testimonial cards go here as you collect them. Ask your first DPC clients for a short quote and a specific result.

You take care of your patients. We will take care of your numbers.

No hard pitch, just a conversation to see if we are a fit for your practice.