Keane Management Accountants LLC

Keane Management Accountants LLC We create the accounting framework for successful companies. Bookkeeping | Business Strategy | M&A⁣ Let me get you organized!

Bookkeeping can be cumbersome, especially when you are also trying to run a business. I want to alleviate that stress and help small business owners save time and get a better understanding of their finances. We can set up a monthly, quarterly or as-needed bookkeeping service. I will enter in your company's transactions, reconcile cash and credit card accounts, and organize receipts for proper bac

kup. I can answer questions and work with your accountant to suggest ways to increase profit and maximize tax deductions. If you want to learn to do your own books, I am more than happy to train you.

At Keane, everything we do is grounded in five core values - and they aren't just words on a wall.Trust Is Everything - ...
06/03/2026

At Keane, everything we do is grounded in five core values - and they aren't just words on a wall.

Trust Is Everything - Client data stays confidential. We do what we say. We respond, we follow up, and we show up ready.

Quality & Accuracy - If we aren't sure, we ask. We check our work twice. Spelling matters. Good work is the standard, not the exception.

Embrace Innovation - We don't do things a certain way just because that's how they've always been done. We look for efficiency in everything, stay open to change, and never stop learning.

Care Deeply - We celebrate our clients' wins. We support each other. We lead by example - and we bring self-motivation to everything we do.

On Time & Consistent - Deadlines are non-negotiable. We plan ahead, communicate consistently, and show up the same way every time - because reliability is part of the service.

These values shape how we serve all our clients.

Q2 Estimates always sneak up on us.We just closed 4/15.And here we are — June 15th is already around the corner.Here's t...
05/27/2026

Q2 Estimates always sneak up on us.

We just closed 4/15.

And here we are — June 15th is already around the corner.

Here's the good news for our clients:

Proactive advisory means you're rarely caught off guard.

Regular financials mean your CPA can adjust mid-year.

And if it's a tough year? It's okay to pay less.

For first-timers, estimates feel strange.

You're used to taxes coming out of your paycheck.

When you run a business, it works differently.

You pay based on profit AND salary.

You pay quarterly, as you go.

A simple benchmark to start:

Set aside 30% of profit for taxes.

For Massachusetts business owners:

Don't forget your Entity Level Tax.

That's your 63D Tax. Also due June 15th.

We've got you. But the deadline won't wait.

I almost lost a client last year.They pretty much ran out of cash. Taxes were due.For years I was warning them to cut u...
05/21/2026

I almost lost a client last year.

They pretty much ran out of cash. Taxes were due.

For years I was warning them to cut unnecessary overhead costs.

Expenses were out of control.

So finally, we got in a huddle together.

Line by line. Expense by expense.

We got rid of the non-essentials.

Invested life savings to turn things around.

Six months later?

They’re more than back. Super profitable. Thriving!

Looking back, one thing made the real difference.

We started holding real accountability meetings.

Every month or quarter.

→ Review budget vs. actuals
→ Revisit KPIs against the goals
→ Talk about what’s coming next

Management stopped reacting to problems.

They started calling before the problem.

Before the big hire.
Before the big purchase.
Before the big mistake.

That’s proactive. Not reactive.

And that’s the difference between an accountant
and an accountability buddy.

If your accountant only shows up at tax time.

You’re only getting a fraction of what you’re paying for.

Nobody wants an audit.Until they do.Most business owners avoid looking too closely at their books.Not because they’re hi...
05/19/2026

Nobody wants an audit.

Until they do.

Most business owners avoid looking too closely at their books.

Not because they’re hiding something - because they’re busy.

Here’s the most common things we find after working with 200+ businesses:

→ 401k deposits not remitted correctly or on time (illegal!)
→ Vendor charges for services no longer used
→ Missing payments not applied to AR

None of these are disasters on day one.

All of them become disasters eventually.

Think of an audit like a physical for your finances.

Catch it early, fix it fast, and move on.

At Keane Management, we run these audit checklists regularly for our clients.

When we find material things, the clients are usually alarmed but always thankful

The ones who don’t? They find out the hard way sometimes - and it costs a lot more to fix.

Audits are good for you.

“You don't have a revenue problem.”I had a call with a practice regarding their cash outlook.I pulled a Q1 budget vs. ac...
05/14/2026

“You don't have a revenue problem.”

I had a call with a practice regarding their cash outlook.

I pulled a Q1 budget vs. actuals report from QuickBooks.

Income was 95% on target.

But expenses were WAY beyond budget

The culprits?

Medical supplies cost increase.

Payroll too high.

That's why a budget matters.

It's your early warning system.

We can now adjust the expenses accordingly.

We treat budgets more like forecasts.

This is what you want to happen.

And if it doesn’t track, then we move fast to change things.

Cash is oxygen in a business.

Here's my rule:

- Keep 2 months of expenses in cash.

Above that → do what you want.

Below that → you're treading water.

And you need a line of credit.

Three payroll cycles in one month can sneak up on you.

The best tool?

A 12-month cash flow forecast.

Look ahead. Not behind.

Good accounting isn't data entry.

It's catching problems before they're crises.

Are you chasing money?1. Why it piles up unnoticedSometimes practices measure revenue at billing, not at collectionIf yo...
05/12/2026

Are you chasing money?

1. Why it piles up unnoticed
Sometimes practices measure revenue at billing, not at collection
If you aren’t watching, A/R quietly grows

2. When AR becomes a red flag
90+ days outstanding → deserves attention
120+ days → timing out

3. What healthy looks like
Below 35 days in-A/R → great
Above 50 → warning
Above 65 → problem

Sometimes we spend years chasing the wrong thing.Over April break I went for a challenging hike.No emails. No meetings. ...
05/07/2026

Sometimes we spend years chasing the wrong thing.

Over April break I went for a challenging hike.

No emails. No meetings. Just family.

And that’s when it hit me.

Yes, thoughts that I may not make it down the mountain safely. LOL

But also that so many doctors are chasing the wrong metrics.

I spoke with a CPA this week.

He specializes in medical practices too.

We both agreed on the same thing.

Private practice requires a completely different mindset.

RVUs are not effective when you own the business.

Hospitals pay you to produce volume.

→ High RVUs ≠ money in the bank
→ You can work more and earn less

More production doesn’t mean more profit.

Pay providers on actual collections and profit.

Physicians are often the last to know how their practice is truly performing.That’s the problem Keane Management Account...
05/05/2026

Physicians are often the last to know how their practice is truly performing.

That’s the problem Keane Management Accountants was built to solve.

Founded in 2016, we serve private practice owners in the healthcare industry, providing financial clarity, structure, and strategy.

We handle:
→ Bookkeeping & Records Management
→ Financial Reporting & Analysis
→ Advisory & Strategic Partnership

If you own a private practice and want clarity over your numbers, you know where to find us.

Q1 is behind us. Don’t leave without these 5 things.1. The most common Q1 mistake: not forecasting seasonality→ Deductib...
04/28/2026

Q1 is behind us. Don’t leave without these 5 things.

1. The most common Q1 mistake: not forecasting seasonality

→ Deductibles reset January 1st, patients take longer to pay, and winter weather doesn’t help

→ Cash is usually tight this quarter — plan for it every year

2. Start tracking your accounts receivable

→ It’s your #1 leading indicator of future revenue

→ What percentage is over 90 days?

3. What “closing the books” actually means

→ Financials reviewed. Taxes filed. CPA adjustments back. QuickBooks locked.

4. A win you might be overlooking

→ Q1 just showed you something real

→ Did your forecast hold? Check it — and tweak if needed.

5. Your #1 Q2 priority: build a cash flow forecast

→ If you want to plan well, take the time

Q2 is here. Finish strong.

70/30 is the new 60/40. How to avoid a classic mistake.I was sitting with a multi-physician practice last month working ...
04/16/2026

70/30 is the new 60/40.

How to avoid a classic mistake.

I was sitting with a multi-physician practice last month working through their 2026 Q1 numbers.

The doctors kept defaulting to the same instinct: pay themselves as much distributions as possible, so they can save taxes. Sound familiar?

I had to stop them.

“You’re taking too much in distributions — and creating a tax problem.”

Here’s the framework I walked them through:

➡️ 70% wages — generally what it would cost to replace you in your role
➡️ 30% distributions — profit you take as an owner

But here’s the part most owners miss: don’t take the full 30% as distributions.

Leave at least 1/3 for:

Cash cushion
Reinvestment back into the practice

This ratio matters because:

✔️ It protects you if you ever step back or bring on a partner
✔️ It gives your practice a true picture of profitability
✔️ It keeps your compensation reasonable in the eyes of the IRS

Ask yourself this: if you had to hire someone to replace you tomorrow — what would you pay them?

That’s your salary number. Not whatever’s left over after expenses.

We’re revisiting this across practices right now as 2026 budgets get tweaked.

If your salary structure hasn’t been reviewed recently, that’s where I’d start.

Previously I said 60% of profits is the safe salary number, which has been confirmed by several CPAs through the years.

However, if you are a medical practice, you are better off taking 70%.

Address

Natick, MA
01760

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

(781) 898-8904

Website

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