Your Stack
Fluent in the tools you already use.
We keep the financial back office running quietly — payroll, bills, reconciliations, reporting — while you run the practice.
QuickBooks
Gusto
ADP
Paychex
Bill.com
FathomClean financials for lenders, owner compensation strategy, and benchmarking — with compliance handled quietly in the background.
Since 2006 · 500+ companies served · $360M in client revenue managed annually
A practice’s books fail differently. Insurance reimbursements arrive months late and short-paid. Production and collections drift apart with no one tracking the gap. Owner pay, distributions, and practice profit tangle into one number nobody can explain.
Generic bookkeeping records the deposits. To run a practice you need production-versus-collections truth, staff and supply ratios benchmarked against healthy practices, and financials clean enough that an equipment lender or practice buyer says yes quickly.
Keel has run the books for Southern California businesses since 2006 — including dental practices, medical groups, and specialty clinics across San Diego County, Orange County, and greater Los Angeles. We know the local landscape, California payroll and compliance, and the operators your business runs alongside.
Headquartered in Oceanside — and because the whole engagement runs through your cloud stack and client portal, we serve companies anywhere in the country just as well.
Books that reconcile the clearinghouse, the merchant, and the bank.
The reports a practice actually runs on.
CFO judgment for the decisions that shape the practice.
We keep the financial back office running quietly — payroll, bills, reconciliations, reporting — while you run the practice.
QuickBooksGustoADPPaychexBill.comFathom"We came from Barcelona and made a start-up in Santa Monica in 2013. We didn't know anything about the bookkeeping and the DOAAR people were well prepared to help us. They have been of great help in our business and allowed us to start with an affordable price. Daniel and Natalie answer our emails always in the first 24h."
Dr. Xavi Olivia · CEO, CeraRoot
Every Keel client works from a live portal — executive summary, standard reporting, controller and CFO views, and workflows, refreshed on your service cadence. The demo shows the full Keel service stack; your portal is tailored to your engagement.
Explore the Demo PortalYes. Clean, current, properly categorized financials are the baseline deliverable — the kind equipment lenders, banks, and practice buyers accept without a second pass.
Yes. We track staff cost, supplies, lab, and occupancy as percentages of collections and compare them against healthy practice ranges — so you know exactly where money is leaking.
No — we complement them. We run the monthly accounting and finance function; your CPA keeps tax strategy and filings. We coordinate directly so nothing falls between us.
Value-based and transparent — built from a published service catalog, not hourly billing. Build your own estimate in about two minutes. No contact info required.
A controller, once providers or locations multiply and the close gets complex. A CFO, for the big decisions: buildouts, acquisitions, associate buy-ins, and evaluating a DSO offer.
A 60-minute call about your business, your books, and what a finance department would change. Or price it yourself first.
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