CPA, EA, and Practice Operator
I run finance and operations inside an independent healthcare practice. The frameworks, KPIs, and rhythms I share come from real monthly closes, not textbooks.
This means I understand the actual workflow: EHR exports, payroll timing, insurance reimbursement delays, and the operational reality of running a practice day to day.
I work with a small number of independent practices so the work stays operator-level. No junior staff. No generic advice. Direct access to someone who does this work inside a practice.
Why I Started Giesecke Advisory
I saw the same pattern over and over: practice owners who were great clinicians but felt overwhelmed by the financial side of their business. They had accountants who filed returns on time but never helped them understand their numbers or plan ahead.
The advice they got was generic. Their accountant had never dealt with insurance reimbursement cycles, EHR data exports, or the unique cash flow rhythm of a medical practice. Important decisions — hiring a new provider, buying equipment, restructuring compensation — were made without the financial context they deserved.
I built Giesecke Advisory because I knew I could offer something different. I'm not advising from the outside. I run finance and operations inside a dermatology practice every day. When I talk about monthly closes, KPI tracking, and cash flow systems, I'm talking about things I do — not things I read about.
My approach is simple: calm systems, clean numbers, confident decisions. I help practice owners build financial clarity so they can focus on what they do best — taking care of patients.
Not Your Typical Accounting Firm
Operator, not just advisor
I run day-to-day operations inside a healthcare practice. The frameworks I share come from doing the work, not reading about it. I understand the rhythm of a practice because I live it.
Proactive, not reactive
Most CPAs talk to you once a year at tax time. I build financial operating rhythms — monthly KPIs, quarterly projections, ongoing strategy conversations — so nothing surprises you.
Direct access, no layers
When you call, you get me. No junior staff, no account managers, no phone tree. I work with a small number of practices intentionally so I can stay deeply involved in each one.
Healthcare-specific understanding
Insurance reimbursements, provider compensation modeling, EHR exports, payroll timing — I understand how medical practices actually operate, not just how they look on a P&L.
Traditional CPA vs. Giesecke Advisory
Most accounting firms treat medical practices the same as any other small business. We don't.
Principles That Guide Every Engagement
Clarity Over Complexity
Simple dashboards that drive decisions. No 40-page reports. The goal is always: do you understand your numbers well enough to act on them?
Systems Over Heroics
Repeatable processes beat last-minute scrambles. Monthly closes, quarterly projections, documented workflows. Calm pace, consistent output.
Partnership Over Transactions
I'm looking for long-term relationships with practice owners who value clarity. Not one-off projects. Not "lowest price wins." Real partnership.
Let's See If It's a Fit
Schedule a 30-minute call. No pressure, no pitch. Just a conversation about your practice and whether working together makes sense.
Schedule a Call