They are licensed or expert-led
The business runs on your credential, your judgment or your reputation. That makes your time the scarcest input, and every hour spent reconciling a bank feed an expensive hour.
Most accounting firms take anyone who calls. We work deeply in two fields, which means we already understand how your money arrives, what it costs you to earn it, and which decisions actually move your tax bill.
There is a difference between an accountant who is technically correct and one who knows what to look for.
Both will get the arithmetic right. Only one will ask why your income dips every August, whether your clinical supervision hours are being expensed, how you are handling the associate you just brought on, or if the entity you chose three years ago still fits the practice you run today.
Those questions do not come from a checklist. They come from having sat with dozens of businesses that look like yours, seeing the same seasonal cash-flow dip, the same worker-classification mistake, the same shoebox of receipts that nobody categorized because nobody knew which category applied.
Safietou D. Russell, CPA, EA, MST has worked across more than 25 industries in a career spanning over 23 years. SDR Consulting was built by deliberately narrowing that experience, going deep in a handful of fields rather than shallow in all of them. That is why our onboarding conversations sound less like an interrogation and more like a colleague catching up.
It also means we say no sometimes. If your business sits far outside what we know well, we would rather tell you that on the first call than learn it together at your expense. Read more about how Safietou works.
Each page goes into the specifics, the revenue patterns, the deductions, the entity questions and the compliance landmines that come with that field.
Therapists, psychologists, psychiatrists, nurse practitioners, counselors and group practice owners. This is the field the firm was rebuilt around, from your first private-pay client through a team of clinicians, W-2 payroll and a real S-corp conversation.
We know what a superbill is, why insurance reimbursement lands three weeks late, what supervision and CEUs cost you, and how a HIPAA-aware bookkeeping workflow should be set up so your books never touch protected health information.
Explore mental health practices
Founders in the first two years, where the cheapest fixes are also the earliest ones: the right entity at formation, clean books from transaction one, and founder compensation that will not embarrass you in diligence.
Explore startupsOur clients rarely arrive because they love accounting. They arrive because the business outgrew the way they were handling it, and something finally made that impossible to ignore.
The business runs on your credential, your judgment or your reputation. That makes your time the scarcest input, and every hour spent reconciling a bank feed an expensive hour.
Seasonal dips, delayed reimbursement, project gaps, a launch that lands in one quarter. Uneven income makes estimated taxes genuinely hard, and it is exactly where guessing gets expensive.
The first associate, the first admin, the first subcontractor. Almost everyone gets the contractor-versus-employee decision wrong the first time, and the correction is far more expensive than the advice.
A colleague, a Facebook group, a podcast. It might be right for you. It might cost you more than it saves. Nobody has run your actual numbers, which is the only way to know.
Not through carelessness, through a full calendar. Clean-up and catch-up work is one of the most common ways clients start with us, and nobody gets a lecture about it.
The old arrangement was a return in April and silence until the next one. What they actually wanted was someone to call before signing the lease, not after.
She doesn't just take any client. You have to match the company's mission and values. She is extremely organized, detail oriented and intelligent. She takes privacy seriously and all your information is secure.
Julia, nurse & business owner, via GoogleThe service menu does not change from field to field. What changes is the judgment behind it, which deductions we chase, how the books are structured, and what your quarterly conversation is actually about.
Individual and business returns, quarterly estimates calculated rather than guessed, year-end moves made while there is still time to make them, and IRS representation if it comes to that.
ExploreMonthly reconciliation in QuickBooks Online, financial statements written to be read, catch-up work when you have fallen behind, and a chart of accounts built for your industry.
ExploreGusto, ADP, Paychex and QuickBooks Payroll setup, reasonable compensation you can defend, 1099 and contractor compliance, and retirement plans that double as a deduction.
ExploreEntity selection and structuring, business formation, startup support, healthcare consulting and growth advisory at the moments where the decision actually matters.
ExploreTax, accounting and advisory bundled under a single flat monthly fee. Built for licensed professionals who want ongoing support, financial systems that hold up, and a great deal less stress in March.
Total Harmony is quoted after a consultation, because the work varies with entity type, transaction volume, payroll complexity and how much clean-up your books need.