McElroy Comprehensive Accounting
Preventive care for
your business.
Your year-round accounting and tax partner for
mental health and wellness providers.
A Process You Understand
We don't expect you to speak accounting. We meet you where you are so you can work on your business; not just in it.
Intake: We gather your business details including legal info, systems, and filing requirements
Assessment: We review your business vitals like cash, receivables, payroll, tax, and books both current and historical
Diagnostic: We explain what's off or needs more attention and why and then set clear priorities
Treatment Plan: We establish tasks, due dates, deliverables, and associated costs
Ongoing care: We provide agreed services at frequencies you need like check-ins, recordkeeping, financial adjustments, and applicable filings
Referrals: If it's outside our lane, we bring in a specialist and stay involved
Get our recommendation
Nationwide • Cloud-based • Secure portal & e-sign • Responses within hours, not days
Meet Niko
Who I am
Hi, I’m Niko, President of MCA. I came to accounting from education and social work, so I explain money in plain English, listen well, and leave judgment at the door. After the pandemic I trained in accounting and business management, joined my family’s firm, and spent years doing hands-on work. I also supported a veteran tax CPA with 60+ years in practice. In 2024, I took over our family firm. You’ll work directly with me and a small team I trust. I answer quickly and keep things moving.
Why health & wellness
Health comes first. I want my work to support a healthy life and the people who make it possible. I keep your numbers steady so you can focus on care.
When you need more than me
If something isn’t in my lane, I’ll say so early. I’ll bring in a specialist I’d trust with my own business and stay involved so the handoff is smooth. You care for your clients. I’ll make sure the right team cares for you.
Does this sound familiar?
"I have outstanding invoices and cash feels tight."
Diagnostic:
slow receivables, no plan for delayed cash-flow
Plan:
13-week cash forecast, monthly follow-ups, and monthly bookkeeping
Care:
weekly cash snapshot, who to nudge for payment and collection suggestions, when to expect payment, and how to manage until then
"I know I should be paying estimated taxes, but I can't save enough in advance."
Diagnostic:
no estimated tax protocol
Plan:
set estimated tax target amounts, get reminders ten days before deadline, and quick recap of amounts due
Care:
one-page estimated tax sheet with due dates, links for payment, and clear next steps for future payments
"What am I supposed to be paying myself or my staff?"
Diagnostic:
missing pay policy and/or S-Corp compensation rules are unmet
Plan:
salary or draw plan, payroll synced to books, and documented and defensible reasonable compensation
Care:
an owner-pay guide, a payroll calendar, and year-end compensation and accountable checklist
"Am I supposed to be collecting and paying sales tax?"
Diagnostic:
mixed taxable items or services, unclear registration and payment
Plan:
map and track what’s taxable, register and file on schedule
Care:
taxable product or service matrix, filing schedule with deadlines, 7-day reminders for payment remission, and filing
"I'm behind on my books and tax season is so stressful and chaotic."
Diagnostic:
monthly close not established and untracked or uncategorized transactions
Plan:
categorize monthly, reconcile accounts, track 1099s, and close books monthly
Care:
reconciliation summary, financial statements, 1099s issued, and tax compliant