Our directory of top accounting firms in the US is built on five main ranking criteria and reviewed by a team of 12 experts, supported by a 4.1-star average rating from verified client reviews. This gives you a clear and reliable way to choose the best accounting firms for your business.

United States × Health Care × Under $1,000 ×Clear Filters
  • DayCPA

    VerifiedVerified by the DesignRush team for authenticity and credibility.

    Exceptional Accounting, Extraordinary Services

    Since 1995, DayCPA has helped individuals, entrepreneurs, and businesses navigate tax, accounting, bookkeeping, and advisory needs. Our team delivers proactive tax planning, reliable compliance support, and practical financial guidance designed to support long-term success...

    Top Services:

    • Accounting
    Location
    Vancouver, Washington
    Number of Employees
    50 - 99
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000

    DayCPA Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • International Taxpayers
    • Technology Companies
    • Startups
    • E-Commerce Businesses
    • Consultants
    • Small Businesses
    • Investors
    • Foreign Nationals Working in the U.S.
    Data sourced from the agency's DesignRush profile

    DayCPA Reviews & Testimonials

    • Milena Odrinskaya
      Milena Odrinskaya Review from Google
      5.0

      Milena Odrinskaya's Review Sourced from Google

      I always had a great experience with this company and certainly recommend them. Responses are quick and accurate and service is professional.

    • María José Ruiz
      María José Ruiz Review from Google
      5.0

      María José Ruiz's Review Sourced from Google

      I had a great experience here! I’ll use them again. My accountant was Sara & she was fantastic. Thank you to the whole team!

    • Hailey Salierno
      Hailey Salierno Review from Google
      5.0

      Hailey Salierno's Review Sourced from Google

      I have used this company for a number of years on my tax filings, and they have always been very quick to reply and provide service. Now that I also have my own business I am very excited to also use them for my business strategic planning. We have already been working together on this and I am looking forward to what next year will bring. The people on my team that have been helping me is Sergei and Marina.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Be Boundless

    Dedicated remote teams from India, starting at $5/hour. 500+ pre-vetted professionals. Operated by LegelpTech Outsourcing Pvt Ltd (ISO 27001:2022 certified). 5-day risk-free trial. 48-hour shortlist. Founded 2021 by Ashu Mishra & Chandra Prakash. Serving SMB and mid-market clients globally...

    Top Services:

    • Staff Augmentation
    • Cybersecurity
    • Accounting
    • Customer Support
    • IT Services
    • Show more
    Location
    Cheyenne, Wyoming
    Number of Employees
    250 - 499
    Average Hourly Rate
    $5/hr
    Minimal Budget
    Under $1,000

    Zedtreeo Services

    • Staff Augmentation
    • Cybersecurity
    • Accounting
    • Customer Support
    • IT Services
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • NDA Bound
    • NA
    • NDA
    Data sourced from the agency's DesignRush profile

    Zedtreeo Reviews & Testimonials

    • Muhammad Anas Asghar
      Muhammad Anas Asghar Manager at Everest Moving
      5.0

      IT Services Review from Muhammad Anas Asghar

      The greatest benefit to us was the lack of a need to take someone from the ground up. Our expert was familiar with AI workflows and recommended a few improvements that streamlined our day-to-day tasks.

    • Muzamil shah
      Muzamil shah CO Manager at Howards Van line
      5.0

      IT Services Review from Muzamil shah

      Unlike a traditional freelancer platform, where you must search through hundreds of profiles, Zedtreeo is different. They provided us with a pre-selected short list and these candidates had already been tested. This saved us hours that it would have taken and made the decision easier.

    • Saqib Jalil
      Saqib Jalil General Manager at Sinatra Moving Group
      5.0

      IT Services Review from Saqib Jalil

      Thanks to Zedtreeo's work, the client improved lead quality, streamlined their sales process, and enhanced reporting accuracy. The team managed the project professionally, communicated clearly, and delivered milestones on time. Zedtreeo was responsive to requirements and adapted to feedback.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Your Finance Team Bookkeeping, Accounting & Strategy for One Monthly Price

    CoCountant gives you a fully managed finance team that handles your books, reporting, and financial questions all for a fixed monthly fee. We work with startups and growing businesses that are tired of inconsistent freelancers, bloated firms, and DIY tools that only get you halfway there...

    Top Services:

    • Accounting
    Location
    Cambridge, Massachusetts
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    3 Projects Listed

    CoCountant Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • LaunchPath Innovation
    • Rhino Web Group, LLC
    • Coast2Coast HR, LLC
    • Datum
    • Backpack
    • OHSL
    • Gemini Brass & Woodwinds
    • EmkaoFoods Inc.
    • Buoyant LLC
    • My MSP Solutions, Inc.
    Data sourced from the agency's DesignRush profile
  • Clean Books Sharp Technology Real Humans

    Acuity is a technology-driven accounting and financial services firm that provides bookkeeping, tax, controller, CFO, and advisory solutions for entrepreneurs and growing businesses. The company combines dedicated financial experts, proven processes, and modern cloud-based accounting technology to help...

    Top Services:

    • Accounting
    Location
    Atlanta, Georgia
    Number of Employees
    1000 & Up
    Average Hourly Rate
    $162/hr
    Minimal Budget
    Under $1,000

    Acuity Accounting Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Spanx
    • Greenlight
    • StudioHawk
    Data sourced from the agency's DesignRush profile

    Acuity Accounting Reviews & Testimonials

    • Cameron Weiss
      Cameron Weiss Review from Google
      1.0

      Cameron Weiss's Review Sourced from Google

      Extremely Disappointing Experience with Acuity Bookkeeping and Accounting ServicesI hired Acuity to help with bookkeeping and accounting, but the results were frustrating and unprofessional. Instead of properly categorizing transactions and providing accurate reports, almost everything was labeled as "uncategorized," making the books completely unreliable.They set up several automated apps that required me to pay extra subscription fees. None of these tools integrated correctly, and they only made the situation more confusing. Rather than helping me gain financial clarity, their system created more problems and wasted both time and money.I was hoping for experienced support and clean financial records, but what I received was a disorganized mess. I would not recommend Acuity to anyone looking for dependable accounting services.

    • Yonas Yemane
      Yonas Yemane Review from Google
      5.0

      Yonas Yemane's Review Sourced from Google

      Working with Acuity was an excellent experience. They truly understand entrepreneurs and delivered clear financial insights that helped us make smarter business decisions.

    • Krissy Zilli
      Krissy Zilli Review from Google
      5.0

      Krissy Zilli's Review Sourced from Google

      We we're in a predicament looking at cash-basis accounting to steer our decision-making at the risk of not understanding the true performance of our business. Abby is the BEST, most-knowledgable controller and so easy to communicate with regardless of your inherent accounting knowledge. Acuity has been transformational in moving our financial statements from super lumpy, cash basis to accrual. Amidst our work together, she's been willing to work through low-level transactional work with a smile as well as offering a high-level consultative look at our business, big picture. Can't recommend her enough for your ecommerce struggles!! She has made everything crystal clear and I've even developed my own skills as finance/ops director knowing her. @Acuity - do not lose this shining star!!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • All-in-One AI-Powered EHR, Medical Billing & RCM

    FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...

    Top Services:

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    12 Projects Listed

    FutureMD Solutions Services

    • BPO
    • Transcription Services
    • Business Consulting
    • Accounting
    • AI Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Care Industry
    • Healthcare Practices
    • Dental Industry
    • Wellness & Fitness Industry
    • Medical and Diagnostic Laboratories
    • Medical Health Care
    • Medical Hospitals
    • Professional Services Industry
    • HR Industry
    • Software & IT Services Industry
    Data sourced from the agency's DesignRush profile

    FutureMD Solutions Reviews & Testimonials

    • Texas Medical Supply.
      Texas Medical Supply. Review from Google
      5.0

      Texas Medical Supply.'s Review Sourced from Google

      FutureMD Solutions is exceptional for compleating our credentialing process in 100 days 5/5 ! Now they are helping us with our DME billing for fast 5 monthes so far very satisfied . our denials are at an all-time low. Highly professional and efficient—highly recommended for any medical equipment supplier!"

    • Leandro Ansart
      Leandro Ansart Review from Google
      5.0

      Leandro Ansart's Review Sourced from Google

      "Switching to FutureMD Solutions completely transformed our medical billing process. Our claim approval rate increased, payments arrive faster, an their EHR system is very easy to use. If you're lookin for reliable medical billing and EHR services in the U this company delivers real results."

    • angelic lopez
      angelic lopez Review from Google
      5.0

      angelic lopez's Review Sourced from Google

      "As a new clinic, we needed an affordable EHR and medical biting iodTpartner. Futuremd set up talkEHR /EHR for us for very minimum setup fee, handled credentialing, and managed billing seamlessly. Great service, transparent pricing, and excellent customer support."

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Outsource Bookkeeping With Expert Back-Office Support

    Rapid Back Office LLC helps small business owners and CPAs save time and cut costs with expert bookkeeping, payroll processing, and back-office support. We specialize in managing day-to-day bookkeeping tasks, ensuring accuracy and compliance. We support QuickBooks Online and Desktop, Xero, FreshBooks, Wave...

    Top Services:

    • Accounting
    • BPO
    Location
    Alexandria, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    Under $1,000
    Portfolios Count
    1 Project Listed

    Rapid Back Office LLC Services

    • Accounting
    • BPO
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Sonoran Chapel, LLC
    • Fort Comfort Service
    • Gen Tech USA
    • Fort Comfort Gutter
    Data sourced from the agency's DesignRush profile
  • Peaceful Outsourcing

    Whiz Consulting is a leading provider of online accounting and bookkeeping services, offering comprehensive solutions tailored to businesses of all sizes. With expertise in payroll processing, taxation, and advisory services, we ensure seamless financial management for our clients...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $16/hr
    Minimal Budget
    Under $1,000

    Whiz Consulting Services

    • Accounting
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • The Co- Group
    • Home Caring
    • Flow
    • MH London
    Data sourced from the agency's DesignRush profile

    Whiz Consulting Reviews & Testimonials

    • Lina Smith
      Lina Smith Review from Google
      4.0

      Lina Smith's Review Sourced from Google

      Thank you for all your help over the years. Best bookkeeping service providers. You guys take away all the stress of the monthly upkeep of the books. Kudos to the whiz consulting teams.

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Expertise | Care | Discretion

    Professional accounting, payroll, and business solutions for sustainable growth...

    Top Services:

    • Accounting
    Location
    North Palm Springs, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000

    Bean Counter Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Rebecca Landa
    • Holden Watwood St John
    • Oscar Flink
    Data sourced from the agency's DesignRush profile

    Bean Counter Reviews & Testimonials

    • Scott Hammer
      Scott Hammer Review from Google
      5.0

      Scott Hammer's Review Sourced from Google

      I wish I could give 6 stars! Kevin is exceptional - both personable and incredibly informative, which sets him apart from many accountants we’ve worked with in the past. Our tax situation is somewhat complicated, so having someone who can clearly explain where we stand and put us at ease makes all the difference. Kevin delivers exactly that level of service and expertise.

    • Kenny Legge
      Kenny Legge Review from Google
      5.0

      Kenny Legge's Review Sourced from Google

      I couldn't be more thankful for Kevin and his team. We had to move to a CPA a few years ago when we created our Trust, and it was a pulling teeth type scenario each year to complete our taxes. Moving to Kevin this year was the best financial decision we have ever made, and our checking account is far happier. They combed through our last CPA's submissions, found errors, and highlighted how to improve. Thanks to their due diligence and thoughtful approach, we received the most significant refund we have ever had, and still paid less than we did last year for tax preparation. If you use anyone else in the desert, I would rethink that decision and go with Kevin and his team. You won't regret it! A++++

    • Not So Innocent
      Not So Innocent Review from Google
      5.0

      Not So Innocent's Review Sourced from Google

      This place has done such a great job at getting everything quickly done for me this year! Super happy! The owner Kevin really cares about u and ur company and is generally happy to help u succeed! GREAT genuine people/team and Ms. Estrada U ROCK! Thanks again!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Expert Tax and Accounting Solutions

    Zenith Tax Pro provides reliable tax preparation, bookkeeping, payroll, and small-business accounting solutions designed to simplify finances and support business growth...

    Top Services:

    • Accounting
    Location
    Port St. Lucie, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000

    Zenith Tax & Accounting LLC Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Logistics Industry
    • Construction Industry
    • Health Care Industry
    Data sourced from the agency's DesignRush profile

    Zenith Tax & Accounting LLC Reviews & Testimonials

    • Tatyana Petrenko
      Tatyana Petrenko Review from Google
      5.0

      Tatyana Petrenko's Review Sourced from Google

      Manmeet was great to work with - he offered a free consultation upfront and was very responsive once we got started. He answered my questions quickly and made the whole process smooth and stress-free.

    • Andrew Loyd
      Andrew Loyd Review from Google
      5.0

      Andrew Loyd's Review Sourced from Google

      I needed someone more well-versed for a Sub-S LLC and Personal Taxes after using H&R Block for years. Waited last minute and was able to find Manmeet. He took care of me even though it was last-minute. We got everything filed on time and his communication was excellent throughout. He even found a mistake on my prior year's return that saved us a few thousand!Manmeet is excellent and I highly recommend him for anyone needing help with personal/business taxes!

    • Maayan Nadell
      Maayan Nadell Review from Google
      5.0

      Maayan Nadell's Review Sourced from Google

      I had a great experience working with Manmeet. He handled our taxes professionally and managed several complex aspects smoothly. His guidance helped me make better decisions for the business and think ahead as the company grows.He also connected me with a few helpful resources that will support the business as it scales, which I really appreciated.Everything was handled accurately and efficiently! Manmeet answered all of our questions and the entire process felt organized and reliable. I highly recommend working with him!

    Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
  • Bookkeeping And Tax Solutions For Houston Businesses

    Seasoned accounting professional with over 20 years of experience in bookkeeping, tax compliance, financial operations, and process optimization. Skilled in maintaining accurate financial records, ensuring regulatory adherence, and developing tax strategies that reduce liabilities and improve efficiency...

    Top Services:

    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000

    Jasmine Saluja, CPA Services

    • Accounting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Construction Industry
    • Legal Industry
    • Health Care Industry
    Data sourced from the agency's DesignRush profile
  • Serving clients who need Assistance in Accounting, Tax Preparation & Payroll Processing.

    BusAcTa Advisors is a business consulting firm specializing in strategic growth and operational excellence for small to mid-sized enterprises. With a keen focus on tailored solutions, we offer expert guidance in areas such as financial planning, market expansion, and process optimization...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000

    BusAcTa Advisors LLP Services

    • Accounting
    • Business Consulting
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Peak Performance Accounting
    • Sterling Books
    • Clear View Accounting
    Data sourced from the agency's DesignRush profile
  • Unleashing the Power of Business Consulting in the New World

    ZG Worldwide Consultants, a service mark of Zukunft Group Worldwide LLC, is your trusted partner in unleashing the power of business consulting in the new world. Contact us to explore our extensive Roster of Associates, complete with expertise summaries for each consultant...

    Top Services:

    • SEO
    • Digital Marketing
    • Social Media Marketing
    • Business Consulting
    • Accounting
    • Show more
    Location
    Springfield, Illinois
    Number of Employees
    50 - 99
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000

    ZG Worldwide Consultants Services

    • SEO
    • Digital Marketing
    • Social Media Marketing
    • Business Consulting
    • Accounting
    • IT Services
    • Web Development
    Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
    • Health Best International
    • Linder Family Farms
    • Lion Lake International Tourism Resort
    Data sourced from the agency's DesignRush profile

Frequently Asked Questions About Accounting Companies

At what point should I hire an accounting firm?

Most businesses begin working with one of these companies once financial complexity interferes with daily operations. 

While there is no universal threshold, many companies seek professional support when: 

  • Annual revenue consistently exceeds $100,000-$250,000 
  • Monthly transaction volume reaches 40-50 or more entries 
  • Payroll, tax filings, or reporting begin consuming operational time 

At those stages, manual bookkeeping becomes inefficient and increases the risk of errors or missed compliance deadlines.

Accounting outsourcing is also driven by efficiency. Around 65% of businesses outsource finance and accounting tasks to free up internal resources and focus on growth. 

As requirements expand, they provide structure, accuracy, and regulatory oversight that small internal teams often struggle to maintain. 

What accounting services do most top accounting companies offer in the US?

The best accounting firms in the US typically provide a mix of core financial, compliance, and advisory services.  

Common offerings include: 

  • Bookkeeping and bank reconciliations 
  • Financial statement preparation 
  • Payroll processing 
  • Accounts payable and receivable management 
  • Tax planning and federal, state, and local tax filings 

Many firms also offer: 

  • Budgeting and forecasting 
  • Cash flow and financial performance analysis 
  • Audit preparation and internal controls assessments 
  • Compliance support under U.S. Generally Accepted Accounting Principles (GAAP) 

Many businesses outsource several accounting functions at the same time, which is why US companies typically offer these services as bundled, ongoing engagements rather than isolated tasks.  

This approach aligns with the scale of the finance and accounting outsourcing market, which stood at $54.79 billion in 2025.

How much does it cost to hire top accounting firms in the United States?

The cost of hiring one of these firms in the United States depends on business size, transaction volume, and service complexity. Typical pricing includes: 

  • $300-$800 per month for basic bookkeeping and reconciliations 
  • $150-$400 per hour for specialized CPA services 
  • $800-$2,500 per month for comprehensive monthly packages (payroll, reporting, tax support) 
  • $2,500-$5,000+ per month for mid-sized or higher-complexity businesses 

At a macro level, the global accounting outsourcing market is expected to exceed $80 billion by 2030, as companies pursue cost efficiencies of 20-60% compared to maintaining full in-house accounting teams. 

What additional costs can I expect from these types of companies?

In addition to base retainers, they often charge for specialized or non-recurring services, such as: 

  • Year-end financial statements 
  • Multi-state or corporate tax filings 
  • Audit preparation 
  • System migrations 
  • International compliance 
  • Advisory or consulting projects 

Other common add-ons include payroll setup, budgeting assistance, and financial forecasting. 

For many growing businesses, these services increase total annual accounting spend by 20-40% beyond base fees.  

While this raises short-term costs, outsourcing often reduces overall operating expenses by eliminating the need for full-time internal finance staff and minimizing compliance risks. 

What do I need to know before I switch to a top accounting firm?

Switching companies usually involves a transition period of 4-8 weeks. During this time, businesses should be prepared to provide: 

  • 2-3 years of financial statements 
  • Prior tax filings 
  • Payroll records 
  • Access to accounting software 

A brief overlap between outgoing and incoming firms is common and helps: 

  • Resolve open items 
  • Prevent reporting gaps 
  • Ensure continuity of compliance 

Planning the transition outside of peak tax or reporting seasons further reduces disruption and operational risk. 

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