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.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
Bookkeeping & Business Advisory For Women
Gutsy Money is a bookkeeping and business advisory firm committed to empowering female founders & entrepreneurs to set solid business financial foundations in order to experience confidence, freedom, and exponential wealth...
Top Services:
- Accounting
- Location
- Broomfield, Colorado
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsGutsy Money Services
Data sourced from the agency's DesignRush profileLocal Home Design LLC Ready Set Show LLC Bright Path Electric
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCoCountant Services
Data sourced from the agency's DesignRush profileLaunchPath Innovation Rhino Web Group, LLC Coast2Coast HR, LLC Datum Backpack OHSL Gemini Brass & Woodwinds EmkaoFoods Inc. Buoyant LLC My MSP Solutions, Inc.
CoCountant Reviews & Testimonials
Ryan Walker's Review Sourced from Google
There is a reason this company only had one review as of 12/30/2025. I think they are very new and have no idea what they are doing. It's taken months to have them review bank statements and create simple Profit and Loss Statements for a business with less than 2800 total transactions over 2.5 years. I have had to do most of the work and spent hours correcting their attempts at bookkeeping. I needed the task completed quickly and they said they could get it done but failed to deliver.It feels like they are just trying to use AI to have the work completed and it's all wrong. I am seeking a refund and might have to resort to a credit card charge back. You get what you pay for or in this case I didn't get anything that I paid for.
Gilcimar Berbel's Review Sourced from Google
Bianca has been taking care of my companies for over 5 years, and I couldn’t be more grateful for her excellent work and outstanding service. Always professional, reliable, and dedicated — I truly appreciate everything she and her team do!Muito obrigado por tudo!!!!!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsClean 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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAcuity Accounting Services
Data sourced from the agency's DesignRush profileSpanx Greenlight StudioHawk
Acuity Accounting Reviews & Testimonials
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'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'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 ReviewsAll-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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsFutureMD Solutions Services
Data sourced from the agency's DesignRush profileHealth 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
FutureMD Solutions Reviews & Testimonials
Sarah Ashitey's Review Sourced from Google
I’m very grateful for the excellent service we’ve received from FutureMD Solutions. Irfan has been professional, responsive, and genuinely committed to helping us with our medical billing and revenue cycle management.What I appreciate most is that Irfan doesn’t just focus on getting the work done. He takes the time to share helpful advice and suggestions that have been valuable to our healthcare business. His dedication and willingness to go the extra mile really stand out.I highly recommend Irfan and the FutureMD Solutions team to healthcare providers looking for dependable medical billing support and a team they can trust.
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'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."
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsOur Mission is Your Success.
OverviewKemper CPA Group LLP leadership and staff are committed to one basic business principle throughout each engagement: Each client is a referral for one more. Therefore, each client interaction is treated as an opportunity to create a “Raving Fan” through the passionate pursuit of exceeding...
Top Services:
- Accounting
- Business Consulting
- Location
- Evansville, Indiana
- Number of Employees
- 250 - 499
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsKemper CPA Group Services
Data sourced from the agency's DesignRush profilePayroll & Tax Accounting & Auditing Bookkeeping
Kemper CPA Group Reviews & Testimonials
Sherry Wright's Review Sourced from Google
I am the business manager for a medical practice in Newburgh, IN. I have been a manger for over 30 yrs. Kemper is the best that I have dealt with by far. Their customer service and knowledge out weighs any I have ever experienced. Nathaniel our IT go to guy, is awesome. He always answers his calls no matter what time of day or night and is always on it. He attends to all of our needs from small to huge, he is an all around great guy. John our CPA is just as awesome. Always friendly, very helpfu when you are stressed out, very knowledgable and doesn't make you feel inapt. From the receptionist to all the IT and even the partners, couldn't ask for a better of group of people to work with. Thank you, Kemper!
Robert Bruck's Review Sourced from Google
Kemper was able to fix my QB issues quickly. Very professional and easy to work with.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsTailored Financial Insights, Exceptional Outcomes
Compass CPA, PC, we provide top-notch Virtual Controller, Accountant, and CFO services for a fraction of the cost of in-house hires. Our dedicated team of virtual accountants, CPAs, and tax professionals helps you achieve business goals with comprehensive financial reporting, forecasting, and tax...
Top Services:
- Accounting
- Business Consulting
- Location
- San Rafael, California
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsCompass CPA, P.C. Services
Data sourced from the agency's DesignRush profileKleerCard Inc Rainmaker Games Poplar Technologies Inc Lifeboost LLC Dive With Buddy The Institutes for the Achievement of Human Potent MIG Global LLC Caha Design Ikonick LLC Broadband Planning LLC
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
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBusAcTa Advisors LLP Services
Data sourced from the agency's DesignRush profilePeak Performance Accounting Sterling Books Clear View Accounting
Smart Billing Partner
Nationwide medical billing & revenue cycle management for healthcare providers billing, coding, credentialing, and HIPAA-compliant claims support...
Top Services:
- Digital Services
- AEO
- SEO
- PPC
- Accounting
- Show more
- Location
- Madera, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDocs Medical Billing Services
Data sourced from the agency's DesignRush profileYour Precious Dream Kimberly Riggi Robertson Counselling
Docs Medical Billing Reviews & Testimonials
Kara Brock's Review Sourced from Google
Sam has been excellent for my podiatry practice. He responds quickly and follows through on any concerns. My reimbursement has gone up significantly since transitioning to Docs medical. They also provide credentialing services and have been very helpful
Hema Majeno's Review Sourced from Google
Docs Medical Billing has been helping my practice since I started last year. They get things done on time. They help my front and back staff to check eligibility, they help me set up.portals for insurances, and do their diligence on claims. They also help me find a web designer.I highly recommend them 👌
Catherine Abbaa's Review Sourced from Google
My experience with Peter and his team and the entire Docs Medical Billing LLC in handling my complex billing was very professional, reliable and smooth. The quality of their services far exceeded my expectations. The services was outstanding. I will continue to work with them and recommend them to anyone
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsBusiness Made Better
ProfitWerx helps small businesses in Klamath Falls and surrounding communities get more from their technology and online presence. We provide professional IT services, technical support, web design, and SEO solutions designed to help businesses run better and grow...
Top Services:
- IT Services
- Managed Services
- Cybersecurity
- Web Design
- SEO
- Show more
- Location
- Klamath Falls, Oregon
- Number of Employees
- Under 49
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsProfitWerx, LLC Services
Data sourced from the agency's DesignRush profileTableRun Once Famous Grill Klamath Snowflake Festival
ProfitWerx, LLC Reviews & Testimonials
Drew Patzke's Review Sourced from Google
ProfitWerx was great to work with. James helped us catch up on one year of bookkeeping and was very patient and clear in explaining everything, especially since we have no accounting or bookkeeping background. He communicated throughout the process to ensure everything was done correctly, and his services were thorough, timely, and affordable for our small business. We were so impressed that we’ve decided to keep him on as our bookkeeper going forward. Highly recommend!
Kaitlin Patzke's Review Sourced from Google
We had a great experience working with James at ProfitWerx. He helped us build our website, improve our search engine optimization, and create a booking system that made our event rental business much more automated and efficient for customers. Since working with him, our online presence has grown and our revenue has increased. Pricing is affordable, communication was clear and consistent, and the entire process was smooth. Highly recommend ProfitWerx!
Tyler Pettigrew's Review Sourced from Google
ProfitWerx completely improved our online visibility!We hired ProfitWerx for SEO, and the results have been outstanding. Our rankings jumped faster than expected, and we’re now showing up on Google for searches we never appeared in before. Traffic is up, leads are up, and the monthly reports make it easy to see exactly what’s working.They took time to explain everything, cleaned up our site, fixed technical issues we didn’t even know about, and built a smart strategy tailored to our business. If you want real SEO results from someone who actually cares about your success, ProfitWerx is the way to go. Highly recommend!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Accounting Firms by City
Accounting Firms by State
Accounting Specializations in the US
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Why companies trust DesignRush
Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
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.













