Financial clarity is just a conversation away…
Prexision CPA & Bookkeeping
Accounting, Bookkeeping & Tax Services for Service-Based Businesses
Specialized experience supporting healthcare providers, professional service firms, and growing contractor businesses.
Our services
CPA-led bookkeeping and advisory for growing businesses that have outgrown basic bookkeeping but aren't ready for a full-time controller.
Clean books from day one.
STARTUPS & LOW-VOLUME BUSINESSES
Monthly bookkeeping & reconciliation of up to 2 bank/credit card accounts
GAAP-compliant Profit & Loss and Balance Sheet delivery
Vendor payment oversight and expense management
Audit-ready financial reporting organization
Month-end close
Tax preparation
Email support with 24–48 hour response time
Insight that drives decisions.
SCALING BUSINESSES
Everything in Essential Foundations
Reconciliation of up to 4 bank/credit card accounts
Monthly analytical review of financial trends and performance drivers
Cash flow analysis tracking receivables and payables
Lean Six Sigma workflow assessment to reduce review timelines
Monthly 30-minute strategic advisory call
Enterprise-level rigor. Small business scale.
ESTABLISHED BUSINESSES
Everything in Growth & Performance
Reconciliation of 5+ bank/credit card accounts
Quarterly advanced risk assessment and financial reporting review
Internal control evaluation and fraud-prevention assessment
Impairment & recovery analysis for receivables
Controller-level advisory
Quarterly deep-dive review call and VIP priority access
One-time & Special Services
If your records have fallen behind, we are here to help you cross the finish line. We restore order to historical data, identifying root causes of past errors, and bringing your books into compliance. Our goal is to take the "messy" out of your books, delivering a clean slate that is tax-ready and prepared for future growth.
A strong financial system starts with the right architecture. We work with you to design a customized Chart of Accounts and workflow tailored specifically to your industry’s needs. By setting up your system correctly from day one, we help you avoid manual redundancies and ensure your data flows efficiently from the start.
Built for the complexity of reimbursement-based care.
HOME HEALTH AGENCIES ONLY
Home-health specific Chart of Accounts setup and management
Revenue recognition aligned with PDGM and payor rules
Payor mix cash visibility: MACs, Medicaid, MCOs, Private Pay
Labor & margin tracking as a percentage of revenue
A/R aging by payor — identification of at-risk receivables and denials
Cost report readiness support (non-filing)
Audit-ready organization and fraud-prevention controls
Monthly advisory call focused on HHA-specific metrics
About us
Prexision was founded by a Certified Public Accountant (CPA) with extensive experience in accounting, audit, and compliance, dedicated to helping business owners feel confident about their finances.
As a CPA-led firm, we combine technical expertise with a client-focused approach, delivering clear guidance and dependable records.
Whether you're a new, growing or established service-based small business, we bring a fresh approach to bookkeeping, accounting and advisory services.
Rosalind H. Nash, CPA
Precision. Strategy. Peace of Mind.
Rosalind founded Prexision to bring enterprise-level financial rigor to small businesses. With over 14 years of experience, spanning public accounting, regulatory compliance, and corporate finance, she has managed complex reporting for organizations handling billions in assets. Today, she applies that same disciplined strategy to service-based small businesses.
Her approach integrates audit-level precision with Lean Six Sigma efficiency. By blending technical expertise with a collaborative style, Rosalind transforms complex data into clear, audit-ready financials and handles the technical heavy lifting, giving business owners financial clarity to focus on their core mission.
Schedule a free consultation
Whether you’re a new, growing or established small business, Prexision can help you move from reactive to proactive with your finances. Let’s talk about where you are now and where you want to be.
