Your business has outgrown basic bookkeeping.
CPA-led bookkeeping, controller and CFO support for growing service businesses. Get reliable books, a consistent monthly close, and clearer cash-flow and profitability insight.
✓
CPA Expertise Behind Your Books
✓
Simple, Flat-Fee Pricing
✓
Flexible, Month-to-Month Support
At Primary Care Financial, we believe numbers should work for you, not confuse you.
Founded by Steve Koch, CPA, Primary Care Financial helps growing service businesses turn reliable books into better decisions.
Our team handles bookkeeping, review and reporting with CPA-led oversight. You get a consistent monthly close, clear communication and practical insight into cash flow and profitability, with support matched to your business.
Who We Work With
Who We Work With
If you’re the kind of business that values integrity, expertise, and partnership, we’re the kind of CPA firm built for you.
We’ve left behind outdated billing, clunky software, and the silence between calls. Instead, we deliver proactive, approachable, and tech-savvy financial support — with clear communication and no surprise invoices.
Built for growing service businesses:
Health & Wellness: Practices, clinics, studios and other service providers.
Law Firms: Boutique and midsize firms that need reliable books and clearer financial insight.
Creative & Professional Services: Consultants, agencies, designers and other service-based businesses.
Our Services
Bookkeeping & Cleanup Services
A reliable foundation for your business decisions.
For service business owners who need to catch up, clean up or hand off the monthly books.
Monthly bookkeeping and account reconciliations
QuickBooks setup and separately scoped cleanup
A consistent monthly close and clear financial reports
Questions and next steps explained in plain English
No dusty desktop software here and no more DIY guesswork.
Financial oversight that grows with your business.
Controller support strengthens your monthly close, reporting and financial processes. CFO support helps you plan cash flow, understand profitability and evaluate the decisions ahead.
For growing service businesses that need more insight and leadership alongside reliable books.
Controller & CFO Services
Close oversight and useful management reporting
Cash-flow forecasts and budgets
Profitability and performance reviews
Decision support on an agreed meeting cadence
We agree on the scope, reporting and meeting cadence before work begins, so you know what support to expect.
Why We’re Here for You
At Primary Care Financial, we believe great accounting goes beyond the numbers. Like a trusted primary care doctor, we take the time to understand your business, diagnose financial challenges early, and strengthen the systems that keep you healthy long term.
Steve Koch built this firm on one simple idea: every business deserves a partner who’s proactive, approachable, and invested in their success — not just another accountant who checks the boxes.
Hey, I'm Steve!
1
Clarity & Confidence
We help you understand your numbers and make decisions with insight, not guesswork.
2
Time Back in Your Week
We simplify and automate your financial systems so you can focus on what you do best.
3
Better Business Decisions
Gain CFO-level perspective to guide growth, not just compliance.
Before working with Primary Care Financial, I didn’t have a clear picture of my business finances. After working together, I can trust my numbers and feel confident making decisions for my business.
– Mallory Kuhn, Owner Kuhn Creative
Why Businesses Trust Us
The No-Surprise Billing Guarantee
You will never receive an unexpected invoice from us. We operate entirely on transparent, predictable flat rates. If your needs change or out-of-scope work is required, it will always be discussed and agreed upon before any billing occurs.
The No-Lock-In Guarantee
We believe in earning your business every single month. All of our agreements are strictly month-to-month, requiring just a simple 30-day notice from either side to cancel. We are fully confident you’ll love working with us.
Want your finances to feel less like a guessing game? Join our newsletter!
Each issue breaks down the money side of running a business — cash flow, margins, clean books, and the decisions behind them — in plain English, no accounting background required. '
Whether you’re getting your first systems in place or scaling toward your next milestone, you'll walk away with something you can actually use.
Subscribe for free — no pitch, just useful information for your business.
