Your business has outgrown basic bookkeeping.
Get clean books, a reliable monthly close, and clear cash-flow and profitability insight - without having to build a full in-house finance department.
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CPA Expertise Behind Your Books
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Simple, Flat-Fee Pricing
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Flexible, Month-to-Month Support
At Primary Care Financial, we believe numbers should work for you, not confuse you.
Founded by Steve Koch, CPA, our firm blends deep financial expertise with a personal touch that’s hard to find in traditional accounting. We’re not here to lecture — we’re here to explain, guide, and partner with you so you can grow with confidence.
We handle your bookkeeping, reporting, and financial strategy with the care of a trusted team — giving you back time, clarity, and peace of mind. Whether you’re a growing small business or a multimillion-dollar enterprise, we help you understand the story behind your numbers and use it to move forward.
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We’ve left behind outdated billing, clunky software, and the silence between calls.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.
Some of our clients include:
Health & Wellness Professionals: Physicians, dentists, orthodontists, psychiatrists, yoga studios, Pilates instructors, wellness clinics, and more.
Law Firms: Boutique and midsize firms looking for reliable financial systems and insight.
Creative & Professional Services: Designers, consultants, marketing agencies, and other service-based businesses ready to scale.
Enterprise Clients: Large organizations (typically $10M+ revenue) seeking CFO-level strategy, NetSuite oversight, and financial leadership.
Our Services
Financial Health Check
Find out exactly where your finances are exposed — in one week.
A CPA-led diagnostic of your business’s financial health — whether you're flying blind or want a second opinion on the bookkeeper you already have. No long-term commitment, no sales call to get started — just a clear report on what's working, what’s at risk, and what to fix first.
Who is this for?
Business owners, whether you’re doing the books yourself or working with a bookkeeper and would like a second opinion.
$497
A full review of your books, cash position, and financial hygiene
A scored health assessment across the 5 areas most founders miss
The specific risks and money leaks we found, ranked by cost
A prioritized action list — what to fix first, second, third
We’ll show you how clean your books are or address any pain points before they cause a problem!
Delivered as a clear report within 5 business days of getting access, plus an optional walkthrough call
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Bookkeeping & Cleanup Services
We help you stop stressing about your books and start understanding and using them as a tool for growth.
Who? Founders of small to midsize businesses ($500K–$3M revenue).
Monthly bookkeeping & reconciliations
QuickBooks setup and cleanups
Financial reporting you’ll actually understand
Optional Fractional CFO Consulting and Strategy sessions
No dusty desktop software here and no more DIY guesswork.
When your business operates at scale, you need more than basic accounting — you need leadership.
Our Enterprise Services deliver high-level financial oversight, systems optimization, and strategic CFO partnership through NetSuite.
Who? For founders who have grown to $1M+ in annual revenue.
Fractional Controller & CFO Services
Fractional CFO and Controller engagements
Financial process design and implementation
System integrations and reporting optimization
Strategic oversight for large-scale operations
Enterprise organizations seeking a reliable, experienced financial leader to strengthen their systems, visibility, and profitability.
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!
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Clarity & Confidence
We help you understand your numbers and make decisions with insight, not guesswork.
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Time Back in Your Week
We simplify and automate your financial systems so you can focus on what you do best.
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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.
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