Our Three Step Methodology

Our proven three step methodology takes your chiropractic business to the next level.


Clean Up and Procedures

If you want to increase your profits and cash flow, we need to first set your foundations. Here we clean up your processes and procedures. If needed, we implement new processes to ensure you are operating as efficiently as possible.


Performance and Reports

Now that we have your foundations in place, we can provide you with a clear financial picture through information rich data and reports. We track all financial transactions and reconcile your books on a monthly basis which helps us to provide you with up-to-date
and comprehensive reports.


Advisory and Growth

It’s time to take your business to the next level! Our services ensure that you are running your financial operations with the most efficient, cost-effective approach in mind. You will have peace of mind and more time to focus on the work that matters in your practice – your patients!

Additional Services

Quickbooks Online

We can get your subscription at discounted prices and train you on the program.


Strategy Sessions

We are happy to do monthly strategy sessions to help you work through issues and new ideas to plan the future of your business and to discuss the financials in detail.

Payroll and Sales Tax Filing

Let us help keep you in compliance with the various federal and state agencies. We timely file your payroll and sales tax reports every month and quarter.

Why It Works

Our three step methodology works because it takes a holistic approach to your business. Since we focus on chiropractors, we know  the ins and outs of what is needed to strengthen your business. We have seen the bumps that come up along the way and are ready to get your business  over them and to the next level.


Mike M.

Have you ever made a decision and thought why didn’t I do that years ago?
In January we started working with Leslie Roth and Leading Ledger Bookkeeping and it has been absolutely amazing! Leslie’s knowledge, service, dependability and support has been exceptional. The transition was seamless and without any hiccups. Everything she promised to deliver she has. Her communication has been great and her monthly reporting has been spot on. I have been wanting to write this review for sometime but I wanted to be able to share after six months of experience. I have full confidence that she will be an asset to your business allowing you to focus on the things you do best. The peace of mind that this service offers is critical to allowing you to focus on the aspects of patient care and your business that matter most. Free up your time so you can spend more of it with the people you love doing the things that matter most. If you’re contemplating at all how her services could benefit you simply set up a time to connect with her and have a conversation. I know you will be thankful you did.

Kristi F.

“I didn’t know that I didn’t have a good bookkeeper until I switched to Leslie at the beginning of this year. Not only is she meticulous and timely (I have data every few days instead of once a month) but she has already found a few things that will save me a good bit of money each month. I am so thankful I found her and only wish I had found her sooner. Simply the best!”

Kirk L.

Leslie stepped into the bookkeeper role at our restaurant on short notice and before she had intended to even start up her bookkeeping business. Nevertheless, she did an excellent job and was a pleasure to work with. Her work was accurate and timely, her billings were fair, and she went the extra mile to answer questions and resolve issues that pertained to work that predated her engagement with us. I would recommend her highly.