Payment processing that doesn't flinch when you sell supplements, memberships that bill without drama, and books that actually reconcile — from an accounting firm that understands how an integrative practice makes money.
An integrative practice doesn't make money the way a normal service business does. You bill visits, sell supplements, run memberships, and sell packages people use months later — and that combination breaks both the payment side and the accounting side at once.
Mainstream processors file supplements under restricted categories. You can be fully compliant and still get caught by a risk model that never looked at your practice.
OptiMantra reports what you charged. Your bank shows what landed. Those two numbers are never the same, and most bookkeepers quietly plug the difference.
Most bookkeepers won't touch the payment side, and most payment reps have never closed a month. So the two problems get solved separately, by people who can't see the other half — which is exactly why neither one stays solved.
We place practices with underwriting that expects supplements and recurring memberships instead of treating them as a red flag discovered after the fact. Nothing about your clinic has to be explained away.
Approval and pricing are determined by the processor's underwriting, not by us — we prepare the file and advocate for your practice, we don't promise an outcome. Lucenti Group, LLC is independent of OptiMantra; OptiMantra is a trademark of its respective owner and this page describes our services for practices that use it.
None of these are exotic. They're just specific to how your practice earns, and a generalist bookkeeper has usually never had to think about them.
Your processor deposits net of fees. Booked straight from the bank feed, your revenue is understated every single month and your merchant fees disappear entirely — so you have no idea what processing actually costs you. We record gross revenue and fees separately, then tie the net to the deposit.
A member who pays for the year hasn't given you a year of income — they've given you cash and a twelve-month obligation. Recognized all at once, your best month looks fake and every month after looks like a decline. We hold it as deferred revenue and release it as you earn it.
The same problem with sharper teeth. A ten-visit IV package sitting half-unused is money you still owe in service. It belongs on the balance sheet until it's delivered — and knowing the size of that balance matters if you ever sell the practice.
Retail product is a different business than clinical services, with its own margin, its own COGS, and its own shrinkage. Blended together you can't tell whether the dispensary makes money — and most practices assume it does. We track product and service revenue separately so the answer is visible.
Clinical services are typically exempt. Supplements usually are not. Practices that have been selling retail for years without collecting or remitting are carrying a liability they don't know about, and it compounds quietly. We'll tell you where you stand and work with your tax partner to fix it.
All of it on top of the monthly close — reconciliations, financial statements, and reporting by provider, location, or service line. See our full bookkeeping service for what's included every month.
Most mainstream processors classify nutraceuticals and supplements under restricted or high-risk categories, because the category as a whole carries elevated chargeback rates and sits under FDA and FTC scrutiny over ingredients and health claims. Their risk models often flag the category rather than your specific practice.
That means a completely compliant clinic can get frozen for doing nothing wrong. The fix isn't arguing with the risk model — it's being underwritten by someone who expected supplements from the start.
No. OptiMantra stays exactly where it is. We work with how your practice already runs rather than asking you to rebuild it — your charting, scheduling, and patient experience don't change at all.
As deferred revenue, released as you deliver. When a member pays for twelve months up front, you've received cash and taken on an obligation — you haven't earned twelve months of income on the day the card runs.
Recording it all at once makes one month look spectacular and every following month look like a decline, which makes it impossible to see whether the practice is actually growing. It also overstates your tax position in the year you collect. The same logic applies to prepaid visit packages and IV series.
In most states, yes — clinical services are commonly exempt while retail products are not, though the rules vary by state and sometimes by product category. Plenty of practices have sold retail for years without collecting, and the liability compounds quietly in the background.
We'll tell you plainly where you appear to stand and coordinate with a tax professional to get it resolved. We handle the bookkeeping and the records; the filings go through tax partners.
No. Plenty of practices start with one. That said, the two problems are genuinely connected — the reason your books don't reconcile is usually something about how payments are structured, and the reason a reconciliation takes four hours is usually that nobody designed the two to fit together.
When we do both, the monthly close stops being an archaeology project.
Then keep them. We'll still do the books, and we'll still reconcile their deposits against what OptiMantra recorded. We'd rather tell you your current setup is fine than move you for the sake of it.
If you're in a rolling reserve, sitting on frozen funds, or bracing for the next review, that's a different conversation worth having.
Bookkeeping is flat monthly pricing, scoped to your transaction volume and the services you need — no hourly billing and no surprise invoices. Processing rates depend on the underwriting of your specific practice, so any number quoted before anyone has looked at your business isn't a real number.
You'll get both figures after one conversation.
Not sure which half is hurting more? Talk it through with Abbey — thirty minutes, no obligation.