Testimonials

We started working with Keane when our practice was just getting off the ground, and they’ve been an integral part of our growth ever since. Their expertise goes far beyond bookkeeping. They’ve given us the guidance, support, and peace of mind to grow our practice with confidence. We’re incredibly grateful to have Keane by our side. Simply the best!

– Richard Montilla, MD | Montilla Plastic Surgery – Worcester, MA

I knew it was time to sell my business but worried I would not maximize the 30 years of hard work I had invested. Thanks to the proactive approach of Cianna & her team, we developed a plan to optimize the financials over a specified period to increase shareholder value. By the time the sales process began, we had a history of sound financial statements showing robust growth. As the sale progressed, the buyers requested many additional documents which Cianna produced in a professional & timely manner. I would highly recommend Keane to companies thinking of selling or to those which require accounting services.

– Benjamin Leverone | TTE Laboratories, Inc – Hopkinton, MA

At the end of 2019, I was faced with the daunting challenge of venturing out on my own as a solo practitioner after being in a group practice for the preceding 12 years. I was in essence starting over. I began by reaching out to a close friend who has decades of medical practice management experience and is very involved with MGMA. She had no hesitation in recommending Keane. From our first meeting, I felt very comfortable with Cianna. She made the overwhelming task of starting a practice far more manageable and compartmentalized for me. She was able to outline every step from accounting to staffing, medical management, and human resources. Even when posed with the challenges of COVID, Cianna was always present and available with plans for maintaining the finances of the practice and managing human resource issues. Cianna is so extremely integral to the functioning of my practice. She has far exceeded her original task of “bookkeeping” and has become more of an off-site invaluable practice manager. There is no question I sleep better at night knowing Cianna is on my team.

– Loreen Ali, MD | New England Plastic Surgery Center – Chelmsford, MA

Porter Pediatrics has been a small pediatric practice located in the heart of Boston for the last 10+ years. We provide comprehensive medical care for a variety of pediatric patients. We have remained successful over the years with the help of Keane Management. Cianna and her team take the time to understand our business, our concerns, and our goals to help us to navigate the ever-changing industry. This individualized service allows us to focus on what we do best, caring for our patients.

– Lynn Porter, MD | Porter Pediatrics – Boston, MA

Working with Keane has completely changed the way we understand the financial side of our business. We have a growing company with multiple service lines and a lot of moving pieces, and their reporting gives us a clear picture of not just how the business is doing overall, but how each individual part of the business is performing. Their KPI tracking makes it incredibly easy to see where we stand month to month, quarter to quarter, and year over year, and has helped us make much more informed decisions about where to focus our time and resources.

But what we value most is the team behind the numbers. They are responsive, straightforward, and incredibly easy to work with. When we have a question, we get an answer we can actually understand. They’ve been alongside us during some of our strongest periods of growth and have also helped us navigate some genuinely difficult moments in the business. We recently found ourselves in a challenging financial situation, and their guidance and support were invaluable in helping us understand what was happening and how to move forward.

As business owners, having accurate numbers is important, but having someone you trust to help you understand what those numbers actually mean is even more valuable. Working with Keane has given us greater visibility into our business, more confidence in our decision making, and a financial partner we know we can rely on. We truly can’t recommend them enough.

– BOSTON NAPS, LLC

Before working with Keane Management, we often felt like we were constantly having to explain the unique financial and operational realities of running a healthcare practice. With Cianna and her team, we don’t have to do that—they just get it. They understand both the financial side of the business and the complexities that come with operating in healthcare.

Since working with Cianna, we have a much clearer understanding of our finances and are better able to budget, plan ahead, and make informed business decisions. Her team also coordinates with our tax professional, which has helped us be much more proactive and strategic with tax planning.

What I value most, though, is how accessible Cianna and her team are. When I have a question, Cianna is always willing to hop on a call, talk it through, and explain it in a way that actually makes sense to me. I never feel like I should already know the answer or that a question is too small to ask.

That support has given me so much more confidence as a business owner. Instead of feeling intimidated by the financial side of the business, I feel like I understand it and have a trusted partner helping us make thoughtful decisions as we grow.

– Nikki Magliaro, MS, LMHC, CEIS | Clinical Director & Partner PUZZLE PIECES LLC – Quincy, MA

For many years I had a long-standing accountant who diligently filed my personal and corporate taxes, but I longed for a dynamic consultant who could help me with the big picture of finance, cash flow and regulation. Since then, I have been blessed to have Cianna as part of my team. First off, she spends a good amount of time with each of her clients and becomes very familiar with their needs and growth potential. If there are problems or issues with business function, she will quickly seek solutions and in this regard, I have always heeded her advice.

Infrastructure-wise, she knows the terrain of daily business strategy and there is really no question she cannot answer. I have come to understand that she is highly respected in Boston among major accounting firms. Cianna is worth her weight in gold to any small or medium-size business where cash management is a strategic factor in success.

– Carl Schanbacher, MD | South End Skin Care – Boston, MA

I started using Keane based on the counsel from my business coach as we were scaling quickly and needed a higher level of financial accounting and business forecasting than we were able to do in-house. Cianna was highly recommended by our tax accounting team and we decided to wait a few months for her to have an opening instead of taking a chance elsewhere. She was able to help us set budgets, forecasts and align our business to best industry benchmarks. Within the year, we had an unsolicited offer to purchase majority stock in the company and it was a great offer and path. Cianna was a rockstar at getting all the financials in order for the purchase and both the CEO and CFO of the large acquiring company were quite impressed, commenting that “usually the books of independent healthcare practices aren’t so well organized and clean- we usually get a mess and shoeboxes with receipts”.

Cianna worked very well with us, and with the acquisition team. She was able to find some calculation errors that were overlooked during due diligence, and she helped make the financial transition smooth. Because my financials and forecasts were so well organized, along with Cianna’s thoroughness and ability to present the information so completely, I’m certain this assisted in our ability to maximize the value of the sale.

– Stacey Schatz, PT, DPT, MS, OC | Director & Partner, Professional Physical Therapy and Sports Medicine – Franklin, MA