Bookkeeping Redefined .
Lucro was founded by the owner of a $7M single-location chiropractic clinic and the CFO for multiple $100M companies.
The perfect blend of chiropractic specific expertise and financial mastery.
Every month, we deliver personalized P&Ls with individual action steps to scale your clinic to the next level. Along with monthly calls led by the founders, if you want more profit, you need Lucro.
From balancing ledgers to boosting clinic performance, we’re committed to scaling your business beyond what you ever thought possible. Our passion is to unlock your clinic’s full potential, ensuring you’re keeping up and soaring ahead.
Every month, we deliver personalized P&Ls with individual action steps to scale your clinic to the next level. Along with monthly calls led by the founders, if you want more profit, you need Lucro.
meet The Minds behind Lucro’s Great success
Our founders bring together deep expertise in finance and healthcare, united by a passion for empowering clinics to thrive. Their leadership and vision drive Lucro’s mission to help practices grow, scale, and succeed.

Hey, Dr. Josiah here👋
I founded one of the fastest-growing chiropractic clinics in the history of the profession. Just four months out of school, I had already secured over 400 prepaid appointments before we even opened, and in the first year, we generated more than $1.2 million in revenue.
By year four, our revenue had skyrocketed to over $5.5 million, all within just 1800 square feet. Through this journey, I discovered that building a thriving business comes down to two key principles: understanding the numbers and taking decisive action.
Dr. Josiah Fitzsimmons
Chief Executive Officer
Hi, I'm Adam
My journey from the corporate finance world to entrepreneurship has been nothing short of remarkable. What started as a modest two-person operation quickly expanded into a team of over 50 financial experts within just six years.
I’ve had the privilege of navigating the complexities of $100 million companies while also helping startups scale to 8- and 9-figure successes. I haven’t just worked with businesses—I’ve transformed them.
Adam Rundle
Chief Financial Officer & Founder


Your Questions, Answered
Find quick answers to your most common questions. Whether you’re looking for information about our products, services, or policies, we’re here to help!
Is Lucro only for chiropractors, or do you work with other healthcare professionals?
Lucro works with a broad range of healthcare professionals. While we began with a focus on chiropractors, our expertise extends across various healthcare fields. Our solutions are adaptable to different healthcare practice types and sizes, providing tailored insights to meet specific business needs.
How does the onboarding process work with Lucro?
Onboarding with Lucro is designed for both simplicity and precision. We start by securely accessing your QuickBooks account to implement Lucro’s healthcare-specific bookkeeping protocols. Our team meticulously organizes and allocates your financial data, followed by rigorous quality checks to ensure accuracy at every step. Once complete, you’ll engage in a strategic planning session with an expert CFO, who will review your financials in detail and work with you to create a customized growth plan tailored to your practice’s goals.
Can Lucro help with tax planning for my practice?
Lucro specializes in comprehensive bookkeeping and financial reporting, rather than direct tax preparation. Our monthly reports provide complete, accurate financial data, ensuring your records are precise and ready for tax preparation. This accuracy and thoroughness streamline the process for your accountant or tax advisor, making it easier to meet compliance requirements and avoid costly errors.
How often will I receive financial reports, and what do they include?
Lucro delivers detailed financial reports every month by the 10th, covering key performance indicators and industry-specific metrics. Our proprietary “Perfect P&L” framework is included to help you evaluate performance, track essential financial goals, and benchmark your practice against top-performing peers in the industry.
What is the process if I need additional financial support or advice?
With Lucro, you are assigned a dedicated account manager and bookkeeping team. They are available to answer questions, provide feedback, and support you as needed. For more complex issues or additional guidance, your account manager can arrange a call to discuss your needs in detail, ensuring you have timely and personalized support.