Innovate faster with life sciences financial expertise

Get specialized accounting and advisory support for medtech, healthtech, and biotech ventures—so you can extend your runway, stay investor-ready, and scale with financial certainty.

Bookkeeping
CFO
Tax services
COO
TRUSTED By

Finance and accounting made for HealthTech and MedTech

Get help navigating the operational complexities of healthtech financial modeling, budgeting, clinical trial expenses, inventory forecasting, pricing, and more.

THE OLD WAY

Figuring it all out yourself

  • Unsure about your runway
  • Not ready for investors
  • Spending too much time on finances instead of the product
  • Don’t know what you don't know
THE new WAY

Expert fractional CFO + COO team

  • Precise cash flow management
  • Budgeting and forecasting
  • Investor-ready books 
and financials
  • Seeing ahead to the 
next milestone
FINANCIAL INSIGHT

Get everything you need for financial visibility

Pilot provides you finance and accounting experts plus time-saving software.

Specialized CFO support

Our team knows healthtech, telehealth, PC/MSO, medtech, and biotech startups. We give you the strategic support and industry best practices you need to make confident decisions.

Scalable financial frameworks

Your dedicated Pilot team will help you manage cash flow, keep your books ready for investors, and plan for scenarios.

Expert life sciences bookkeeping

You can trust in your Pilot-prepared foundation of accurate financial records which help you stay compliant, find tax credits, and raise your next round.

our CFO track record

We’ve helped 200+ customers...

Raise

$9.1B

In Capital
Free up as much as

$200K

In Liquidity
Case study

Medcorder’s CEO saves 7-10 hours per month with Pilot

The more I can focus on driving business, product, and marketing opportunities forward, the more likely we are to succeed. Pilot lets me focus on the business.
David Weekly
CEO, Medcorder
Pilot is the #1
accounting and bookkeeping service according to G2
4.9
March 2025
4.9
March 2025
4.9
March 2025
Deeper reporting

Your idea deserves unmatched operational excellence

At Pilot, we’re passionate about helping groundbreaking healthtech startups transform healthcare and science. With specialized CFO and COO services, we eliminate financial uncertainties and operational roadblocks, empowering you to focus solely on your mission: truly meaningful innovations in our health and longevity.

The CFO services team has proven to be the absolute best part about what we’re doing. They are always going the extra mile.
Nick Aubin
Co-Founder and CEO of Commons Clinic
Streamlined INTEGRATIONS

Integrates seamlessly with your existing financial stack

Including popular tools
Clio logo
PRICING

With Pilot, you get a team of specialized finance experts

Choose the package that fits where you are today. Transparent pricing starts at...

Good

$599/month

For startups that want to start on the right foot with accurate bookkeeping.

Get clean books and reports that investors trust.

What's included:

Real-time visibility into your finances

Monthly P&L and balance sheet based onyour bank and credit card activity

Year-end package for your tax preparer

Support from your dedicated US-based bookkeeping team in-app and over email

Better

$2950/month

For startups that need solid bookkeeping and a fractional CFO to reach their next milestone.

What's included:

Everything in Good

Monthly meeting with your CFO

Consolidated financials, e.g. 
between PC and MSOs

Financial modeling for budget and forecast

Budget vs actuals analysis

Cash flow management, including:

  • Marketing spend analysis and headcount planning for your tele-health business
  • Manufacturing, Inventory, and Hardware expenses
  • R&D, Headcount and clinical trial expenses for your BioTech business

Best

$4,000/month

For startups raising a round and need to speak investors' language. Get the finance team VCs trust, without the executive price tag.

The Best includes:

Everything in Better

Weekly recurring call with your CFO

Investor and board reporting

Unit economics analysis

GTM strategy and pricing analysis

Sales and marketing optimization

Fundraising or M&A support

For Telehealth:
Analysis based on patient volume, reimbursement rates, and pricing

For MedTech:
Product commercialization, inventory forecasting and post-approval GTM/pricing strategy

For BioTech:
R&D budgeting, expense management, and grant management

Custom

Not sure what you need yet? Let us help.

Everything you need. Nothing you don't. Work with a startup finance expert to craft a package built for your business.

What else can Pilot do for you:

Income tax filings, tax planning, and sales tax management

Payroll administration

Vendor payments

Stock administration

R&D tax credit

COO advisory

Customized support

Contact Sales

Activate expert financial leadership and support

Understand your runway

See a path to commercialization

Gain rapid financial clarity

Pilot Customer stories

Story
Alvea • 

Customer Case Study
Story
Mecorder • 

Customer Case Study
Story
Commons Clinic • 

Customer Case Study