Get specialized bookkeeping, fractional CFO, and advisory support for medtech, healthtech, and biotech startups: so you can extend your runway, stay investor-ready, and scale with financial certainty.
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Whether you're managing clinical trial expenses, R&D tax credits, inventory forecasting, or preparing investor-ready financials: Pilot's life sciences accounting team has you covered.
Pilot provides you finance and accounting experts plus time-saving software.
Our team specializes in healthtech, telehealth, PC/MSO, medtech, and biotech startups. We give you strategic CFO guidance, life sciences industry best practices, and the financial clarity you need to make confident decisions and reach your next milestone.
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Your dedicated Pilot team will help you manage cash flow, keep your books investor-ready, plan for scenarios, and forecast runway: so nothing catches you off guard.
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You can trust your Pilot-prepared foundation of accurate financial records to keep you compliant, surface R&D tax credits, and set you up to raise your next round with confidence.
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At Pilot, we're passionate about helping groundbreaking healthtech, medtech, and biotech startups transform healthcare and science. With specialized fractional CFO, accounting, and COO services, we eliminate financial uncertainties and operational roadblocks: empowering you to focus solely on your mission: truly meaningful innovations in health and longevity.
Watch this short video to learn how Pilot helps healthtech, telehealth, PC/MSO, medtech, biotech, and other health & life sciences startups improve financial health, manage operations, and accelerate growth without the hassle.
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 enriched with data from all your tools and systems
Monthly close with reports delivered on the 10th business day
Year-end package for your own tax preparer
Support from your dedicated US-based bookkeeping team in-app, email and over the phone
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:
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
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
Understand your runway
See a path to commercialization
Gain rapid financial clarity
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