CLIENT SUCCESS STORIES
from skin health to financial health

Medical, Surgical & Cosmetic Dermatology Solutions in
Kennewick, WA
A Dermatology Practice Finds Its Partner
Christy Masterman, ARNP, DCNP, knows skin. From acne treatments to anti-aging magic, she’s all about helping her patients look and feel their best. But when it came to taxes, payroll, and bookkeeping? That wasn’t where she wanted to spend her energy. As Dermatology Solutions took off, the behind-the-scenes financial to-dos started piling up. That’s when she turned to Account Sense. With their team managing the books, payroll, and planning, Christy could stop stressing about the numbers and get back to doing what she loves: caring for her patients.
the challenge
When Christy Masterman decided to open her dermatology practice, she traded the predictable rhythms of hospital life for the rollercoaster of small business ownership. Exciting? Absolutely! But she quickly discovered that running a thriving practice came with a whole new layer of financial complexity and way more deadlines than she’d anticipated.
“I’m a nurse practitioner. Ask me about skin conditions, not payroll,” Christy quipped, reflecting on her early days of trying to juggle her passion with the nuts and bolts of running a company. To make matters worse, Dermatology Solutions opened its doors a mere two weeks before the COVID shutdown. Timing, as they say, is everything. And sometimes, it stinks.
Christy found herself staring down a double dose of uncertainty. First, the financial demands of launching her own business and second, grappling with a pandemic that ground most plans (and patient appointments) to a halt. “I couldn’t have planned a rockier start if I tried,” she joked, though the challenges were no laughing matter at the time.
Facing questions about taxes and payroll was one thing. Navigating the COVID-induced revenue reduction and legal hoops was quite another. Thankfully, a referral to Account Sense changed the trajectory.
the solution
The team at Account Sense didn’t just offer Christy a financial lifeboat; they brought a full rescue crew. Their first move? Tackling payroll. Christy needed a system for her three employees, and Account Sense went to work creating hassle-free operations, so salaries hit accounts on time and without hiccups.
“The team at Account Sense made it easy,” Christy says. And when the time came to discuss taxes, they swooped in again. Quarterly filings, Department of Revenue dealings, expense tracking? Account Sense demystified it all.
Going beyond the basics, they helped transition Dermatology Solutions from a PLLC to an S-Corp, reducing Christy’s tax burden. When retirement planning entered the conversation, Account Sense recommended a 401k setup and aided with the paperwork, going beyond planning for ‘now’ to getting ready for ‘someday.’“They run all the financial stuff I don’t have time for or knowledge about,” Christy explained. “And trust me, if someone else can deal with the IRS for you, you take them up on that every time.”
the results
The relief that came with entrusting Account Sense wasn’t just emotional; it was measurable. Their tax strategies have saved Christy thousands of dollars each year, though she points out her favorite perk isn’t financial – it’s freedom. Freedom to focus on her patients. Freedom from panicking about bookkeeping surprises. Freedom to grow her practice.
“They’ve given me peace of mind,” she says. “I don’t have to wonder if I’m doing something wrong.” Every six months, Christy hops online with the team to make sure projections are accurate, expenses make sense, and the year-end financial nightmare turns into an organized dream.
With Account Sense, Christy didn’t just get a financial team – she got tools that actually make her life easier. One standout: the secure, user-friendly portal that keeps all her important financial documents organized and accessible when she needs them.
“They flag anything unusual, keep my books reviewed monthly, and leave me confident that the IRS won’t knock on my door one random day,” she said with a laugh.
Peace of mind might not be a line item on a profit and loss statement, but for Christy, it’s one of the best returns on investment she could ask for.

Christy Masterman, ARNP, DCNP
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