You handle everything financial for the practice, so these end up on your desk too. This page shows where your work stops and ours starts, where the two overlap, and the moments you'd hand a client to us.
Little of this needs a CPA. All of it takes time from the advising your clients pay you for, and most of it carries risk if it slips.
The trigger is rarely “we need HR.” It sounds like one of these.
| The work | The Cook Organization | SMBHRHR and payroll | Pillar PEO AdvisorsBenefits and PEO |
|---|---|---|---|
| Books, close and reporting | Owns it | HelpsPayroll reports in the format your entries need | |
| Tax planning, returns and agency representation | Owns it | HelpsSpots payroll tax problems early | |
| Cash flow and “can we afford this hire?” | Owns it | HelpsThe loaded cost of the role | HelpsBenefits cost per person |
| Tax strategy behind the 401(k) | Owns itWith the plan's administrator and actuary | HelpsScreens PEOs for plan fit | |
| Preparing and checking payrollOne option to talk through | ReviewsGets the reports, stops clicking run | Prepares and checks itOwner approves and funds every run | |
| HR: hiring, policies, leave, exits | Owns it | ||
| Payroll and HR system setup | HelpsLedger mapping and integrations | Owns it | |
| Benefits shopping and renewals | HelpsSets the budget | HelpsEnrollment and deductions | Owns it |
| Choosing a PEO, setup and renewals | HelpsChecks the tax side | HelpsRuns the move | Owns it |
Legal advice sits with the client's attorney in every row. We are not a law firm or a CPA firm.
Under most PEOs, W-2s and federal payroll tax returns go out under the PEO's tax ID. State unemployment varies by state. One invoice mixes wages, taxes, benefits and fees.
We get you the PEO's year-end reports before tax season and map the invoice with you once.
Pillar is paid by the PEO or the benefits carrier for as long as the client stays. That is a real incentive to recommend one.
It's disclosed to the client in writing before they sign. SMBHR's HR fees are fixed and don't depend on it. When a PEO is the wrong answer, we say so.
Some PEOs require their own 401(k), and some limit profit sharing or a cash balance plan.
You set the tax strategy first. We only bring PEOs whose 401(k) rules fit it.
SMBHR is a small firm, not a payroll company with a call center.
Every client gets a named HR lead and a backup, and a reply within one business day.
Hours, new hires, exits, raises and bonuses.
In the client's own payroll system: rates, overtime, deductions, state and local tax.
Nothing is released until they approve. The money never passes through us.
Filings confirmed, anything odd flagged, and the reports in your inbox for the books.
We never hold or move a client's money, file tax returns, represent a client before a tax agency, or sell accounting, tax or financial advisory work.
We take the runs. Your team gets the reports.
Your team keeps running payroll. We review each run before the owner approves it.
We do the work behind your firm, and the client sees your brand.
If your firm bills for payroll today, that fee moves with the work. You choose which clients move, if any.
Payroll prep comes inside our HR Partner package today. A payroll-only option is the piece to shape together.
Providers often want a high deductible and an HSA. Frontline staff want a low deductible. That usually means two classes on two plans, which works when classes follow job roles, the carrier allows it and the plan passes its tests. A separate management company doesn't get around that testing, since commonly owned companies are usually tested together.
Hiring comes in batches: offer letters, I-9s, license checks for clinical roles, and onboarding that doesn't depend on the office manager remembering every step.
Travel between patients during the workday generally counts as hours worked for hourly staff under federal rules. The commute to the first visit usually does not. Both change the overtime math.
Seeing patients in another state takes licenses there and sometimes a separate practice entity, depending on that state's rules. Either way it means new payroll accounts and a benefits check.
Hospitals win on paid leave and rich benefits. A practice can get closer with company-paid short-term disability and a written paid leave policy, priced before the offer letter goes out. Some states and cities require paid leave. Pennsylvania has no state paid family leave program today, so beyond what the law requires, what the practice offers is its own choice and its own cost. You check whether the federal paid leave tax credit applies.
Hi [client name],
I'd like to introduce you to Caleb Sherrill at SMBHR. They take payroll, HR and benefits work off a growing practice, and their sister company, Pillar PEO Advisors, shops benefits and PEOs.
The first look is free. Caleb is copied here.
caleb@smbhr.com(704) 787-1261lui@smbhr.com