In 2016, Keane Bookkeeping, LLC launched from the desire to go beyond tax compliance and have a personal and insightful relationship with clients. We support medical professionals with customized bookkeeping and accounting services. Our process as experienced accountants is to timely gather and analyze your data so you can make educated management decisions and achieve efficiency in your practice.





While we value the importance of data-entry and bill-paying, this is not our focus. We help to ensure that the information presented on your financial statements is accurate and offer constructive feedback on your operations. We work with your CPA to guide your practice in the right direction and design strategies for tax planning during the year.


The services of medical professionals are crucial, and we want you to focus on patient care.



We tailor your accounts to reflect the medical industry and carefully record and organize your data.

We perform monthly bank, credit card and payroll reconciliations to confirm the source of the numbers.

Progress Tracking

We have the requisite skills to review your history and measure the performance of your practice.

We help to interpret your financial statements and offer suggestions to improve operations.

Annual Services

At year-end, we close your financials and provide your CPA with supporting documents.

We prepare Form 1099 for contractors and assist with other annual forms as requested.

Special Consulting

We are happy to meet with you and your staff to assist with projects, trainings and research as needed.


Cianna Winnick, MSA
Owner, Accountant


Master of Science in Accountancy
University of Massachusetts Boston

Bachelor of Science in Business Administration, International Business
Lynn University, Boca Raton, Florida


After years preparing taxes in a public accounting firm, I started this business for the challenge of creating from scratch. I have been fortunate to work closely with physicians, surgeons and dentists who have articulated their concerns in running their practices. I realize that given the opportunity, owners want to know more about strategy. I continuously educate myself on best business practices which helps me convey to clients how certain decisions may have an impact. Genuine relationships and close communication are key as it helps me identify what you want to achieve.

Ashley Gaughran Accountant


Bachelor of Science in Accounting
University of Massachusetts Dartmouth


I joined Keane Bookkeeping, LLC full-time in April 2018 to provide the timely support that medical professionals want. I collect the necessary data to generate financial statements and aid as questions arise. My background in taxes and corporate accounting has presented me a well-rounded view of the different aspects in business operations. As a Certified Advanced ProAdvisor for QuickBooks Online, I work diligently to find efficiencies in your bookkeeping. This is more than just my profession; it is a passion. I love connecting with clients and being someone they can rely on.


Keane Bookkeeping, LLC
Accounting Tailored to Medical Professionals
Based in Natick, Massachusetts