One problem

Why a health problem crowds out everything else, and what that taught me about the kind of CPA firm I want to run.

A grid of one hundred grey dots with a single blue dot. Headline: When your health becomes a problem, it becomes your only problem.

When I was at UT, a professor who was also the sitting CFO of a public company told our class he had bought the domain name CancerTV. He said that when someone gets cancer, all they want to do is consume information about it. I once heard Scott Galloway say on his podcast that we all have dozens of problems, but when we have a health problem, we suddenly have only one. This shows you the importance we place on health and risk compared to our everyday problems.

This framing really resonates with me. I hurt my back running, and I abused AI chatbots to learn exactly how to fix it and to find the right provider to help me heal quickly. I want my firm to provoke the same feeling. I want to be the CPA you trust to handle your most pressing business problems. This is why I set it up as a concierge model: fixed, transparent fees in exchange for ownership of results and deliverables. We often start by solving for tax preparation and evolve into full-service accounting and growth discussions.

Just as patients search for the right clinicians to solve their problems, I want clinicians to feel they are getting the highest-quality outcomes. I love a quote from Scott Galloway and use it often: “Philadelphia is 80% of New York City for 60% of the price.” I think about my model similarly. I want every client to feel they get far more out of the relationship than they pay for.

In short, my value proposition is simple: I am selling a Time Machine. I want to give you your time back to reinvest in your business. I am also increasing the surface area for growth by removing execution risk from your business.

Brent Janss is a licensed Certified Public Accountant (CPA) in Houston and a former hospital CFO and surgery center CEO. His firm, janss.cpa (Brent Janss CPA PLLC), works with physicians, surgery centers and multi-site groups across Texas. How the firm handles client information and AI is explained on this page.

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