About Us
Our Work Starts Where the Numbers Stop Explaining Things
SE Fleming CPA exists for owners who are good at what they do, and responsible for far more than most people realize.
Running a clinical practice or regulated business isn’t just about delivering excellent work. It’s about managing people, systems, cash flow, growth pressure, and tax consequences, often at the same time, and often without clear answers when decisions need to be made.
We work with owners who feel that weight.
Not because something is “wrong,” but because the business side of their work deserves the same level of clarity, discipline, and forward thinking as the work itself.
A Modern View of Accounting
We’re not just accountants.
We’re architects of financial clarity in an environment that has become faster, more complex, and more data-driven than ever before.
Accounting today isn’t limited to recording transactions and filing returns. In a world shaped by technology, automation, and real-time information, the role of a CPA has evolved.
Our philosophy is built around Strategic Financial Insight, the idea that accounting should actively support better decisions, not simply document past activity.
That means using modern tools, deeper analysis, and practical experience to help owners understand:
- What’s actually driving financial performance
- Where pressure is building and why
- How today’s decisions shape tomorrow’s outcomes
The Gap We See
Most of the owners we work with are highly trained professionals. They’re comfortable with complexity. They make decisions under pressure. They’re accountable for outcomes that affect employees, patients, and families.
What we consistently see, though, is a gap between professional expertise and business clarity.
The numbers exist. The reports are produced. The tax returns are filed.
But when it’s time to decide:
That means using modern tools, deeper analysis, and practical experience to help owners understand:
- Whether to hire
- Whether to expand
- Whether margins make sense
- Whether cash pressure is normal or a warning
The answers aren’t always clear. Not because owners aren’t capable, but because traditional accounting is designed to look backward, while ownership requires decisions to be made forward.
Our Accounting Philosophy
Accounting has changed.
Today’s businesses operate in an environment where decisions are often made long before results appear clearly in reports. In this environment, accounting can’t stop at recordkeeping and compliance.
Our philosophy is built around Strategic Financial Insight.
That means using modern accounting tools, thoughtful analysis, and industry experience to help owners understand the financial implications of their decisions as they’re being made, not after the fact.
In practice, this includes:
- Leveraging advanced accounting systems to streamline processes and reduce manual friction
- Developing clear financial reporting that reflects the true financial position of the business
- Designing accounting structures that integrate with how the business actually operates
This approach shifts accounting from a backward-looking function to an active part of decision-making. Our work is designed to go further, connecting numbers to strategy, decisions, and outcomes in a way that supports long-term financial health. That’s the practical application of our philosophy.
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Cash flow & operational pressure
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Staffing, compensation, and overhead decisions
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Growth, expansion, and transition planning
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Tax elections and structural decisions
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300+
Projects Successfully Completed
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95+
Client Satisfaction Rate
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100+
Financial Strategies Success
COMMON FAQ’S
What Sets Us Apart
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Our team comprises highly skilled professionals with deep industry knowledge and experience in financial planning, accounting, and tax management.
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We believe in building strong relationships with our clients, offering guidance that aligns with their specific goals and financial objectives.
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Our firm stays ahead of industry trends, utilizing advanced accounting technologies and data-driven strategies to enhance financial decision-making.
Client Testimonials
TALK TO US
Accelerating Growth And Success
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How We Approach the Work
We don’t think of ourselves as vendors or seasonal accountants.
We work as long-term partners, staying close enough to both the numbers and the operations behind them to understand what’s really happening inside the business.
That approach includes:
- Using modern accounting systems and data tools to reduce noise and manual work
- Developing clear, usable financial reporting that supports real decisions
- Designing accounting structures that integrate with how businesses actually operate
- Identifying tax and operational implications early, while there’s still time to respond
Technology matters—but only when it serves understanding.
Our role isn’t to tell clients what to do.
It’s to help them understand what they’re deciding.
What Makes Our Work Different
Most accounting relationships are reactive by design.
Questions are answered when asked. Reports are reviewed after the fact.
Issues are addressed once they’re unavoidable.
Our work looks different.
We stay engaged throughout the year so owners aren’t left interpreting results alone or relying on instinct when the stakes are high.
We focus on:
- Making financial information usable, not just accurate
- Connecting financial outcomes to operational decisions
- Identifying opportunities and risks before they compound
- Supporting decisions around staffing, growth, structure, and taxes
About Scott E. Fleming, CPA, MBA
Scott E. Fleming has worked in financial planning, analysis, reporting, and tax accounting since 2004.
As a CPA and advisor, Scott brings deep technical knowledge alongside years of experience working closely with owners navigating growth, complexity, and uncertainty. His work focuses on helping businesses increase profitability through process improvement, cost control, strategic deployment of resources, and advanced tax planning.
Scott’s approach is grounded, direct, and practical.
He believes that good decisions don’t come from more data alone, but from understanding what matters, when it matters, and why.
A Simple Invitation
No pitch. No pressure.
Just a chance to see whether the way we work fits what you’re looking for.