About Us

Before becoming an accountant, I worked in social work and education—so I deeply understand the emotional and practical demands of helping professions. That background shapes the way I approach accounting: with empathy, clarity, and respect for the work you do.

I offer tax-focused accounting and bookkeeping services to therapists and mental health professionals across the U.S. As a solo practitioner, I work one-on-one with each client to help them feel more confident and in control of their finances.

With me, you’re not just another client on a roster. You get a real relationship, personalized support, and a partner who values your time, energy, and impact.

How We Got Started

After a long career in social work and education, I made an unexpected but fulfilling transition into accounting—guided by one of the best mentors I could ask for: my mother. With over 30 years of experience as an accountant, she not only taught me the ins and outs of public accounting and tax preparation but also passed down her passion for helping small businesses thrive.

While learning from her, I also pursued additional coursework in accounting and business to meet the requirements for the Ohio CPA exam. At the end of 2023, my mother retired, and I officially took over the practice. Now, after completing my first full year on my own, I’m excited for the future of McElroy Comprehensive Accounting and the opportunity to continue supporting therapists, psychologists, and other small business owners with the financial guidance they need to succeed.

Products & Services
Our accounting and bookkeeping services are tailored for mental health professionals. We handle daily transaction tracking, manage revenue streams ...
Our payroll support services empower you to manage payments for your practice’s employees and subcontractors with ease. Using ADP, you stay in cont...
Our tax advisory and compliance services are tailored to the unique needs of mental health professionals in the US. We manage all aspects of tax pr...
Recommendations Given (2)
"Always very responsive and resourceful. If she doesn't immediately have an answer, she works..." Read more "Always very responsive and resourceful. If she doesn't immediately have an answer, she works quickly to provide any information that is needed. A very dedicated and driven service professional."
"Working both in OH and PA, Karen has extensive knowledge about providing needed therapeutic..." Read more "Working both in OH and PA, Karen has extensive knowledge about providing needed therapeutic services to children and youths. Directing several school-based services, she's taken the leap and is now running her ideal company providing service that she's passionate about. You will not meet a more understanding and compassionate person."