Outsourced accounting, bookkeeping, payroll & tax in Arizona

Accounting in Arizona, specifically

Arizona is where NEXACC started, and it's still the only state where we show up in person as a matter of course. Our office sits at 7321 S 15th Dr in Phoenix, and we regularly sit across the table from Valley clients for onboarding, quarterly reviews, and planning sessions rather than defaulting to video calls. That local presence matters most for the behavioral-health and healthcare practices we serve, because Arizona's Medicaid system runs through AHCCCS rather than a traditional state Medicaid office, and the ACC Complete Care plans plus Regional Behavioral Health Authority contracts each carry their own billing quirks, credentialing timelines, and reporting rules. We also live inside Arizona's transaction privilege tax system every month, tracking city and county layers on top of the state rate for retailers, contractors, and service businesses across Phoenix, Scottsdale, Mesa, Tempe, Chandler, Gilbert, and Tucson. Add in construction and trade contractors managing job costing, tech companies scaling headcount, and tribal or government-funded programs with their own compliance calendars, and Arizona is a state where general bookkeeping knowledge isn't enough — you need a team that already knows the local terrain, which is exactly what our Phoenix headquarters gives every Arizona client.

Same published prices in every state

Flat monthly fees, scoped before you commit — identical in Arizona and everywhere else we work.

Industries we see most in Arizona

• Healthcare and behavioral health practices
• Construction and trade contractors
• Technology and professional services
• Tribal and government-funded programs

In-person meetings from our Phoenix headquarters, paired with deep AHCCCS and RBHA fluency.