Medical Office Payroll Services.
Your practice manager already has a full day. Aquila helps medical offices and practices handle employee payroll, tax filing work, and ACA reporting with experienced support behind the process.
Review our practice payrollLess payroll administration. More attention for your practice.
Practice leaders manage a mix of clinical staff, office employees, changing schedules, time off, and new hires. Payroll should not depend on someone finding extra hours after the office closes. Aquila helps establish a repeatable process for collecting changes and handling the work that returns every pay period.
We are a good fit for medical offices that want payroll and ACA reporting supported by real people. Our full-service and managed options cover processing and payroll tax filings, with ACA reporting and payroll-related PTO tracking available when applicable. We support Ohio practices and other employers based on their workforce and agreed service needs.
Support for the people behind your practice.
Employee payroll and tax filings
Coordinate wage calculations, direct deposit, deductions, and payroll tax filing work. Establish how employee and pay changes move from practice administration into processing.
ACA reporting and payroll records
Review employee hours and coverage information for applicable ACA reporting. Connect payroll records with eligibility tracking, affordability inputs, and required forms within the agreed scope.
Employee pay information
Employees can view their pay information, pay stubs, and supported tax documents through the chosen platform.

Employee access. Less office back-and-forth.
Employee self-service gives your people access to their pay information without sending every routine question back to your office. Aquila combines payroll support with the employee tools available in your agreed platform.
- Pay history
- Paystub details
- Employee self-service
Experienced help for a busy practice team.
Aquila brings payroll operations experience to your employee administration, without claiming to handle the clinical or billing side of your practice.
Human support
Talk through payroll questions with people who understand processing, records, and recurring administrative work.
A flexible starting point
Discuss your existing payroll platform or a full-service isolved solution. We fit the engagement to the work you need help with.
Connected payroll information
Pay records, payroll-related PTO tracking, and benefits deductions can be reviewed together rather than handed between disconnected processes.
From first conversation
to a working process.
- Review your setup.
We talk through your workforce, locations, current platform, and the work you need help with.
- Agree on the scope.
Confirm the services, responsibilities, required records, pricing, and transition timing before work begins.
- Build the handoff.
Establish how changes and questions reach the team, with a clear review process for the work we handle.
Can Aquila support both hourly and salaried employees?
Our payroll service includes wage calculations and support for complex payroll. We review your staff structure, approved pay arrangements, and time collection process to define how each group is handled.
Can we keep our current payroll platform?
Managed payroll is available for employers that want help within an existing system. We review the platform and workflow first. Full-service payroll through isolved is another option.
Do you handle medical billing or patient records?
No such services are represented on this page. This offering focuses on employee payroll and related ACA reporting support, not medical billing, claims processing, or patient records.
What does a practice payroll review involve?
We discuss staff size, payroll frequency, software, employee work locations, payroll-related PTO tracking and ACA reporting needs, and the tasks taking the most time. From there, we can agree on service scope and a practical transition plan.
Take payroll off your practice manager's plate.
Tell us how your practice handles payroll today and where your team needs more support.
