Fiscal Intermediary Services icon-puzzle

A fiscal intermediary is an accountant that provides accounting and payroll services to the developmentally disabled and/or mentally ill individuals that receive services through the self-determination program administrated by the community mental health organization in their area. Typical services provided include payroll preparation, personnel management, financial reporting, budget management and development, purchase of service payments, tax preparation, credentialing and Medicaid billing.


Self Determination icon-calculator

Being self determined is all about making your own choices about your own life. It gives you authority over your own care and lets you experience a sense of independence, freedom and responsibility while achieving your own goals.

Self-determination is a program offered to persons with special needs to allow them to have control, freedom, and responsibility in their life. It is based on four principles:


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Payroll Department


Reporting and Taxes

Representative Payee

Training and Personnel

Welcome to Stuart T. Wilson, CPA. PC

Our firm was founded over 25 years ago in Midland, Michigan. Since our founding, our firm has grown to include clients located throughout upper and lower Michigan. We work with many small and medium sized businesses in a variety of industries, from manufacturing and construction to service and retail.

Our approach to working with businesses has evolved into a holistic approach to accounting and consulting; we attempt to assist our clients into looking past the numbers and into their meaning and the messages that they tell the business owner. We believe this is a unique approach to accounting; we work with the owner of the business to determine the problems that confront the business owner on an ongoing basis and to develop solutions that are effective in solving them. We are willing to spend the time necessary to reach the solution that works, we believe that time and energy we have invested in our clients is what has helped our firm to grow.