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First Axiom Business Solutions
A diverse finance team reviewing reports together in a bright office

Staffing & Consulting

Some roles can't be filled by a generalist.

First Axiom is a specialist staffing partner across three fields where the wrong hire costs more than the search ever would: accounting & finance, tax preparation & resolution, and healthcare.

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One firm, two practices

First Axiom places specialist talent with employers, and delivers grants, market, and tax work as a consultancy. Same standards, same people to call.

Staffing

Specialist placement, three focuses

A staffing agency built for the categories where credentials, compliance, and timing all matter at once.

More about staffing

Consulting

Advisory work, done by the firm

The services First Axiom already provides directly to businesses and individuals.

More about consulting

Staffing

What we staff

Three service lines, one point of accountability, so a finance team doesn't need three vendors to cover staffing, filing, and a clean set of books.

Accounting & Finance Staffing

  • Temporary & contract staffing
  • Interim controller & CFO placements
  • Direct-hire & retained search
  • Seasonal tax & audit support for CPA firms
  • Skills testing (Excel, ERP systems)

Billed on a mark-up over pay rate, or as a percentage of first-year salary for direct hire.

Learn more about accounting & finance

Tax Preparation & Resolution

  • Individual & business tax preparation
  • IRS & state notice response
  • Back-tax and offer-in-compromise support
  • Audit representation, coordinated with a credentialed CPA or enrolled agent
  • Bookkeeping-to-filing handoff for staffed accounting clients

Available on its own, or bundled with an accounting placement so the same people who keep your books also close out the filing.

Learn more about tax preparation & resolution

Healthcare Staffing

  • Per-diem & travel staffing
  • Direct-hire clinical & administrative placement
  • Medical billing, coding & HIM staffing
  • Full credential & compliance verification
  • Locum tenens support (planned)

Every clinical file is built to hospital-credentialing standards before a candidate is ever submitted.

Learn more about healthcare

Consulting

What we advise on

The consultancy handles grants review, market analysis, and tax services directly for businesses and individuals.

Grants Review

  • Grant identification
  • Application review
  • Compliance check
  • Documentation support

Handled directly by the First Axiom consultancy.

Learn more about grants review

Market Analysis

  • Industry analysis
  • Competitive research
  • Market trends
  • Growth opportunities

Handled directly by the First Axiom consultancy.

Learn more about market analysis

Tax Services

  • Tax preparation
  • Tax planning
  • IRS resolution
  • Business tax strategy

Handled directly by the First Axiom consultancy. If you need tax professionals on your own team instead, see Tax Preparation & Resolution under Staffing.

Learn more about tax services

Two disciplines. One standard of fit.

Most staffing firms run a finance desk and a healthcare desk as an afterthought to a generalist book of business. First Axiom was built the other way around: depth first, in the two categories where credentials, compliance, and timing all matter at once.

Accounting & Finance

From the AP clerk who keeps the lights on to the interim CFO who steers the audit

Temporary, temp-to-hire, and direct-hire placement for the roles that keep a close, an audit, or a system implementation on schedule.

  • Staff & senior accountants
  • AP/AR clerks & payroll specialists
  • Financial analysts
  • Interim controllers & CFOs
  • Direct-hire finance leadership
See accounting & finance staffing

Healthcare

Credentialed clinical and allied-health talent, verified before the first shift

Per-diem, travel, and direct-hire placement built around license verification, background checks, and immunization records done right the first time.

  • RNs, LPNs/LVNs & CNAs
  • Allied health, medical billing & coding
  • Per-diem & travel staffing
  • Direct-hire clinical & administrative roles
  • Locum tenens support (planned)
See healthcare staffing

Staffing

Why a specialist, not a generalist

A firm that only knows one side of a hospital system's needs, clinical or back-office, will always be one call behind a firm that knows both.

Dual-vertical depth

One brand, two dedicated recruiting teams, built to serve organizations that need both clinical and finance staffing under one relationship.

Credentialing rigor

License verification, background checks, drug screening, and immunization records, held to Joint Commission-aligned standards for every clinical file.

A real timeline commitment

Our standard: under 12 business days to fill an accounting role, under 18 for a healthcare role, with a fill rate we hold ourselves to above 85%.

Consultative, not transactional

We check in at 30, 60, and 90 days after placement, so small friction gets caught before it becomes a replacement search.

Our commitments, in numbers

business days to fill an accounting role
<12
business days to fill a healthcare role
<18
fill rate we hold ourselves to
>85%
day check-ins after every placement
30 / 60 / 90

How a search runs

The same five steps whether we're filling a staff accountant role or a per-diem nursing shift. Only the credentialing checklist changes.

  1. Step 1: Intake & job order

    We define the role, pay and bill rate, required credentials, and start timeline before a single resume moves.

  2. Step 2: Sourcing

    Candidates surface through our database, referral network, direct outreach, and vertical-specific job boards.

  3. Step 3: Screening & credentialing

    Interviews, skills assessment, reference checks, background screening, and, for clinical roles, full license and immunization verification.

  4. Step 4: Submission & placement

    You interview a shortlist, not a stack. Offer negotiation and onboarding are handled end to end.

  5. Step 5: 30/60/90-day check-ins

    We stay close after day one, on both sides of the placement, to confirm the fit is holding.

Your workforce and advisory partner

First Axiom Business Solutions runs two practices under one roof. The staffing agency serves organizations in the accounting, finance, tax, and healthcare sectors, with one mission: connect exceptional professionals with organizations that depend on their expertise. The consultancy covers the work the firm already does directly for clients: grants review, market analysis, and tax services.

Unlike general staffing firms, we focus exclusively on highly skilled professional talent. Our recruiters understand industry-specific requirements, certifications, compliance standards, and workforce challenges, so the candidates we submit are qualified, credentialed, and ready to contribute from day one.

Why organizations choose First Axiom

  • Industry-specific expertise
  • Rigorous candidate screening
  • Fast time-to-fill performance
  • Compliance-focused recruiting
  • Personalized client service
  • Regional and national talent networks

We build long-term partnerships by providing workforce solutions that improve productivity, reduce hiring risk, and support organizational growth.

Industries we serve

Finance & accounting
Businesses of all sizes that need accounting, finance, reporting, and advisory talent.
Tax & professional services
CPA firms and tax practices that need qualified professionals during peak season and year round.
Healthcare
Providers that need to maintain staffing levels and deliver consistent patient care.
Government contractors
Organizations that need professionals who understand compliance-driven environments.
Nonprofit organizations
Mission-driven teams that need professionals who strengthen organizational impact.

Get in touch

Tell us what the role actually needs, and we'll bring you people who already meet it. Whether it's a single interim controller or a standing per-diem nursing pool, we start with a job order, not a job board blast.

What brings you here?

First Axiom is headquartered regionally and serves employers within a 60-mile service radius today, with additional markets planned as the firm grows.

Email us

Hiring or need consulting: tell us about the role or the engagement, the vertical, credentials required, and timeline, and someone on that desk will follow up.

Looking for a role: send your background in accounting, tax, or healthcare, and we'll reach out about current and upcoming openings.

contact@firstaxiombusiness.com

Based in

Brunswick, MD 21758