Accounting for Boston Medical Businesses
Bookkeeping and tax services for medical businesses in Boston. Home care agencies, therapy practices, and med spas served by a CPA who knows your industry.
CPA Services for Boston Medical Businesses
Boston is a healthcare capital. The hospital systems get the attention, but underneath them are hundreds of independent medical businesses. Home care agencies serving families across the metro. Therapy practices in every neighborhood. Med spas in Back Bay and Brookline and Newton. Many of these businesses are owned by clinicians who still work clinical jobs alongside running their own operation.
We provide bookkeeping for medical businesses like these. Monthly bookkeeping, catch-up work for books that have fallen behind, and tax preparation that builds on clean records kept throughout the year. If you’re a clinician running a business in Boston and you don’t have time for the financial back office, that’s exactly who we work with.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, accounts reconciled, and monthly reports delivered. Your books stay current without you spending weekends catching up. You know where the business stands every month.
Catch-Up Bookkeeping
Catch-Up Bookkeeping
Books a few months or a few years behind? We clean up the backlog, reconstruct what’s missing, and get you current. Most of our clients started exactly there. No judgment, just results.
Tax Preparation
Tax Preparation
Business and personal tax returns prepared by the same CPA who keeps your books all year. Nothing falls through the cracks between a separate bookkeeper and tax preparer. Returns are filed accurately and on time.
Multi-Entity Accounting
Multi-Entity Accounting
Multi-entity accounting for med spas and practices with MSA structures. Separate books for each entity, intercompany transactions recorded correctly, and records that support the structure your attorney put in place.
Boston Medical Businesses We Work With
Greater Boston has a dense concentration of exactly the medical businesses we serve. The aging population drives demand for home care and home health. The concentration of hospitals and rehab facilities creates a strong therapy market. And the affluent clientele in the city and surrounding towns supports a thriving aesthetics industry.
We work with owners across the Boston area, from the city itself to Cambridge, Brookline, Newton, and the communities beyond. Everything happens remotely, so your exact location in the metro doesn’t matter.
Home Care and Home Health
Home Care and Home Health
Non-medical home care agencies, skilled home health providers, and private duty care. Caregiver payroll costs, reimbursement timing, and margin per client all need visibility in the books. We keep those numbers clear.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, speech therapy, and ABA practices across the metro. Insurance reimbursement lags, school contracts, and per-visit economics create bookkeeping complexity. We handle the financial side while you handle the clinical work.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Med spa accounting is a specialty for us. Injectable inventory, provider commissions, prepaid packages, retail sales tax, and the multi-entity structures that Massachusetts often requires. We already know this world.
Mobile and In-Home Providers
Mobile and In-Home Providers
House-call physicians and nurse practitioners, mobile IV therapy, in-home therapy providers. Per-visit economics, vehicle costs, and self-employment taxes define these businesses. We track all of it and plan around it.
Common Questions
You're in Illinois. Why would a Boston business work with you?
Bookkeeping and tax work happens digitally. Where your CPA sits matters less than whether they understand your industry. We work exclusively with medical businesses, so we already know the financial challenges home care agencies, therapy practices, and med spas face. Most clients prefer remote work because there's nothing to schedule and no commute across the city.
Do you understand Massachusetts tax requirements?
Yes. We prepare federal and state returns for clients across the country, including Massachusetts business and personal returns. We stay current on state-specific requirements and handle your filings accordingly.
What does monthly bookkeeping cost?
Starting at $200 per month. Your actual price depends on transaction volume and complexity. We'll give you an exact quote after a short conversation about your business.
My books are months behind. Can you help?
Yes. Catch-up work is common for busy clinicians running a business. We clean up the backlog, get your records current, and then move into monthly service so it stays that way.
Do you work with med spas that have MSA structures?
Yes. Multi-entity accounting for med spas with management service agreements is one of our specialties. We maintain separate books for each entity, handle intercompany transactions, and keep your records aligned with the structure your attorney set up.
Your Trusted CPA
Next Step:
A Short Conversation
Tell us about your business and what you need help with. We'll ask a few questions, explain how we can help, and tell you exactly what it will cost.
Other Areas