Bookkeeping & Tax Services for Des Moines Medical Businesses
CPA services for medical business owners in Des Moines. Bookkeeping, tax planning, and accounting for home care agencies, therapy practices, and med spas across Iowa.
CPA Services for Des Moines Medical Businesses
Des Moines has a strong healthcare economy, supported by major insurance carriers and a regional hospital system that draws patients from across Iowa. Behind that infrastructure are the independent medical businesses: home care agencies, therapy practices, and aesthetic clinics run by clinicians who are often still practicing while managing the business side. These owners need bookkeeping for medical businesses that fits how their operations actually work.
Hunter Green CPA provides bookkeeping, tax, and accounting services for medical business owners in Des Moines and across Iowa. We work remotely, which means you get a CPA who specializes in your industry without paying for downtown office overhead or waiting for someone’s calendar to open up.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, accounts reconciled, books closed every month. You get financial statements that show where the business actually stands, delivered without you spending evenings in QuickBooks.
Bookkeeping and Tax Package
Bookkeeping and Tax Package
Monthly bookkeeping, sales tax filings, and annual business and personal tax returns bundled into one monthly price. One CPA handles the whole picture, so the books and the tax return actually match.
Tax Planning
Tax Planning
Entity structure, timing of income and expenses, retirement contributions, and deduction planning. Proactive work that happens throughout the year rather than scrambling in April to minimize what you owe.
Catch-Up Bookkeeping
Catch-Up Bookkeeping
Books that are months or years behind get cleaned up, reconciled, and brought current. Most owners who find us are already behind. We get you caught up and then keep it that way going forward.
Medical Businesses We Serve in Des Moines
We work with a specific set of medical businesses: in-home care and home health providers, occupational and physical therapy practices, and med spas and aesthetic clinics. These are the industries we know, and knowing them well means we spend less time learning your business and more time getting the work done right.
Des Moines sits at the center of a state with significant rural territory. Home care agencies based here often serve patients in counties an hour or more away, which creates unique financial challenges around caregiver scheduling, mileage, and cash flow. We understand those challenges because we work with agencies facing them every day.
Home Care Agencies
Home Care Agencies
Non-medical and private-duty agencies serving Des Moines and surrounding counties. We track caregiver labor costs, margin per client, and keep the books clean for agencies covering wide service areas across central Iowa.
Home Health Providers
Home Health Providers
Medicare-certified skilled home health agencies with per-visit clinician pay and insurance-driven revenue. Full-service bookkeeping that handles the lag between services and reimbursement so you always know where cash flow stands.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, and speech therapy practices. Insurance reimbursement arrives weeks after the session, and the books need to reflect what you have actually collected, not just what you billed.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Des Moines has a growing aesthetics market. We handle injectable inventory tracking, prepaid package revenue, provider commissions, and the multi-entity structures that med spas often require under Iowa’s regulations.
Common Questions
You're based in Illinois. Why would a Des Moines business work with you?
Everything we do happens remotely. Your location does not change the quality of the work. We specialize in medical businesses specifically, which means we already understand how your business works. Most local firms are generalists. We are not.
Do you work with home care agencies that serve rural Iowa?
Yes. Home care is one of our specialties. We understand the economics of agencies covering wide territory, including caregiver wages, mileage, and the cash flow challenges that come with serving patients spread across multiple counties.
What does monthly bookkeeping cost?
Monthly bookkeeping starts at $200. The actual price depends on your transaction volume and complexity. We quote a flat monthly rate after reviewing your business.
Can you help if my books are behind?
Yes. We do catch-up work to bring your books current, then transition to ongoing monthly service. Most owners who come to us are behind. It is nothing unusual.
Do you handle taxes too?
Yes. We prepare business and personal tax returns, and we offer a package that bundles bookkeeping and tax work together for one monthly price. Having the same CPA do both means nothing falls through the cracks between the books and the return.
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.
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