CPA Services for Medical Businesses in Grand Rapids
Bookkeeping and tax services for medical business owners in Grand Rapids. Home care agencies, therapy practices, and med spas.
Accounting for Grand Rapids Medical Businesses
Hunter Green CPA provides bookkeeping and tax services for medical business owners in Grand Rapids. We work remotely from Oak Park, Illinois, which means you get a CPA for medical businesses without paying for downtown office overhead or settling for a generalist who treats your home care agency like any other small business.
Grand Rapids has a strong healthcare economy, and that creates demand for the kinds of businesses we specialize in. Home care agencies serving seniors across Kent County. Therapy practices working with patients referred from Corewell Health or Mary Free Bed. Med spas and aesthetic clinics serving the region. Each one has specific financial needs that a general bookkeeper won’t anticipate.
Monthly Bookkeeping
Monthly Bookkeeping
Transaction categorization, bank and credit card reconciliation, and monthly financial reports. Your books stay current every month without you spending evenings catching up on data entry.
Business and Personal Tax Returns
Business and Personal Tax Returns
Annual tax preparation for your business entity and your personal return, handled by the same CPA who keeps your books. When the returns are prepared together, nothing falls through the cracks between the business and personal side.
Multi-Entity Accounting
Multi-Entity Accounting
Many med spas operate through a management service agreement with a sponsoring physician, which means two entities and two sets of books. We handle the separate books and intercompany transactions so your records match your actual structure.
Tax Strategy
Tax Strategy
Proactive planning for entity structure, timing, and deductions. Many of our clients are clinicians earning strong W-2 income while running a business on the side. The right structure can reduce what you owe by a meaningful amount every year.
Medical Businesses We Work With in Grand Rapids
West Michigan has regional health systems, a large senior population, and steady demand for therapy and home-based care. That translates into medical business owners who need real accounting support. Not the kind where you drop off a shoebox at tax time, but ongoing bookkeeping that keeps your numbers current and a CPA who understands how your specific business works.
We work with medical businesses doing anywhere from startup revenue to a few million annually. Big enough to need professional books but not big enough to hire a full-time accountant. If you’re still running QuickBooks yourself between patient appointments, that’s exactly where we step in.
Home Care Agencies
Home Care Agencies
Home care agencies in Grand Rapids face the same challenge everywhere: caregiver wages are the biggest cost, and margin per client determines whether the business works. We keep your books clean so you can see which clients are profitable and which are not.
Home Health Agencies
Home Health Agencies
Medicare-certified home health brings different complexity. Per-visit clinician pay, insurance reimbursement that arrives weeks after services, and payer mix that needs tracking. We handle the bookkeeping that keeps revenue and costs visible through the lag.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, speech therapy, and ABA practices throughout Kent County and West Michigan. Insurance reimbursement timing makes cash flow hard to read. We reconcile what you billed to what you collected so your books reflect reality.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Grand Rapids has a growing aesthetic market. Injectable inventory, prepaid packages, provider commissions, and retail sales tax all have to land correctly in the books. If you’re running a med spa with an MSA structure, we already know how to handle it.
Common Questions
You're based in Illinois. Why would a Grand Rapids business work with you?
Because we specialize in medical businesses. A generalist CPA in West Michigan can keep your books, but they won't already know the financial structure of a home care agency or the multi-entity accounting that med spas require. All of our work happens remotely anyway, so location matters less than expertise.
What types of medical businesses do you work with?
Home care and home health agencies, occupational and physical therapy practices, speech and ABA therapy, med spas, aesthetic clinics, and mobile medical providers. If you run a medical business and need bookkeeping or tax help, we probably know your industry.
How does remote bookkeeping actually work?
You connect your bank and credit card accounts through a secure portal. We handle transaction categorization, reconciliation, and monthly reports from there. Most clients find it simpler than meeting in person because nothing needs to be scheduled.
What does monthly bookkeeping cost?
Starting at $200 per month for monthly bookkeeping. The Bookkeeping and Tax Package, which includes your business and personal tax returns, starts at $350 per month. We quote exact pricing after understanding your business.
Can you handle Michigan state taxes?
Yes. We prepare Michigan business and personal returns, handle sales tax filings for businesses with retail revenue, and stay current on state requirements. Working with Michigan clients is nothing new for us.
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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