Accounting and Tax for Medical Businesses in Houston
CPA services for medical business owners across Houston. Bookkeeping, tax planning, and returns for home health agencies, therapy practices, and med spas.
CPA Services for Houston Medical Businesses
Houston is home to the Texas Medical Center, the largest medical center in the world. That concentration of hospitals and clinics means thousands of clinicians working in the metro. And many of those clinicians own businesses on the side. Home health agencies, med spas, therapy practices, in-home care companies. We provide CPA services for medical businesses like these across Houston.
If you’re a clinician running a business alongside your clinical work, you need accounting that fits how you operate. Clean books. Tax planning that makes sense for your situation. Returns filed correctly and on time. Hunter Green CPA handles that work remotely so you can focus on patients and clients instead of spreadsheets.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, accounts reconciled, books closed every month. You get financial statements that actually reflect reality without spending your off-hours catching up on QuickBooks. Clean books are the foundation for everything else.
Tax Strategy
Tax Strategy
Tax planning that happens before the year ends, not after. Entity structure, timing of income and expenses, retirement contributions. For clinicians with strong W-2 income and business income, the right structure can make a real difference in what you owe.
Bookkeeping and Tax Package
Bookkeeping and Tax Package
Monthly bookkeeping, sales tax filings, and your annual business and personal tax returns bundled together. One CPA keeps the books all year and files the returns, so nothing falls through the cracks. One monthly price starting at $350.
Multi-Entity Accounting
Multi-Entity Accounting
For med spas and medical businesses operating through a management service agreement with a sponsoring physician, you effectively have two sets of books. We keep both entities clean and make sure intercompany transactions are recorded correctly.
Houston Medical Businesses We Work With
Houston’s size and sprawl create one of the deepest home health and home care markets in the country. Agencies serving patients across Harris County, Fort Bend, Montgomery, and the surrounding areas. Add in the med spas and therapy practices that serve the metro, and there’s a lot of medical businesses that need accounting help.
We work with medical business owners doing roughly $100K to a few million in revenue. Big enough to need real bookkeeping and tax work. Not so big that you need an in-house accounting department. If you’re still running the business yourself or with a small team, we’re a good fit.
Home Health Agencies
Home Health Agencies
Medicare-certified skilled home health agencies with per-visit clinician pay and insurance-driven revenue. We track what you billed against what you collected and keep the books accurate through reimbursement lag.
Med Spas
Med Spas
Bookkeeping for med spas with MSA structures, injectable inventory, provider commissions, and prepaid packages. Most med spa owners in Houston are clinicians working full-time elsewhere. We understand that reality and keep the financial side handled.
Therapy Practices
Therapy Practices
Occupational therapy and physical therapy practices dealing with insurance reimbursement that arrives weeks after the session. We keep the books current so you can see where the practice actually stands, not just what you billed.
Home Care Agencies
Home Care Agencies
Non-medical home care and private-duty agencies where caregiver labor is the biggest cost. We keep the books clean so you can see margin per client and make sure worker classification stays correct.
Common Questions
Do you work with Houston businesses remotely?
Yes. We're based in Oak Park, Illinois and work with medical business owners across the country, including throughout the Houston metro. Everything happens online. You get a CPA who understands your business without needing to schedule office visits or drive across town.
What does monthly bookkeeping cost?
Monthly bookkeeping starts at $200. Your actual price depends on transaction volume and complexity. We quote a flat monthly rate after reviewing your business, so you know exactly what to expect.
I'm a clinician with a side business. Do you work with people like me?
That's exactly who we work with. Nurses, nurse practitioners, physician assistants, and physicians who earn strong clinical incomes and run a business alongside that work. We understand the time constraints and the tax planning opportunities that come with that combination.
Do you understand Texas tax rules?
Yes. Texas has no state income tax, but that doesn't mean tax planning stops mattering. Entity structure still affects your federal taxes significantly. And if you sell products, Texas sales tax applies. We handle clients in Texas and know the rules that affect your business.
My books are behind. Can you catch them up?
Yes. Most of our clients come to us with books that are months or years behind. We clean up the backlog, get everything current, then move into ongoing monthly service. Falling behind is normal for busy clinicians running a business. Getting current is the first step.
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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