CPA Services for Las Vegas Medical Businesses
Bookkeeping and tax services for med spas, home care agencies, and therapy practices in Las Vegas. Clean books and proactive tax planning from a CPA who knows your industry.
CPA Services for Las Vegas Businesses
Hunter Green CPA provides bookkeeping and tax services for medical business owners in Las Vegas. We work with med spas, home care agencies, therapy practices, and aesthetic clinics across the valley. Monthly bookkeeping, tax returns, and the kind of proactive planning that helps you keep more of what you earn.
We’re based in Oak Park, Illinois and work remotely with clients nationwide. For Las Vegas owners, that means you get a CPA for medical businesses who already knows your industry without paying for Strip-adjacent office space. Everything happens online, and we’re available when you need us.
Monthly Bookkeeping
Monthly Bookkeeping
Books closed every month with transactions categorized, accounts reconciled, and financial statements delivered. You always know where your business stands without doing the work yourself or waiting until tax season to find out.
Bookkeeping and Tax Package
Bookkeeping and Tax Package
Monthly bookkeeping, sales tax filings, and your annual business and personal returns handled together for one monthly price. The same CPA keeps your books all year and files your taxes, so nothing falls through the cracks.
Multi-Entity Accounting
Multi-Entity Accounting
Med spas operating through MSA structures need separate, clean books for each entity. We handle the bookkeeping for both the clinical and management sides and track intercompany activity correctly.
Tax Strategy
Tax Strategy
Proactive tax planning for business owners earning strong incomes. Entity structure, timing, deductions, and retirement planning handled ahead of time rather than scrambling in April.
Las Vegas Industries We Serve
Las Vegas has a combination that makes it a natural fit for our firm. The aesthetics industry here is substantial, with med spas and cosmetic clinics serving both locals and visitors. At the same time, Clark County has one of the fastest-aging populations in the West, which means home care agencies and therapy practices are growing quickly.
We work with medical business owners doing roughly $100K to several million in revenue. Big enough to need real financial support, not so big that you need a full accounting department. If you’re still practicing clinically while running your business, we’re set up for that reality.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Injectable inventory, provider commissions, prepaid packages, retail sales tax, and often an MSA structure that requires multiple sets of books. We already know how med spa finances work and keep everything organized.
Home Care Agencies
Home Care Agencies
Caregiver wages are the biggest cost in this business. We track margin per client, keep payroll costs visible in the books, and make sure worker classification is handled correctly. The senior population in Las Vegas keeps growing, and so does this industry.
Physical and Occupational Therapy
Physical and Occupational Therapy
Per-visit revenue, insurance reimbursement that arrives weeks after the session, and clinic overhead that runs whether patients show up or not. We keep your books current through the reimbursement lag so you can see real margins.
IV Therapy and Medical Weight Loss
IV Therapy and Medical Weight Loss
Membership revenue, medication costs that swing month to month, and fast growth that outruns your visibility into cash flow. We keep the books clean and show you which services actually make money.
Common Questions
Do you have an office in Las Vegas?
No. We're based in Oak Park, Illinois and work remotely with all clients. Everything happens through secure online systems, so your location doesn't matter. You get the same service without paying for Vegas office overhead.
How does Nevada's tax situation affect my business?
Nevada has no state income tax, which simplifies some things. But your business still has federal obligations, and if you sell retail products you have Nevada sales tax to manage. We handle the federal side and keep your sales tax filings on schedule.
Do you understand med spa structures with MSAs?
Yes. Many med spas in Nevada operate through management service agreements with sponsoring physicians. We handle the bookkeeping for both entities and track the intercompany activity correctly. We work with your attorney on the structure itself.
What does monthly bookkeeping cost?
Monthly bookkeeping starts at $200. Your price depends on transaction volume and complexity. We quote a flat monthly rate after looking at your situation so there are no surprises.
Can you help if my books are behind?
Yes. Most business owners we work with started out behind. We do catch-up work to get your records current, then move into monthly service to keep them that way.
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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