Bookkeeping & Tax for Los Angeles Medical Businesses
Bookkeeping and tax services for med spas, home health agencies, and therapy practices across Los Angeles County.
Accounting for Los Angeles Medical Businesses
Los Angeles is the largest aesthetics market in the country. The density of med spas and aesthetic clinics here is unmatched, from injectables-focused practices in Beverly Hills to full aesthetic centers across the South Bay. Hunter Green CPA provides bookkeeping for medical businesses remotely, working with med spa owners, aesthetic clinic operators, home health agencies, and therapy practices throughout LA County.
Most of our LA clients are clinicians running a business on the side. Nurses, nurse practitioners, physician assistants, and physicians with strong clinical incomes who started a med spa or aesthetic practice and now find the financial side taking up time they don’t have. The books need to be right. The taxes need to be planned. And you need someone who already understands how these businesses work.
Monthly Bookkeeping
Monthly Bookkeeping
Transaction categorization, bank and credit card reconciliation, and monthly financial statements. Your books stay current every month so you know where the business stands without spending your weekends in QuickBooks.
Multi-Entity Accounting
Multi-Entity Accounting
California med spas typically operate through a management service agreement with a sponsoring physician, which means two entities and two sets of books. We handle the multi-entity accounting and keep the intercompany activity clean.
Tax Strategy
Tax Strategy
Proactive tax planning for high-earning clinician owners. Entity structure, S corporation elections, timing of income and expenses, and retirement strategies. Planning ahead rather than just reporting what already happened.
Inventory and Cost Tracking
Inventory and Cost Tracking
Tracking for injectables, treatment supplies, and retail products. Know what each treatment actually costs to deliver and which services produce the best margins. Essential for med spas where product costs drive profitability.
Medical Businesses We Serve in Los Angeles
The LA area has more med spas per capita than anywhere else in the country. It also has one of the largest home health markets, driven by the county’s 10 million residents and aging population. These businesses look different on the surface but share a common challenge. Owners who are excellent at the clinical work and have no time for the books.
We work with established medical businesses doing anywhere from $250k to several million in revenue. Practices that have outgrown doing the books themselves but don’t need or can’t afford a full-time controller. If that describes your situation, we are set up to fill that gap. Reach out for a consultation and we can talk through what you need.
Med Spas
Med Spas
Our deepest specialty. Med spa accounting including MSA structures, injectable inventory, provider commissions, prepaid packages, and sales tax on retail. We know this world because we work in it every day.
Aesthetic Clinics
Aesthetic Clinics
Larger aesthetic centers with significant device investments, multiple treatment rooms, and provider teams. We track equipment depreciation, prepaid package revenue, and the margins that determine which services are worth offering.
Home Health Agencies
Home Health Agencies
Medicare-certified skilled home health agencies across LA County. Revenue that arrives on payer timelines, per-visit clinician pay, and books that need to hold up when regulators or lenders take a look.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, and speech therapy practices. Insurance reimbursement lag, per-visit revenue, and the cash flow challenges that come with waiting weeks or months to get paid for services already delivered.
Common Questions
Why work with a CPA firm based in Illinois?
Because accounting happens on screens, not in person. We work remotely with clients across the country, and that includes a deep roster of medical business owners in Los Angeles. You get a CPA who understands med spas and medical practices without paying for LA office overhead.
Do you understand California's med spa regulations?
Yes. We handle the accounting for med spas operating under management service agreements with sponsoring physicians, which is the standard structure in California. We keep the books clean for both entities and work with your attorney on the structural side.
What does monthly bookkeeping cost?
Starting at $200 per month. Exact pricing depends on transaction volume and complexity. Med spas with MSA structures, multiple providers, and retail sales typically fall higher in the range.
My books are months behind. Can you help?
Yes. Catch-up bookkeeping is a normal part of what we do. We get you current, then keep you current going forward.
Do you work with multi-location med spas?
Yes. Los Angeles has plenty of med spas with multiple locations, and we handle the accounting for businesses at that scale. Multi-location adds complexity to the books, but the work is the same. Clean records, clear margins, accurate taxes.
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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