Accounting for Miami Med Spas and Home Health Agencies
Bookkeeping, tax work, and multi-entity accounting for Miami medical business owners. Med spas, home health agencies, and therapy practices.
Accounting for Miami Medical Businesses
Miami has one of the densest med spa markets in the country. South Beach, Coral Gables, Brickell, Aventura. Hundreds of aesthetic clinics within a few miles of each other, all competing for the same clientele. At the same time, Miami-Dade has a large and growing aging population that drives demand for home health agencies and in-home care providers across the metro. Both industries have real financial complexity, and both tend to be run by clinicians who are too busy treating patients to manage the books.
Hunter Green CPA provides medical practice accounting for business owners in Miami. We work remotely from Oak Park, Illinois, but we already know these industries. MSA structures, injectable inventory, prepaid treatment packages, Medicare-driven revenue, caregiver payroll. You don’t have to explain your business model to us. We can get started helping.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, accounts reconciled, books closed every month. Financial statements that show you where the business actually stands, delivered on a schedule you can count on.
Multi-Entity Accounting
Multi-Entity Accounting
Med spas operating under management service agreements need separate books for each entity. We handle the multi-entity accounting and intercompany transactions so your records match your structure.
Tax Strategy
Tax Strategy
Entity structure, S corporation elections, retirement planning. High-earning clinicians running a business on the side often overpay taxes without knowing it. We plan ahead instead of just filing what happened.
Catch-Up Bookkeeping
Catch-Up Bookkeeping
Months or years behind? That’s a normal starting point. We reconstruct what’s there, clean up the mess, and deliver books you can actually use. Then we keep them current.
Miami Medical Businesses We Work With
Most med spa and home health agency owners in Miami started as clinicians. Nurses, nurse practitioners, PAs, physicians. They built a business while working a clinical job, and the books fell behind because there was always something more urgent. Tax season arrives and everything is a scramble. Profitability is a guess. The numbers exist somewhere but nobody has time to make sense of them.
That’s who we work with. Medical business owners who need an accountant who already understands the industry rather than a general bookkeeper learning on their dime.
Med Spas
Med Spas
Miami’s med spa market is competitive and complex. MSA structures with sponsoring physicians, injectable and supply inventory, provider commissions, prepaid packages, and sales tax on retail products. We know how to keep these books clean.
Home Health Agencies
Home Health Agencies
Medicare-certified agencies serving Miami’s aging population. Revenue that arrives on payer timelines, per-visit clinician pay, and books that need to show real margin behind the visits. We handle the accounting while you handle the care.
Home Care Agencies
Home Care Agencies
Non-medical and private-duty care agencies throughout Miami-Dade. Caregiver wages are the biggest cost, and the books need to show margin per client. We keep payroll visible and worker classification clean.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, speech therapy. Insurance reimbursement that lags services by weeks or months, per-visit revenue, and contracts with facilities or school districts. Books that show collected revenue versus billed.
Common Questions
You're in Illinois. Why would a Miami med spa work with you?
Because bookkeeping happens through screens, not in person. What matters is whether your accountant understands med spa financials: MSA structures, injectable inventory, prepaid packages, sales tax on retail. We do. Most Miami firms are generalists learning your business on your dime.
Do you work with med spas that operate under an MSA?
Yes. Multi-entity structures with management service agreements are common for med spas in Florida. We keep separate books for each entity and handle the intercompany transactions correctly.
What does monthly bookkeeping cost?
Starting at $200 per month. We quote flat rates based on transaction volume and complexity. Med spas with inventory and multi-entity structures are priced accordingly.
My books are a mess. Can you fix that?
Yes. Most clients come to us with books that are months or years behind. We clean things up, get you current, and then keep the books accurate going forward.
Do you work with home health agencies?
Yes. Medicare-certified home health, non-medical home care, and in-home therapy providers. We understand payer mix, per-visit revenue, and the reimbursement timelines that make these books different from a normal business.
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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