CPA and Bookkeeping for NYC Medical Businesses
Bookkeeping and tax services for NYC medical businesses. Home care agencies, med spas, therapy practices. A CPA who knows your industry.
CPA Services for NYC Medical Businesses
New York City has the largest concentration of home care agencies in the country, with tens of thousands of providers operating across the five boroughs. It also has one of the most competitive aesthetics markets anywhere, with med spas and cosmetic clinics throughout Manhattan, Brooklyn, and beyond. Hunter Green CPA provides bookkeeping for medical businesses in both of these industries.
We work remotely with NYC businesses from our office in Oak Park, Illinois. That means you get a CPA who understands home care economics and med spa structures without paying Manhattan overhead. Monthly bookkeeping, tax returns, multi-entity accounting, and the catch-up work that happens when running the business takes priority over updating the books.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, accounts reconciled, books closed every month. You get financial statements that tell you where the business stands without spending your weekends in QuickBooks.
Multi-Entity Accounting
Multi-Entity Accounting
Med spas in New York typically operate through management service agreements with a sponsoring physician. We maintain separate books for each entity, track intercompany transactions, and keep the records consistent with your structure.
Tax Strategy
Tax Strategy
Entity structure planning, S corporation elections where they fit, and proactive tax work for clinicians running a business alongside clinical income. The right structure can save real money every year.
Catch-Up Bookkeeping
Catch-Up Bookkeeping
Books a year or two behind? That is normal for owners who are still seeing patients while running the business. We clean up the backlog, get you current, and then keep it that way going forward.
NYC Medical Businesses We Work With
The medical business landscape in New York City is unlike anywhere else. Home care agencies serve hundreds of thousands of patients across the boroughs. Med spas compete for clients in some of the most expensive real estate in the country. Therapy practices navigate insurance reimbursement timelines while covering NYC payroll costs. Every one of these businesses needs accurate books and a CPA who understands the industry.
We work with businesses doing anywhere from $100K to several million in revenue. Big enough to need real accounting, not so big that they have a full-time CFO handling everything. That is the gap we fill.
Home Care Agencies
Home Care Agencies
NYC has more home care agencies than anywhere in the country. Private duty, Medicaid waiver programs, CDPAP. Caregiver wages are the biggest expense, and the books need to show margin per client and keep worker classification clean.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Manhattan, Brooklyn, and beyond. Injectable inventory, provider commissions, prepaid packages, retail sales tax, and the multi-entity structures that New York requires. We already know how these businesses work financially.
Home Health Agencies
Home Health Agencies
Medicare-certified skilled home health with per-visit clinician pay and payer mix that varies by patient. Revenue tracking through reimbursement timelines, payroll for field staff, and books that hold up when regulators look.
Therapy Practices
Therapy Practices
OT, PT, speech therapy, ABA practices across the city. Insurance reimbursement lags, school district contracts, and labor costs that look different in New York than anywhere else. We track what gets billed versus what gets collected.
Common Questions
Do you work with businesses throughout New York City?
Yes. Manhattan, Brooklyn, Queens, the Bronx, and Staten Island. We work remotely with all clients, so your specific location does not affect how we work together.
What does monthly bookkeeping cost?
Starting at $200 per month based on transaction volume. We will give you an exact price after a short conversation about your business.
Do you handle multi-entity structures for med spas?
Yes. New York med spas typically operate through management service agreements with a sponsoring physician. We maintain separate books for each entity and handle the intercompany accounting.
Can you help if my books are behind?
That is a common starting point. We do catch-up work to get you current, then move to monthly service so it does not happen again.
Do you work with home care agencies?
Yes. NYC is the largest home care market in the country. We understand the economics of caregiver payroll, worker classification, and cash flow through Medicaid and private pay timelines.
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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