CPA Services for Medical Business Owners in Richmond
Bookkeeping and tax services for home care agencies, therapy practices, and med spas in Richmond. A CPA who specializes in medical business finances.
CPA Services for Richmond Medical Businesses
Richmond has major health systems like VCU Health and Bon Secours, but the medical business landscape goes well beyond hospitals. There are home care agencies serving the region’s aging population, therapy practices scattered across the metro, and med spas in neighborhoods from Short Pump to Carytown. Many of these businesses are owned by clinicians who are still working clinical jobs while trying to run the company. The books fall behind because there’s always a patient who needs attention first.
Hunter Green CPA is a CPA for medical businesses, based in Oak Park, Illinois and working with clients across the country. We handle bookkeeping, tax preparation, and the specific accounting challenges that come with home care agencies, therapy practices, and med spas. You focus on patient care and running your operation. We keep the financial side accurate and current.
Full-Service Bookkeeping
Full-Service Bookkeeping
Monthly bookkeeping that keeps your books clean without you touching QuickBooks. Transactions categorized, accounts reconciled, books closed, and financial statements delivered every month so you know where the business actually stands.
Bookkeeping & Tax Package
Bookkeeping & Tax Package
Everything bundled for one monthly price: monthly bookkeeping, sales tax filings, and your annual business and personal tax returns. One CPA handles it all, so nothing falls through the cracks between a bookkeeper and a separate tax preparer.
Tax Strategy
Tax Strategy
Proactive tax planning for business owners with strong clinical incomes and a business on the side. Entity structure, S corporation elections where they make sense, retirement strategies, and timing decisions that reduce what you owe rather than just reporting what happened.
Catch-Up Bookkeeping
Catch-Up Bookkeeping
If your books haven’t been touched in months or years, we start here. We reconstruct and reconcile the backlog, correct past errors, and get you current so you can make decisions based on real numbers.
Richmond Medical Businesses We Serve
Virginia’s capital has a growing demand for senior care as the population ages, and Richmond sits at the center of that. Home care agencies and home health providers are expanding to serve the region. Therapy practices continue to grow. And the med spa market in Richmond has taken off alongside the national trend. These are the businesses we work with, and we understand the financial realities behind each one.
If you’ve reached the point where managing the books yourself is costing you time and clarity, we’re built for that gap. No need to hire a full-time bookkeeper or work with a generalist CPA who doesn’t know your industry.
Home Care Agencies
Home Care Agencies
Non-medical home care and private-duty agencies where caregiver wages are the dominant cost. We track margin per client, keep payroll costs visible in the books, and make sure worker classification stays clean. Richmond’s senior population keeps demand growing, and your books need to keep pace.
Home Health Agencies
Home Health Agencies
Medicare-certified skilled home health with insurance-driven revenue that arrives on payer timelines. We handle the lag between delivering care and collecting payment, tracking revenue against payer remittances so you see where the business really stands.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, and speech therapy practices across the Richmond area. Per-visit revenue, insurance reimbursement delays, and school or facility contracts create cash flow challenges that require books built around how therapy practices actually operate.
Med Spas & Aesthetic Clinics
Med Spas & Aesthetic Clinics
Med spas often require MSA structures with separate clinical and management entities, plus injectable inventory, provider commissions, prepaid packages, and retail sales tax. We already know this world and keep both sets of books clean and consistent with your structure.
Common Questions
You're based in Illinois. Why would a Richmond business work with you?
Because we specialize in medical businesses. A generalist CPA in Richmond might know local tax rules but not understand home care margins, MSA structures, or how med spa inventory works. We do this all day for clients across the country, and everything happens remotely anyway.
What does monthly bookkeeping cost?
Starting at $200 per month. Actual pricing depends on your transaction volume and complexity. We quote an exact number after learning about your business.
Do you work with home care agencies specifically?
Yes. Home care and home health agencies are one of our core specialties. We understand caregiver payroll as your biggest cost, worker classification risks, and keeping margin visibility per client.
How do we get started?
Schedule a consultation and we'll talk through your situation. If we're a fit, we typically start within a week. If your books need cleanup first, we handle that before moving to ongoing service.
What if my books are months behind?
That's normal for busy clinician-owners. We do catch-up work to get you current, then move into monthly bookkeeping so it doesn't fall behind again.
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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