Accounting for San Antonio Medical Practices
Bookkeeping and tax services for San Antonio medical practices. Specialized accounting for home health agencies, med spas, and therapy practices.
Accounting for San Antonio Medical Businesses
San Antonio has a large and growing healthcare economy. Military medicine at Joint Base San Antonio and Brooke Army Medical Center. Major civilian health systems like Methodist and University Health. And underneath all of that, hundreds of independent medical business owners running home health agencies, med spas, therapy practices, and clinics. If you own one of these businesses, you need a CPA who already understands how your business actually works.
Hunter Green CPA provides medical practice accounting for business owners across San Antonio and nationwide. We specialize in the types of medical businesses where the books get complicated fast and where most generalist accountants don’t know the industry well enough to help.
Monthly Bookkeeping
Monthly Bookkeeping
Transaction categorization, bank reconciliation, and monthly financial statements. Books that stay current so you know where your business actually stands, not where it stood six months ago.
Bookkeeping and Tax Together
Bookkeeping and Tax Together
Monthly bookkeeping, sales tax filings, and your annual business and personal tax returns bundled into one monthly price. One CPA who knows the whole picture, year-round. Our bookkeeping and tax package is built for owners who want the entire financial back office handled.
Multi-Entity Accounting
Multi-Entity Accounting
Med spas and some therapy practices operate through management service agreements with separate clinical and management entities. We maintain clean books for both sides and handle the intercompany transactions correctly.
Tax Planning
Tax Planning
Entity structure, timing, deductions, and retirement strategy planned ahead of time. For clinicians running a business on top of a clinical job, the right structure can mean real tax savings every year.
San Antonio Medical Businesses We Work With
The San Antonio metro has specific conditions that drive demand for medical services. A large military and veteran population creates sustained need for home health agencies and in-home care. An aging population adds to that demand. And a growing city with disposable income supports a healthy market for med spas and aesthetic services. These are the businesses we serve.
Most of the owners we work with are clinicians themselves. Nurses, nurse practitioners, PAs, and physicians who started a business because they saw an opportunity and now find themselves running operations, managing staff, and trying to make sense of financials they never trained for. We handle the accounting so they can focus on the clinical work and the business itself.
Home Health Agencies
Home Health Agencies
Medicare-driven revenue, per-visit clinician pay, and reimbursement timelines that make cash flow hard to predict. We keep the books accurate through the payment delays and give you visibility into real margins by payer and by service.
Home Care Agencies
Home Care Agencies
Private-duty and non-medical home care with caregiver wages as the dominant cost. We track margin per client and keep worker classification clean in your books, since misclassifying caregivers is a known industry risk.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Injectable inventory, provider commissions, prepaid packages, retail sales tax, and often an MSA structure with a sponsoring physician. We already know how all of this works and how the books should be organized.
Therapy Practices
Therapy Practices
Occupational therapy, physical therapy, speech, and ABA practices. Insurance reimbursement lags, per-visit economics, and sometimes contracts with schools or facilities. We handle the accounting so you can see what is actually collecting.
Common Questions
You're based in Illinois. Why would a San Antonio business work with you?
Because specialization matters more than proximity. We focus exclusively on medical businesses, which means we already understand home health agency economics, med spa MSA structures, and therapy practice cash flow. That industry knowledge doesn't depend on being local. Everything happens digitally anyway.
What does monthly bookkeeping cost?
Starting at $200 per month. Your actual price depends on transaction volume and complexity. We quote exact pricing after learning about your business.
Do you understand Texas requirements?
Yes. We work with medical businesses across the country and handle the state-specific pieces, including Texas franchise tax and sales tax where it applies to your services or retail products.
My books are months behind. Can you help?
Yes. Catch-up work is a normal starting point for us. We get the books current and then move into regular monthly service.
How does remote bookkeeping actually work?
You give us access to your bank feeds and accounting system. We categorize transactions, reconcile accounts, and close the books each month. Communication happens over email and video calls. Most clients find it more convenient than driving to meetings.
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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