CPA Services for Seattle Medical Businesses
Bookkeeping, accounting, and tax services for Seattle medical businesses. Med spas, home care agencies, and therapy practices served by a CPA who knows the industry.
CPA Services for Seattle Medical Businesses
Seattle has a dense market of medical businesses. Med spas serving the Eastside and Capitol Hill, home care agencies covering the metro, therapy practices across the city. These businesses have real financial complexity, from MSA structures to caregiver payroll to insurance reimbursement lag. They need a CPA for medical businesses who already knows how their industry works.
Hunter Green CPA provides bookkeeping, accounting, and tax services for medical business owners in Seattle. We work remotely with clients across the country, and we specialize in the industries that define your work. You get a CPA who understands your books before looking at them.
Monthly Bookkeeping
Monthly Bookkeeping
Transaction categorization, bank and credit card reconciliation, and monthly financial statements. Your books stay current every month without you spending evenings on QuickBooks after a full day of patients.
Multi-Entity Accounting
Multi-Entity Accounting
For med spas and aesthetic clinics operating through MSA structures, we maintain separate books for the clinical and management entities. Intercompany transactions recorded correctly and aligned with your agreements.
Tax Preparation and Planning
Tax Preparation and Planning
Business and personal tax returns prepared by the same CPA who keeps your books all year. Proactive planning for entity structure, timing, and deductions so you keep more of what you earn.
Catch-Up Bookkeeping
Catch-Up Bookkeeping
Books months or years behind? We clean up the backlog, reconstruct what’s missing, and get you current. Most medical business owners we work with started exactly there.
Seattle Medical Businesses We Serve
The Seattle metro has the income and the population to support a wide range of medical businesses. High-end aesthetics in Bellevue and South Lake Union, home care agencies serving families across King County, therapy practices working with kids and adults throughout the region. Each has its own financial structure, and each needs books that actually reflect how the business operates.
We work with medical business owners doing anywhere from startup revenue to a few million a year. If you’ve outgrown doing the books yourself but aren’t ready to hire a full-time controller, that’s where we fit.
Med Spas and Aesthetic Clinics
Med Spas and Aesthetic Clinics
Seattle’s aesthetics market is competitive and well-funded. Med spa bookkeeping means tracking injectable inventory, provider commissions, prepaid packages, retail sales tax, and often maintaining books for multiple entities under an MSA structure.
Home Care and Home Health Agencies
Home Care and Home Health Agencies
In-home care is expanding across the Seattle area. Caregiver wages are the biggest cost, and the books need to show margin per client while keeping worker classification clean. For skilled home health, we track revenue through payer reimbursement timelines.
Physical and Occupational Therapy
Physical and Occupational Therapy
Therapy practices in Seattle deal with insurance reimbursement lag, denials and adjustments, and a mix of payers that makes revenue tracking complicated. We keep the books current so you can see what’s actually collecting versus what’s billed.
Mobile and In-Home Providers
Mobile and In-Home Providers
House-call physicians, mobile IV therapy, in-home nursing. Per-visit economics, vehicle costs, and often a solo clinician who is the entire business. Tax planning around entity structure can make a real difference for these high-earning owners.
Common Questions
You're in Illinois. Why would a Seattle business work with you?
Because we specialize in medical businesses, and that specialization matters more than geography. We already understand MSA structures, home care margins, and therapy practice cash flow. Most accounting work happens through screens anyway, and we're available during Seattle business hours.
What about Washington's B&O tax and sales tax?
We handle it. Washington's Business and Occupation tax is a gross receipts tax that applies to your revenue, and retail sales at med spas are subject to sales tax. We track both and keep filings on schedule.
What does monthly bookkeeping cost?
Starting at $200 per month. Your actual cost depends on transaction volume and complexity. We quote an exact price after learning about your business.
My books are months behind. Can you help?
Yes. Catch-up work is common for medical business owners who are still seeing patients or clients. We clean up what's behind and then move into regular monthly service.
Do you understand med spa MSA structures?
Yes. We work with med spas that operate through management service agreements with sponsoring physicians. We maintain separate books for each entity and handle the intercompany accounting correctly.
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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