In-Home & Mobile Medical Providers
You get paid per visit. Your car is a business expense. Your schedule is your capacity. The books need to reflect how this business actually works.
Your Revenue Is Per Visit
You bring care to the patient instead of the patient coming to you. That changes the economics. Your income comes visit by visit. Your capacity is limited by the number of patients you can see in a day and the miles between them. There is no waiting room full of appointments. There is a schedule and a route.
Most mobile providers are also the main clinician. You see the patients, you drive the car, you do the charting, and then you try to figure out the books at night. The business runs on you. That is not a problem to fix. It is just the reality, and the financial tracking needs to work around it, not the other way around.
Who This Covers
Who This Covers
House-call physicians and nurse practitioners, mobile nursing services, in-home therapy providers, mobile IV therapy and hydration, mobile phlebotomy and lab draw services. Anyone delivering medical care in the patient’s home or location.
The Core Question
The Core Question
What do you actually earn per visit after vehicle costs, supplies, and your time? Most mobile providers have a rough sense but not an exact number. Clean books answer that question clearly.
Mileage and Equipment Add Up
Vehicle costs are one of your largest expenses. Gas, insurance, maintenance, depreciation. Every patient visit puts miles on the car. The IRS lets you deduct this, but you have to track it. Either you log mileage and take the standard rate, or you track actual expenses and calculate business use percentage. Either way, it requires documentation throughout the year.
Then there is equipment. The medical bag, portable monitors, supplies that travel with you, maybe a laptop for charting in the car. These are deductible business expenses, but only if they are documented and categorized correctly. The purchases tend to be scattered across different cards and accounts. It adds up to real money, and it should not fall through the cracks at tax time.
Vehicle Cost Tracking
Vehicle Cost Tracking
Mileage logs maintained consistently, or actual expense records organized by category. We track this monthly so you have complete documentation when tax returns are prepared, not a scramble in April.
Equipment and Supplies
Equipment and Supplies
Medical equipment purchases, portable supplies, mobile setup costs. All categorized correctly in the books and captured on your return. The receipts you forget about are the deductions you lose.
Self-Employment Tax Hits Hard
When you own the business and you are also the main provider, self-employment tax applies to your profit. That is 15.3 percent on top of income tax, covering both the employer and employee sides of Social Security and Medicare. For a mobile provider earning solid income, that adds up to thousands of dollars every year.
Entity structure matters here. Many mobile providers operate as sole proprietors or single-member LLCs without realizing there may be a better option. An S corporation election can reduce self-employment tax exposure by splitting income between salary and distributions. It is not right for everyone, and it has to be set up and maintained correctly. But for clinicians at certain income levels, it often fits. This is the kind of planning that should happen before tax season, not during.
S Corporation Consideration
S Corporation Consideration
We evaluate whether an S corp election makes sense for your situation. If it does, we help you understand the requirements and make sure your books and returns support the structure correctly.
Quarterly Estimates
Quarterly Estimates
Income varies by visit volume. Quarterly estimated taxes need to account for that variability. We calculate estimates based on your actual numbers so you stay current without overpaying.
Books That Match How You Work
You need books that reflect the mobile provider model. Per-visit revenue tracked against per-visit costs. Vehicle expenses documented cleanly. Equipment purchases captured. Profit that you can actually see and plan around, not just a bank balance that rises and falls without explanation.
Hunter Green CPA works with mobile clinicians and in-home medical providers across the country. We handle the monthly bookkeeping, coordinate vehicle and equipment tracking, prepare your personal and business tax returns, and build tax strategy around how you actually earn. If you want the books and taxes handled together for one monthly price, the Bookkeeping and Tax Package covers it all.
What We Handle
What We Handle
Monthly bookkeeping with mileage and expense tracking built in. Annual business and personal tax returns. Entity structure planning when the situation calls for it. You stay focused on patients.
Let's Talk
Let's Talk
If you are running a mobile medical practice and the financial side is not getting the attention it deserves, reach out for a consultation. We already know this business and we are ready to help.
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.