Bookkeeping and tax services for medical businesses across the United States.

Call or Text: (312) 772-3170

How long do I need to keep receipts and financial records?

The safe habit is to keep most business financial records for seven years. This covers the IRS’s standard three-year audit window plus the extended six-year window that applies when income is substantially understated. Seven years gives you a comfortable margin without hoarding paperwork indefinitely.

The three-year rule is the baseline. The IRS generally has three years from the date you file a return to audit it. File your 2024 return in April 2025, and the audit window typically closes in April 2028. But exceptions extend the timeline in certain cases.

The six-year rule kicks in when gross income is understated by more than 25 percent. If the IRS finds a significant understatement, they can go back six years instead of three. And there’s no time limit at all if a return was fraudulent or never filed. Seven years handles the realistic scenarios without requiring permanent storage of every routine document.

Payroll records need at least four years. The IRS requires employers to keep payroll tax records for at least four years after the tax becomes due or is paid, whichever is later. State requirements vary, so check your state’s rules as well.

The records you should keep include bank and credit card statements, receipts for deductible expenses, invoices issued and received, contracts with vendors and clients, payroll records and tax filings, and copies of filed tax returns with all supporting schedules. If a number appeared on your tax return, you should have documentation for it.

Cloud bookkeeping changes how this works in practice. When your books are in QuickBooks Online or similar software and receipts are attached digitally to transactions, retention becomes automatic rather than a filing cabinet project. Full-service bookkeeping means documents live with the records they support, searchable and backed up without boxes of paper.

For those running a busy medical practice, this matters. You likely have receipts for supplies, equipment purchases, staff expenses, and dozens of operational costs. Bookkeeping for medical businesses with built-in document storage means you won’t be scrambling for documentation if a question comes up years later.

Some advisors suggest keeping tax returns and supporting documentation indefinitely. The returns themselves take little space digitally, and having a complete history can help if you ever need to prove basis in property or reconstruct financial history.

If you’re not sure whether your current records meet these standards or want help setting up systems that make retention automatic, book a consultation to talk through your situation.

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.

More Questions

When does an S corporation election start making sense?

An S corporation election makes sense when the tax savings on distributions exceed the added costs of payroll, a separate tax return, and compliance with reasonable-compensation rules. There's no universal income threshold. It depends on your actual profit and what the overhead will cost you.

Read answer

I did my own QuickBooks setup and I am afraid to look at it. What now?

DIY QuickBooks files with miscategorized transactions and unusable reports are extremely common. We assess whether to repair or rebuild, restructure the accounts for your type of medical business, reconcile everything, and hand back books you can actually trust.

Read answer

Which monthly reports actually matter for my business?

The core set includes the profit and loss statement, balance sheet, and cash movement report. Depending on your business, you may also need receivables aging and margin by service line to see the full picture.

Read answer

Do you take over my bills and invoicing if I want that too?

Yes. Hunter Green CPA offers accounts payable and accounts receivable as add-on services starting at $100 per month each. Bills get tracked and paid on time, invoices go out promptly, and everything is recorded in your books.

Read answer

Why does my profit and loss look fine while my bank account feels empty?

Your profit and loss statement and your bank account measure different things at different times. The gap usually comes from insurance receivables not yet collected, inventory purchased but not used, loan principal payments, prepaid package cash already spent, owner draws, and taxes never set aside.

Read answer

A client prepaid for a package of sessions. Is that income now?

No. Until the sessions are delivered, that money is a liability, not income. You recognize revenue as each session is completed, not when the payment arrives.

Read answer

Location

1033 South Blvd #37, Oak Park, IL 60302

© 2026 Hunter Green CPA