Bookkeeping and tax for medical businesses • Personal tax returns for individuals

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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.

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More Questions

Does the QBI deduction still exist, and do I qualify?

Yes, the 20 percent qualified business income deduction is now permanent. But healthcare businesses are classified as specified service trades, which means income thresholds determine whether you can claim it.

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Memberships and packages bring cash in early. Where is the catch?

The catch is that prepaid cash is a liability, not income. Until you deliver the treatments, that money represents services you owe. The books must track the unredeemed balance and recognize revenue only as sessions happen.

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Plenty of bookkeepers are cheaper. What am I paying for with a specialist?

A specialist already understands your industry's accounting and doesn't learn on your dime. Add CPA-level tax work in the same seat and the price difference often returns itself in avoided mistakes and tax savings.

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Who can see my financial information when I work with you?

Your financial information is seen by the team members actively working on your engagement. Data lives in reputable cloud accounting systems with controlled access, and CPAs carry professional confidentiality obligations.

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We serve school districts on contract. What does that mean for our books?

School district contracts mean your books should track earned, invoiced, and paid revenue separately for each contract. The school-year rhythm creates summer cash gaps that require planning, and prompt invoicing is the biggest lever you control.

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How much can my business put into retirement for me in 2026?

For 2026, a solo 401(k) allows contributions up to $72,000 if you're under 50, $80,000 if you're 50 or older, and $83,250 for ages 60 to 63. A SEP IRA caps at $72,000 but requires much higher income to reach that level.

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Hunter Green CPA provides bookkeeping, tax preparation, and tax strategy for medical business owners across the United States. Alongside its business services, the firm prepares personal tax returns for individuals and families. Based in Oak Park, Illinois and led by Mason Hunter, a CPA with 10 years of tax experience and a background in corporate tax management.

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