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

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What does handing off my books actually feel like month to month?

Once the books are handed off, the monthly rhythm becomes predictable and quiet on your end.

Each month, Hunter Green CPA categorizes your transactions and reconciles your bank accounts and credit cards. You don’t have to log into QuickBooks and puzzle over where things should go. The work happens in the background while you’re seeing patients or running your practice. By month-end, you receive a report package that shows your income statement, balance sheet, and cash position, along with plain-language notes that explain anything unusual. If revenue dipped or expenses jumped, the notes tell you why without you having to dig through transactions yourself.

Your part shrinks to a short review. You’re looking at finished work, not doing the work. If the numbers make sense, you move on with your week. If something looks off or you have a question, you ask and get an answer from someone who already knows your books inside and out.

Beyond the monthly close, the recurring obligations get handled on their schedules. If your med spa or clinic collects sales tax, those filings go out on time without you tracking deadlines. Quarterly estimated tax payments get calculated so you’re not guessing at amounts or forgetting due dates. In January, 1099s for your contractors go out before the filing deadline. You stop carrying these deadlines around in your head because someone else is watching the calendar.

The longer-term benefit is having a CPA who already knows your financial picture when a question or opportunity shows up. You’re thinking about buying equipment, hiring a new provider, or wondering if your entity structure still makes sense. The conversation starts from context instead of from scratch because the books are current and the person you’re asking has been in them all year. That’s what medical practice accounting looks like when it’s working the way it should.

For owners who want this kind of rhythm, the Bookkeeping and Tax Package bundles monthly bookkeeping with your annual tax returns. The same CPA handles the books all year and prepares your business and personal returns. One relationship, one monthly fee, and the financial back office handled.

If you’re tired of the books being one more thing on your list that never quite gets done, book a consultation to talk through what handing them off would look like for your practice.

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More Questions

Is December too late to lower this year's taxes?

December is late but not useless. You can still make equipment purchases, establish certain retirement plans, time expenses, and correct estimated payments. January is when the door truly closes.

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Cash basis or accrual: which fits a medical business?

Cash basis is simpler and works for many small practices, but insurance reimbursement lag and prepaid packages mean medical businesses often need accrual-style visibility. Many owners start with cash-basis books while tracking receivables and package liabilities separately.

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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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How should my books handle Medicare and insurance money that arrives months late?

Your books need to track what has been earned, what has been paid, and what remains outstanding by payer. Without this structure, you end up navigating the business by bank balance between deposits.

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How do I financially evaluate opening a second location?

Start with clean books at your first location to know the real margins. Then map buildout costs, ramp-up cash needs, staffing, licensing, and any multi-state tax consequences. The first location's actual performance is the business case.

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What is the right way to pay myself from my practice?

The right way depends on your entity structure. Default LLCs take draws against profit, while S corporations pay a reasonable salary through payroll plus distributions of remaining earnings. In both cases, what you pay yourself should be grounded in what the books show the practice actually earns.

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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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