Healthcare Accounting Services In San Antonio
Running a practice means every decision has financial consequences. Whether you operate a private medical office, an ambulatory surgery center, or a refractive surgery practice, our medical accountants keep you compliant, profitable, and in control so you can focus on patient care instead of paperwork.
Talk to a CPA Who Knows Your Industry
Get clear answers and a plan that works in the real world.
Healthcare Accounting Services Built for Your Practice
Medical Practice Bookkeeping
We handle medical practice bookkeeping from top to bottom, including monthly reconciliations, payroll, vendor payments, and reporting you can actually use. For ambulatory surgery centers, we track revenue and expenses at the facility level and per-procedure level, giving owners clear visibility into which service lines drive profit and which ones quietly erode it.
Tax Strategy & Preparation
With a healthcare CPA on your side, tax season stops being a scramble. We plan year-round, lock in every deduction and credit you qualify for, and file returns that keep you compliant and profitable. Refractive surgeons and ASC owners benefit from equipment-specific depreciation strategies, including Section 179 elections on surgical lasers, imaging systems, and facility build-outs that generalist preparers routinely miss.
Virtual CFO Services
An experienced medical accountant without the overhead. We give you clear forecasting, tight budgets, and margin insight so you can make decisions with confidence. For surgery centers evaluating expansion, adding a procedure line, or negotiating payer contracts, our virtual CFO service has you covered.
Practice Growth & Succession Planning
Expansion, partnership, exit: we help you play the long game. Our accountants for medical professionals know how to protect revenue while setting up your next move. Whether you are a refractive surgeon preparing to bring on an associate or an ASC owner structuring a buy-sell agreement between physician partners, we build the financial framework that protects your equity at every stage.
New Practice Consulting
Launching a practice? We help you build a strong financial foundation from day one. From entity selection and bookkeeping setup to tax structuring, we support every stage of growth. Ambulatory surgery center startups face unique challenges with licensing, equipment financing, and payer credentialing. We organize your financials so lenders, investors, and regulators see a practice built for long-term success.
Business Valuation & Analysis
Understand the true value of your practice with insights backed by healthcare industry experience. We analyze the financial drivers that impact value, helping you understand where your practice stands today and where you can improve profitability and growth.
Whether you are considering a sale, merger, partner buy-in, or buyout, succession transition, private equity opportunity, or long-term strategic planning, we provide valuation support built around healthcare-specific benchmarks and market factors.
Our Process: The Myres CPA Approach
We keep things straightforward so you always know what’s happening, what comes next, and why it matters.
Initial Consult & Fit
We start with a focused conversation to understand your goals, pain points, and financial landscape. That’s how we determine the right level of support from the start.
Proposal & Engagement
You’ll get a clear proposal outlining services, timelines, and pricing. No vague language. No hidden fees.
Kickoff & Discovery
We gather the right information, introduce your core team, and align on priorities.
Plan Development
We create a custom strategy to solve your current challenges and position you for future goals. You’ll understand exactly how and why it works.
Execution & Coordination
We put your plan into action with precision, streamlining systems, ensuring compliance, and keeping you informed.
Ongoing Support
From routine check-ins to major decisions, we stay engaged, track your financial picture, and adjust strategies when needed.
Why Business Owners Choose Myres CPA
Proactive By Design
Most accounting service firms show up when deadlines loom. We maintain contact throughout the year, ensuring you always know where you are and where you’re going. Our proactive approach anticipates challenges, reduces risk, and capitalizes on opportunities most CPA firms miss.
End-To-End Services
Tax service planning, accounting, advisory, and financial strategy work best when they work together. We integrate services to eliminate hand-offs, reduce miscommunication, and keep your financial plan in perfect alignment.
Hands-On Expertise
When you work with our team, you work with our team. Not a rotating cast of seasonal contractors. Our accountants know you, your goals, and your entire financial picture. That consistency allows us to deliver the hands-on guidance you not only need but deserve.
The Results Speak
for Themselves
Hear how we’ve helped clients simplify their finances and plan for the future.
Anyone can pay to have an accountant, but I feel like I have found a trusted advisor and financial accountability partner who honors my vision, and that is far more valuable to me.
Taylor McLeod
Entrepreneur, Peppermint PlumbingWith Trevor, it’s never felt like just another transaction; his focus is on building a long-term partnership that grows with your business.
Eric Wehmeyer
Principal, Spectrum LightingWe’ve been working with Trevor Myres for over five years, and I can’t imagine running our practice without him. He’s helped us make smart financial decisions, save money, and plan ahead with confidence.
Luis Rojas OD
Owner, Innovista EyeTrevor and his staff made our transition smooth. They’re not only professional and knowledgeable but also made us very welcome—as if we’d known them forever.
Mike & Eva Varnum
Owners, Good Electric
Local Roots. Nationwide Reach.
We may be a San Antonio-based business advisory, but our expertise extends well beyond our home region. Whether you’re five miles away or 1,500, we make working together seamless, secure, and hands-on.
Financial Clarity
BEGINS HERE
Big changes start with one small step. Let’s explore your goals, identify gaps, and map out a plan that works in the real world.
