Healthcare Accounting Services In San Antonio

Running a practice means every decision has financial consequences. Our medical accountants keep you compliant, profitable, and in control—freeing you to focus on patient care, not paperwork.

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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

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Medical Practice Bookkeeping

We handle medical practice bookkeeping from top to bottom, including monthly reconciliations, payroll, vendor payments, and reporting you can actually use.

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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.

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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.

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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.

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New Practice Consulting

Launching a practice? We’ll get you on solid ground fast. From choosing the right entity, building your books, and structuring your taxes to support growth, we’re here to support you at every stage.

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Business Valuation & Analysis

We dig into the numbers that drive value, giving you a clear, current picture of what your practice is worth and how to improve it.

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

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

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

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.

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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.

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Taylor McLeod

Entrepreneur, Peppermint Plumbing
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With Trevor, it’s never felt like just another transaction; his focus is on building a long-term partnership that grows with your business.

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Eric Wehmeyer

Principal, Spectrum Lighting
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We’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.

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Luis Rojas OD

Owner, Innovista Eye
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Trevor 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.

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Mike & Eva Varnum

Owners, Good Electric
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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.

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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.