Discover the best small business accounting firms in the United States that combine expert bookkeeping, tax planning, and financial advisory services with industry-specific insight and hands-on support to help entrepreneurs streamline operations, optimize profitability, and achieve steady growth.

United States × Small Business Accounting × Health Care ×Clear Filters
  • Our Mission: Your Success

    RKKM is a Certified Public Accounting company that provides consulting, auditing, tax, and accounting services. We provide clients in a variety of industries with corporate, not-for-profit, trust, estate, partnership, limited liability entity, and individual services...

    Top Services:

    • Accounting
    Location
    Canton, Ohio
    Number of Employees
    Under 49
  • Bookkeeping & Accounting Services for Startups.

    Mighty Financial is a professional bookkeeping and accounting firm dedicated to delivering comprehensive financial guidance, strategic planning, and hands-on support to early-stage startups. Our expertise lies in the realm of technology startups, recurring revenue models, and growth-oriented enterprises...

    Top Services:

    • Accounting
    Location
    Boston, Massachusetts
    Number of Employees
    Under 49
  • Keeping Everything Connected

    Outsourced Accountants and CFOs, Specializing in NetSuite, QuickBooks, And more niche accounting software integration...

    Top Services:

    • Business Consulting
    • Customer Support
    • Accounting
    Location
    Atlanta, Georgia
    Number of Employees
    Under 49
    Average Hourly Rate
    $1000/hr
  • SMEs' Premier Outsourcing Ally: Your #1 Choice

    Big Outsource, a leading BPO company, specializes in outsourcing solutions, from project-based services to virtual captive centers. Our expertise spans creative, technical support, and IT disciplines, making us your trusted partner for outsourcing excellence...

    Top Services:

    • BPO
    • Call Centers
    • Customer Support
    • Phone Answering Services
    • Accounting
    • Show more
    Location
    New York City, New York
    Number of Employees
    250 - 499
    Minimal Budget
    $1,000 - $10,000
  • Transform your digital landscape with our bespoke Digital Marketing Services & Ecommerce Solutions!

    Founded in 2006, Saevah is an ISO 9001 Certified company, and a trusted partner for digital marketing and ecommerce solutions that require the perfect balance of technology and people power...

    Top Services:

    • Digital Marketing
    • SEO
    • PPC
    • Social Media Marketing
    • Customer Support
    • Show more
    Location
    Brookfield, Connecticut
    Number of Employees
    50 - 99
  • The CPA and Advisory Firm Designed to Lead You

    At Maxwell Locke & Ritter, we've built our business to address your key milestones. and every moment. Our team provides tax, audit, risk assurance, and transaction advisory services to help achieve your goals. We offer strategic vision and thoughtful advice to navigate today's marketplace...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Austin, Texas
    Number of Employees
    100 - 249
    Minimal Budget
    $1,000 - $10,000
  • Modern Accounting Built To Grow Your Business

    Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...

    Top Services:

    • Accounting
    • HR Outsourcing
    • BPO
    Location
    Syracuse, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $1/hr
  • Serving clients who need Assistance in Accounting, Tax Preparation & Payroll Processing.

    BusAcTa Advisors is a business consulting firm specializing in strategic growth and operational excellence for small to mid-sized enterprises. With a keen focus on tailored solutions, we offer expert guidance in areas such as financial planning, market expansion, and process optimization...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $10/hr
    Minimal Budget
    Under $1,000
  • Scaling Made Effortless.

    Whether it's websites, marketing, advertising, contracts, business filing, or software solutions. We have you covered. Everything custom and made to order, according to your needs and specifications...

    Top Services:

    • Business Consulting
    • Software Development
    • Accounting
    • Web Design
    • Digital Marketing
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $135/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Dedicated Financial Management Partner

    SD Mayer & Associates is a distinguished full-service accounting, advisory, and wealth management firm headquartered in the San Francisco Bay Area. With over 40 years of combined experience, the firm offers comprehensive services, including financial planning, estate planning, tax management, and business...

    Top Services:

    • Accounting
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Accounting Partner

    Outsourced bookkeeping services for accounting firms and businesses. Integra has 20+ years of experience helping businesses of all types across USA and Canada...

    Top Services:

    • Accounting
    Location
    Wexford, Pennsylvania
    Number of Employees
    50 - 99
    Average Hourly Rate
    $25/hr
    Minimal Budget
    $1,000 - $10,000
  • A Forecast for Financial Success

    Silicon Valley Finance Group (SVFG) delivers comprehensive accounting and financial services tailored for venture-backed startups. With a focus on growth strategies, data analytics, and chief financial officer support, SVFG helps companies navigate their financial journey from inception to profitability. Its...

    Top Services:

    • Accounting
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $99/hr
    Minimal Budget
    $1,000 - $10,000
  • Eliminate Technology Frustrations, Headaches, and Downtime.

    Ideal Managed Solutions provides complete business IT and cybersecurity solutions, from network and devices security, to user productivity and management, to business online marketing. We aim to become your technology partner, not just another vendor...

    Top Services:

    • Managed Services
    • Cybersecurity
    • IT Services
    • Cloud Consulting
    • Web Design
    • Show more
    Location
    Richmond, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $120/hr
  • Affordable bookkeeping service with 100% error free reports.

    A New York-based firm offering expert bookkeeping and QuickBooks consulting services to businesses of all sizes...

    Top Services:

    • Accounting
    Location
    New York City, New York
    Number of Employees
    Under 49
  • Certified Public Accountants.

    A top Utah CPA firm serving clients in a wide range of privately held businesses. Creating a culture that adds value to the lives of our clients and colleagues. Recognized leader as a Utah CPA Company.Our Utah accounting services include:• Income Tax Preparation• Outsourced CFO Services• Business...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Layton, Utah
    Number of Employees
    Under 49
  • Your Trusted Partner For Financial Clarity And Growth

    At Tercel we delivers expert accounting, payroll, tax, bookkeeping, and financial consulting services to help businesses achieve financial clarity and growth. Business Process Management: Streamlining workflows, enhancing efficiency, and automating processes to boost productivity and reduce costs...

    Top Services:

    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
  • Your Trusted Partner In Virtual Support & Business Efficiency

    Prossistant is your trusted partner in business support, streamlining operations, client communication, and back-office processes. Our skilled team delivers tailored assistance across marketing, sales, administration, accounting, paralegal, and technical workflows. Integrated seamlessly into your systems, we...

    Top Services:

    • BPO
    • Accounting
    • Customer Support
    Location
    Madison, Wisconsin
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
  • Flexible Talent, Scalable Teams, Global Impact

    Founded in 2020 and headquartered in Houston, Mindwhiz provides flexible staff augmentation services designed to meet workforce demands across construction, IT (cybersecurity), accounting and finance. We help companies scale faster with skilled talent, delivered through a hybrid model that blends global reach...

    Top Services:

    • Staff Augmentation
    • IT Services
    • HR Outsourcing
    • Accounting
    • Digital Marketing
    • Show more
    Location
    Houston, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
  • Streamlining Credentialing, Empowering Care

    A leader in providing Medical Credentialing, Licensing & Billing services nationwide. Our mission is to simplify the administrative challenges faced by healthcare providers. We provide services for physician group practices, medical laboratories, skilled nursing facilities, telehealth & more...

    Top Services:

    • BPO
    • Business Consulting
    • Accounting
    • Staff Augmentation
    • Show more
    Location
    Jacksonville, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    $1,000 - $10,000
  • Reliable Bookkeeping and Financial Advisory Services

    KSFG Wealth make business growth easier by taking the stress out of managing finances. Whether you are just starting out or leading a growing company, our team is here to give you reliable financial support so you can stay focused on what matters most building your business...

    Top Services:

    • Accounting
    Location
    Frisco, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $10,000 - $25,000
  • Expertise | Care | Discretion

    Professional accounting, payroll, and business solutions for sustainable growth...

    Top Services:

    • Accounting
    Location
    North Palm Springs, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • Expert Tax and Accounting Solutions

    Zenith Tax Pro provides reliable tax preparation, bookkeeping, payroll, and small-business accounting solutions designed to simplify finances and support business growth...

    Top Services:

    • Accounting
    Location
    Port St. Lucie, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000
  • Co-create Smarter Businesses.

    WNS is a global, digital-led business transformation and services company providing comprehensive data engineering, analytics, AI/GenAI, and business-process services enabling enterprises to modernize data infrastructures, unlock insights, and scale data-driven decision-making...

    Top Services:

    • Big Data Analytics
    • Accounting
    • AI Development
    Location
    New York City, New York
    Number of Employees
    1000 & Up
  • Trusted Medical Billing Company

    HelloMDs streamlines medical billing through smart, technology-driven solutions that increase revenue, minimize claim denials, and simplify the entire RCM process. Supporting 80+ practices across 48+ specialties, we enable healthcare providers to focus on patient care while we manage billing with accuracy...

    Top Services:

    • BPO
    • Accounting
    • Digital Marketing
    Location
    Dallas, Texas
    Number of Employees
    50 - 99
    Average Hourly Rate
    $10/hr
    Minimal Budget
    $1,000 - $10,000
  • Bookkeeping And Tax Solutions For Houston Businesses

    Seasoned accounting professional with over 20 years of experience in bookkeeping, tax compliance, financial operations, and process optimization. Skilled in maintaining accurate financial records, ensuring regulatory adherence, and developing tax strategies that reduce liabilities and improve efficiency...

    Top Services:

    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000
  • People-first Hr With Practical Integrity

    HR Advantage Consultants is a people-centered HR consulting firm that helps businesses build stronger teams, improve workplace practices, and navigate HR challenges with confidence. We provide customized support in recruiting, employee relations, compliance, performance management, training, leadership...

    Top Services:

    • HR Outsourcing
    • Accounting
    Location
    Palm Desert, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • Expert Outsourced CFO Services For Startups And Growing Businesses

    At K-38 Consulting, we provide comprehensive CFO services designed to give your business the strategic financial expertise it needs to grow and thrive. From cash flow management to financial planning and tax optimization, we deliver actionable insights that drive smarter business decisions. Partner with us...

    Top Services:

    • Business Consulting
    • Accounting
    Location
    Raleigh , North Carolina
    Number of Employees
    Under 49
    Minimal Budget
    $10,000 - $25,000
  • Dental Billing Service

    The Dental Services is a US-based dental business solutions provider specializing in billing, credentialing, and practice support services, helping dental clinics streamline operations and improve financial performance through efficient and compliant processes...

    Top Services:

    • Business Consulting
    • Accounting
    Location
    Philadelphia, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Partner For All Your Business Needs

    Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...

    Top Services:

    • BPO
    • Accounting
    Location
    Denver, Colorado
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Numbers Tell The Story

    Aureus Advisory Partners is a tax and financial advisory firm based in Texas, serving individuals, businesses, and athletes across the United States. Led by MJ Cunningham, an IRS Enrolled Agent, we specialize in Payroll Tax Resolution, Tax Strategy, CFO Services, Multi-State Compliance, and NIL Athlete Tax...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Helotes, Texas
    Number of Employees
    Under 49
  • Providing Tools And Resources To Businesses

    Clark Outsourcing is a Philippines-based outsourcing company providing reliable offshore staffing and remote workforce solutions to businesses worldwide...

    Top Services:

    • BPO
    • Accounting
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    St. Petersburg, Florida
    Number of Employees
    500 - 999
  • Break Barriers, Scale Smarter, & Lead with Innovation.

    PaceXgrowth is a forward-thinking technology solutions provider, dedicated to transforming businesses with cutting-edge software, AI-driven innovations, cloud solutions, healthcare software solutions, fitness app development solutions, Game development, and fintech software solutions. Our expertise lies in...

    Top Services:

    • Mobile App Development
    • Software Development
    • IT Services
    • DevOps Consulting
    • Cloud Consulting
    • Show more
    Location
    Dover, Delaware
    Number of Employees
    50 - 99
    Average Hourly Rate
    $5/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Driven by Excellence

    iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...

    Top Services:

    • Accounting
    • BPO
    • Business Consulting
    • Call Centers
    • HR Outsourcing
    • Show more
    Location
    Raleigh , North Carolina
    Number of Employees
    250 - 499
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $50,000 & Up

Related Accounting Specializations in the US

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Small Business Accounting Firms in the United States FAQs

What services do small business accounting firms in the United States provide?

Small business accounting firms in the United States provide the following services:

How much do small business accounting services cost in the United States?

Small business accounting services in the United States cost from $100 to $5,000, depending on the services and hired accountant. Accountants in major cities may charge up to $500 per hour.

The cost of accounting services for a small business will depend on the business size, industry, location, number of transactions, type and frequency of service, and the accountant’s experience level.

Can I get a free consultation from US small business accounting firms?

Yes, many US small business accounting firms offer a free initial consultation to discuss your business needs, review financial challenges, and explain their services. During this meeting you could assess whether the firm’s expertise, pricing, and approach align with your goals before committing to a paid engagement.

How do I choose the right small business accounting firm in the United States?

Choose the right small business accounting firm in the United States by following these steps:

  1. Define whether you need bookkeeping, tax preparation, payroll, or advisory support services to make sure the accounting firm offers a matching scope
  2. Look for firms with relevant client history in your sector and verify credentials like CPA licenses or other certifications
  3. Ensure accounting firms you assess use modern accounting tools, can grow with your business, and offer clear, responsive interaction
  4. Review reputation and pricing transparency by reading client reviews, asking for case studies, understanding their fee structure, and confirming they prioritize data security and customization

What certifications should US small business accounting firms have?

US small business accounting firms should have licensed Certified Public Accountants (CPAs), the most recognized credential for tax, audit, and financial reporting. Additional certifications like Certified Management Accountant (CMA) for financial analysis and Enrolled Agent (EA) for tax representation add further credibility. 

Firms should also follow the ethical and continuing education standards set by the American Institute of Certified Public Accountants (AICPA).

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