Client Center


"We enjoy working with the people at MHC&S. They return our calls promptly, offer us good solid advice and really care about the success of our business.  It shows and we appreciate this. Plus they are just nice people to work with."
Doug Eckhart, Owner 
S&C Automotive, Des Moines, IA

When it’s your business, every dollar counts. You need more than accountants. You need professionals who understand the big picture—who care about your business goals and helping you meet them. MHC&S provides smart, strategic financial thinking to some of Iowa’s most respected businesses. And we can do the same for you.

In order to succeed in today’s competitive environment, people need financial experts that understand their business. While we serve a diverse clientele, MHC&S has developed significant expertise in a variety of industries. Our in-depth knowledge in these areas means we have the ability to fully partner with you in realizing your goals and improving your business performance. Our team members take the time to ensure you are kept “in the loop” about your unique, complex industry-related issues, whether they are income tax, accounting or management related. Our membership with CPAmerica International, an exclusive association of leading accounting firms nation-wide, also provide us resources at our fingertips, no matter how common or unusual your need.  
Some of our niche industries include:

Health Care

"I have worked with Kathi Koenig for over 18 years.  During this time, not only has Kathi become my trusted advisor, but she is also my friend.  I know I can count on Kathi to give me up-to-date tax advice as it relates to the health care industry.  Kathi and her team are attentive, responsive and extremely thorough."
Janet Hill, Office Manager
Heartland Dermatology and Skin Cancer Center, P.C.

Healthcare is about patient care.  But it’s also about protecting the bottom-line, retaining talented people, and planning for the future. 

The complex nature of the healthcare industry is constantly changing.  Competitive pressures are high.  Provider reimbursements are being squeezed, insurance rates are soaring, and time-consuming financial matters may be taking you away from what you do best – caring for your patients.   This is where MHC&S can help.  Our healthcare services team is made up of professionals with diverse skill sets and expertise in audit and assurance services, exempt organization tax issues, financial planning and tax minimization, and business and organizational consulting.  We take a personal approach to meeting your needs by getting to know you, your practice and providing comprehensive services.  Although each situation is unique, our goal remains the same - to understand your issues and provide you with solutions. 

Examples of the types of health care clients we serve include:

  • Hospitals and healthcare systems
  • Multi and single specialty clinics
  • Hospice and home health care agencies
  • Physicians, dentists and other health care providers 
  • Nursing and long-term care facilities

Services we provide our health care clients include:

  • Practice Management Consulting
  • Business Succession Planning
  • Business Financial Forecasting
  • Cash flow management
  • Payroll processing services
  • Cost containment and profitability analysis
  • Tax Planning and Preparation
  • Financial Advisory Services
  • 401(k) and other retirement programs
  • Business Valuations

What Keeps You Up at Night…Your Patients or Your Practice?

Our people set us apart.  MHC&S Healthcare Services Team is made up of members who are passionate about the clients they serve and who are dedicated to the healthcare sector.  Meet the leaders of our Healthcare AccountingTeam:


"When it comes to accounting services for trucking companies, MHC&S has my vote.  They have been our CPA firm since 1996.  Their vast trucking experience and knowledge has helped our company grow throughout the years.  MHC&S has been with us every step of the way."
Bob Kohwles 
BTI Special Commodities/IMTA Board Member

In today’s economic environment, there are many factors that impact the bottom line of a trucking company.  High fuel prices, uneven freight demand, driver turnover and increased borrowing costs all present challenges.  We make it our business to stay current with tax legislation and IRS Rulings that affect the trucking industry. Good, sound advice is more important than ever. 

As a CPA firm, MHC&S has a proven track record of providing financially sound advice, offering you the data, projections and analysis essential for making those critical business decisions.  When it comes to your needs, our partners and team professionals are ready to roll up their shirt sleeves to work together to solve your problems and create new opportunities for you and your trucking business.

Is Your Trucking Company Traveling on the Road to Success?

Our roadmap of services include:

  • Business Consulting
  • Knowledge of multi-state regulations
  • Business & cash flow projections 
  • Assistance in securing financing
  • Tax Planning and Preparation
  • Fraud Detection and Deterrence
  • Audit Services
  • Business Valuation
  • Cost Segregation Studies
  • Business Succession Planning

Our driving force of MHC&S team members who provide our trucking services include:


Real Estate

"Our relationship with McGowen, Hurst, Clark & Smith, P.C. is a lot like our relationship with other service providers - it doesn't boil down to the company, but to the individual people; I like them all and most often it is the same group of people, so I am not constantly "retraining" new accountants.  They are service-oriented and work as a team with everyone."  
Debbie Fisher, Office Manager
Newbury Development Company

Buying, developing, managing, holding, and selling—every step in the real estate investment process is an opportunity to make or lose money. With sophisticated tax strategies and smart financial analysis, MHC&S can help you come out on top in your real estate dealings. 

Whether you are a real estate professional or simply wish to take advantage of the tax and diversification benefits of real estate ownership, we offer a full palette of services to help you get the most from your property. 

Our real estate services include:

  • Audits and tax services
  • Cost segregation studies
  • Tax planning and preparation
  • Projections, forecasts and feasibility studies
  • Development and tax credit applications
  • Acquisition and sale assistance
  • Like-kind exchanges
  • Regulatory agency compliance

The real estate group at MHC&S, who provide services designed to meet the changing needs of the real estate industry, include: