Industries
Bookkeeping for therapists in private and group practice
Bookkeeping for private practice should clarify collections and overhead without bringing clinical detail into the business ledger. Tidwell helps therapists reconcile payment summaries and organize the financial records behind solo or group practice decisions.
Last reviewed:
General information, not legal advice.
Separate private-pay receipts from insurance settlements
Match payment reports to bank activity and keep outstanding reimbursement balances identifiable. A delayed insurance payment can explain a cash shortfall even when the appointment schedule remains full.
Review the cost of maintaining session capacity
Office rent, scheduling software, professional expenses and administrative support continue between sessions. Consistent categories help a practice review these commitments alongside collected income rather than scheduled appointments alone.
Build a financial handoff for a growing group
Adding clinicians introduces compensation approvals, shared expenses and possibly employee payroll. Your CPA or attorney determines worker treatment. Tidwell supports the books and approved payroll records as that structure changes.
Use summary records for the monthly close
Provide financial totals, settlement references and expense documents appropriate to the bookkeeping task. Discuss which reports are needed before transferring records; therapy notes are not part of the accounting workflow.
Private-practice collections and growth questions
Can you reconcile insurance and private-pay deposits separately?
Yes. Separate payment summaries help identify the source and timing of collections and avoid counting open reimbursements as cash received.
Can a solo therapist get help with earlier unreconciled months?
We can review account statements and payment reports, identify gaps and discuss a cleanup plan before starting recurring bookkeeping.
Does Tidwell decide whether group clinicians are employees?
No. Your advisers make that determination. We work with the approved arrangement and compensation instructions.
Make your practice’s financial routine manageable
Bring your current records and the questions you want the books to answer. We work remotely across California, with meetings at our Atascadero office by arrangement to discuss a practical service scope.
Monthly bookkeeping starts at $500 a month. See pricing