Bookkeeping for
Chiropractic
Practices.
Cash patients pay today, insurance pays next month, and personal injury cases can take a year or more to settle. Add prepaid care plans and supplement sales, and your bank balance says little about how the practice is doing. We separate every income stream and reconcile it monthly.
Flat monthly pricing · Cancel anytime · Dedicated bookkeeper
Built for Every Type
of Chiropractic Practice
Cash-based, insurance-heavy or built around personal injury cases, each kind of practice gets paid on a different clock. We set up your books around yours.
Cash-Based & Membership
You sell care plans and memberships up front and collect by card. Your books need to show what you've earned versus the visits you still owe, and what your processor kept in fees.
- Card payouts split into sales, fees, refunds
- Care plans tracked as visits still owed
- Monthly memberships recorded as they bill
- Supplement and product sales separated
- Sales tax collected on products recorded
Insurance-Heavy Practices
Insurance pays weeks after the visit, often several patients to one deposit, while copays and deductibles come in at the front desk. We match all of it back to your billing reports.
- Insurance EFTs and checks matched to EOBs
- Copays and patient balances separated
- Revenue split by payer type
- Insurer refunds and takebacks recorded
- Billing service fees categorized
Personal Injury Practices
You treat now and get paid when the case settles, sometimes much later and often for less than you billed. We record settlement checks from attorneys and keep PI income apart from the rest of the practice.
- Attorney settlement checks recorded
- Lien reductions shown, not buried
- PI income kept separate from insurance
- MedPay and PIP payments tracked
- Open lien totals from your software on file
The Financial Headaches
We Fix
Chiropractic money comes in from four or five directions at once, each on its own timeline. These are the spots where the books usually break.
Personal Injury Cases That Pay a Year Later
PI liens can stay open for months or years, then settle for less than you billed. If settlement checks get lumped in with insurance, you can't see what PI cases actually bring in or how much is still waiting on a settlement.
Prepaid Care Plans Counted as Earned
When a patient pays up front for a care plan, you haven't earned it until the visits happen. Booking it all as revenue the month you sell it makes that month look great, the next few look weak, and refunds for unused visits come as a surprise.
Card Payouts That Don't Match Sales
Jane Payments, Square or your card processor deposits the net after fees and refunds, often days later. Without splitting those payouts, revenue is understated, fees vanish and product sales blur into visit income.
Supplements Without Cost Tracking
Supplements, orthotics and supports sell at the front desk, but their cost often gets booked as office supplies. That hides your margin on products and leaves the sales tax you collected sitting in income instead of a liability.
Every Month
Everything You Need,
Nothing You Don't
Our services are set up for how a chiropractic practice gets paid: card payouts, insurance EFTs, attorney settlement checks and prepaid plans. We work in QuickBooks Online from your practice software reports and bank feeds.
Monthly Bookkeeping
Every account reconciled, every transaction categorized, every month. You get a clean P&L and balance sheet you can read and use to make decisions.
See Full Details →Financial Reporting
A monthly P&L, balance sheet and cash flow with revenue split by cash, insurance, PI and products, plus a running balance of prepaid visits you still owe patients.
See Full Details →Bank Reconciliation
Every business account and credit card matched and verified each month. No mystery charges. No unresolved transactions. No surprises.
See Full Details →Accounts Payable & Receivable
Supplement orders, equipment payments and rent tracked on payables. On the receivable side, we match settlement checks and insurance payments to what your practice software shows as collected.
See Full Details →Catch-Up Bookkeeping
Months or years behind? We clean it all up before monthly service starts, at a flat price per month behind that we quote up front.
See Full Details →Payroll Support
Payroll runs through Gusto, which files the payroll taxes and W-2s. We reconcile each run to the books, with associate chiropractors, therapists and front desk staff in their own lines.
See Full Details →"Working with Dan has been such a positive experience! As a small business owner, having someone who is knowledgeable, thorough, and genuinely invested in helping me understand my finances has been invaluable. He’s incredibly responsive, patient with my questions, and has brought so much clarity and peace of mind!"
Chiropractors
FAQ
Questions we hear from chiropractors before they sign on with Tides.
Based in Greenville, SC —
Serving Clients Nationwide
100% remote bookkeeping for small businesses across South Carolina and throughout the United States.
Beyond Chiropractors,
We Serve All These Businesses
Tides Bookkeeping specializes in bookkeeping across 12 distinct industries. Industry-specific expertise means fewer errors, better categorization, and a bookkeeper who already understands how your business makes money.
Finance terms worth knowing
Plain-English explainers, no jargon.
Treat Your Patients.
We'll Handle
The Books.
Schedule a free 15-minute call. We'll review your current setup, answer your questions, and give you a flat monthly quote — no pressure.
No credit card required · No long-term contracts · Cancel anytime
Simple, Flat-Rate Pricing
Flat monthly plans scaled to your business — no hourly billing and no surprise invoices. You always know the price up front.
★★★★★ 5.0 · 8 client reviews on Intuit's ProAdvisor directory
✔ Reviewed by Daniel Cope, Advanced QuickBooks ProAdvisor · Updated August 2026