Bookkeeping for
Therapy
Practices.
Private-pay clients pay by card, insurance pays weeks later or denies the claim, and platforms like Headway send payouts that bundle many sessions. In a group practice, clinician pay depends on all of it. We match every payment to the bank and reconcile your books each month.
Flat monthly pricing · Cancel anytime · Dedicated bookkeeper
Built for Every Type
of Therapy Practice
Solo clinician or a group with several therapists, your income comes from clients, insurers and platforms on different schedules. We set up the books around how your practice gets paid.
Solo Therapists
You see clients, write notes and handle billing yourself. You need books that separate private pay from insurance, catch every payout and keep business costs apart from personal spending.
- Card payments split into sessions and fees
- Insurance deposits matched to ERAs
- Private pay and superbill clients recorded
- CEUs, license fees and insurance tracked
- Owner draws kept separate
- Records ready for your CPA
Group Practices
Several clinicians, different pay arrangements and a shared office. We track revenue by clinician and reconcile their pay, so the split you agreed to matches what actually went out.
- Revenue tracked by clinician
- W-2 and 1099 clinician pay separated
- Percentage splits checked against pay
- Clinical supervision fees recorded
- Office rent and shared costs split
- Credentialing and billing service fees
Platform & Telehealth
If you see clients through Headway, Alma or a similar platform, payouts bundle many sessions and arrive on the platform's schedule. We match each payout to its session report and record any platform fees.
- Headway and Alma payouts matched
- Platform membership fees categorized
- Telehealth software costs tracked
- Private pay and platform income split
- License fees in each state recorded
The Financial Headaches
We Fix
Therapy practices don't carry inventory or complex sales. The trouble is timing: payments from clients, insurers and platforms that never line up with session dates.
Insurance That Pays Late or Not at All
Claims can take weeks to pay, and denials and partial payments are common. If you judge income from your calendar instead of your deposits, you'll think you earned more than you did, and gaps between billed and paid can sit unnoticed for months.
Platform Payouts in One Lump
Headway, Alma and similar platforms pay you for many sessions in one deposit. Without matching each payout to its session report, you can't see what each source brings in or catch a session that was never paid.
Clinician Pay That Doesn't Add Up
In a group practice, each clinician might be on a different split, per-session rate or salary, some on W-2 and some on 1099. When pay is figured in a spreadsheet and never checked against collections, overpayments go unnoticed.
Professional Costs Scattered Everywhere
CEUs, license renewals, liability insurance, supervision and your practice software subscription often get paid from a personal card. Those costs belong to the practice, and your CPA needs them in the books, not in a pile of receipts at year end.
Every Month
Everything You Need,
Nothing You Don't
Our services are set up for a practice paid by clients, insurers and platforms on different schedules. We work in QuickBooks Online from your practice software and payout reports, and we never need session notes or clinical records.
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 income split by private pay, insurance and platforms, plus revenue by clinician for group practices.
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
Rent, software subscriptions, supervision and billing service bills tracked on payables. Client and insurance balances stay in your practice software; we match what it 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 payroll taxes, W-2s and 1099s for contractors paid through it. We reconcile every run and contractor payment to the books, by clinician.
See Full Details →"He is very personable, and if I have a question, he promptly gets back with me!"
Therapists
FAQ
Questions we hear from therapists 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 Therapists,
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.
Focus on Clients.
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