Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Albuquerque Mental Health Practices

Monthly bookkeeping, catch-up work, and payroll for Albuquerque therapists, counselors, and group practices. You work directly with Aretha, remotely.

Bookkeeping for Albuquerque Mental Health Practices

Keeping the books for mental health practices is all I do. Every month I categorize your transactions, reconcile your bank and credit card accounts, and send you reports you can read between sessions. What you get out of it is books that are current, financials your tax preparer can use, and an honest picture of what your practice earns.

I work from Lancaster, California, and my clients are spread across the country, so an Albuquerque practice fits right in. Bookkeeping for therapists and other mental health clinicians is the whole of my work, and you deal with me directly every time. No account manager, no handoff to someone you have never met.

Monthly Bookkeeping

Transactions categorized, accounts reconciled, and a profit and loss statement and balance sheet in your inbox each month. Starting at $165 a month. If something in the numbers does not make sense to you, call me and I will explain it in plain words.

Getting Caught Up

If months or years of books were never done, that is where we start. Catch-up bookkeeping records the missing history, reconciles the accounts, and brings you current. You will not hear a lecture from me about how it got this way. Most owners fall behind because they were busy taking care of people.

Payroll and 1099s

For Albuquerque practices with a team and a payroll system already up and running, I process each pay period so clinicians and staff get paid right and on time. I also prepare year-end 1099s for associates, contract supervisors, and vendors. Payroll system setup is not something I take on.

Tax-Ready Books

I do not prepare returns. I keep your records clean, categorized, and reconciled all year so the person who does prepare your return has everything they need in January. That usually makes tax season shorter and cheaper for you.

Albuquerque Practices I Work With

Albuquerque has deep roots in community mental health. Many of the clinicians I talk with spent years in agencies, nonprofits, hospital programs, or school-based work before opening a practice of their own, and private practice asks them to be a business owner for the first time. I have a lot of respect for that step. I spent more than 15 years as a licensed nurse in mental health before I ever opened QuickBooks, so bookkeeping for clinical social workers and clinicians who came out of that world feels like familiar ground.

My clients are practices of roughly one to ten people. Solo therapists renting a small office near Nob Hill or out in the Northeast Heights, psychologists doing testing and assessment, psychiatric nurse practitioners running medication management, online practices based in Albuquerque serving clients in Gallup, Farmington, and Las Cruces, and group practices with associates on the schedule. If you are not sure whether your books are where they should be, book a consultation with me and we will look at it together.

Therapists and Counselors

Session revenue reconciled from what your practice management system reports to what actually lands in the bank. Private pay and insurance payments arrive on different rhythms, and your books should show both clearly instead of leaving you guessing what a full week of clients was worth.

Clinical Social Workers

Modest fees and generous sliding scales are common here, which makes knowing your real numbers matter more. I separate business from personal, track expenses properly, and give you a monthly picture solid enough to make decisions about caseload and rates.

Addiction and Recovery Counselors

Recovery work in Albuquerque runs on dedication, and the money side is its own puzzle. Individual sessions and group work at different rates, varied payment arrangements, and steady monthly books that keep a mission-driven practice financially honest with itself.

Group Practices and ABA Teams

W-2 staff and 1099 associates each recorded correctly, compensation splits tracked the way you actually pay them, and reporting that shows margin by clinician so you know whether the next hire helps. Classification calls belong with your attorney or tax pro, and the books reflect the answer.

Questions About This Area

You are in Lancaster, California. Can you really keep the books for my Albuquerque practice?

Yes. I work with mental health practices all over the country and everything happens remotely. You share access to your accounts and statements, we talk by phone or video when you want to, and I do the work. Distance has never gotten in the way of clean books.

What does it cost?

Monthly bookkeeping starts at $165 a month. Payroll processing starts at $150 a month. Catch-up and clean-up work is quoted per engagement after I take a look at what you have. Book a consultation and I will give you a straight number, not a range.

My books have not been done since I opened. Is that too far gone?

No, and you are in good company. I have started with practices that were a year or two behind. We gather the statements, record and reconcile period by period, and get you current. Then monthly service keeps it from happening again.

Do you prepare my tax return?

I do not. I keep your books accurate and organized all year so your tax preparer gets a clean handoff instead of a shoebox. Plenty of my clients work with a preparer in Albuquerque and I am happy to answer that person's questions about your numbers.

Can you run payroll and handle my insurance billing?

I run payroll for practices whose payroll system is already set up and working, and I prepare year-end 1099s for contractors. I do not set up new payroll systems, and I do not do insurance billing, claims, credentialing, or coding. My work is your books.

Helping the People Who Help Others

Let's Start With
a Short Conversation

Tell me where your books stand right now, even if the honest answer is that nobody has looked at them in a year. I'll ask a few questions and give you a clear idea of how I can help.

AD Keeps The Books is Aretha Dirden, a bookkeeper who spent more than 15 years as a licensed nurse in mental health before taking over the books for the people doing that work. She handles monthly bookkeeping, catch-up and clean-up work, and payroll for therapists, psychologists, counselors, and clinical social workers in private practice, and she does the work herself for every client. Based in Lancaster, California, serving practices nationwide. QuickBooks ProAdvisor certified.

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