Bookkeeping for Cincinnati Mental Health Practices
Bookkeeping for therapists, counselors, and group practices across Cincinnati. Aretha keeps your books current, clear, and ready for your tax preparer.
Bookkeeping for Cincinnati Practices
Cincinnati has a deep bench of mental health care. Cincinnati Children’s, UC Health, TriHealth, and the counseling, social work, and psychology programs at UC and Xavier keep sending clinicians into the community. A good number of them eventually hang their own shingle in Hyde Park, Oakley, Blue Ash, Anderson Township, or a quiet office suite in Mason. Nobody trained them for the bookkeeping part, and that is usually the piece that slides.
My name is Aretha Dirden, and I do this work myself. Before I opened QuickBooks for a living, I spent more than 15 years as a licensed nurse working in mental health, so the world you practice in is familiar to me. Bookkeeping for mental health professionals is the only thing I do, and I do it remotely from Lancaster, California, for practices in Cincinnati and across the country.
Monthly Bookkeeping
Monthly Bookkeeping
Full-service monthly bookkeeping starting at $165 a month. Transactions categorized, bank and credit card accounts reconciled, and a monthly report you can read between clients. You end up knowing what the practice actually earned instead of guessing from the bank balance.
Getting Caught Up
Getting Caught Up
Months behind, or years behind. I gather the statements, record and reconcile one period at a time, and bring everything current. Falling behind happens to careful people with full caseloads, and there is no judgment in how we start.
Payroll for Practices With Staff
Payroll for Practices With Staff
If your payroll system is already up and running, I run it every pay period so your clinicians and front desk staff are paid on time. I do not set new payroll systems up, and I will say so plainly rather than let you find out later.
Ready for Your Tax Preparer
Ready for Your Tax Preparer
I do not prepare tax returns. What I do is keep the books tax-ready all year so your CPA or enrolled agent gets clean, reconciled numbers in January. April turns into a handoff instead of three weekends of receipt archaeology.
Cincinnati Practices I Work With
Cincinnati is a tri-state metro, and that shows up in a practice’s books. Plenty of clinicians here hold licenses in Ohio and Kentucky, sometimes Indiana as well, with clients on both sides of the river. Renewal fees, association dues, continuing education, teletherapy platform costs, and revenue arriving through several different channels all need a home in the chart of accounts so the monthly picture makes sense.
The practices I work with usually run somewhere between one and ten people. A counselor renting an office two days a week, a psychologist splitting time between therapy and assessment, a group practice with four associates, a telehealth practice run from a spare bedroom in Norwood. Different sizes, and the same few questions about where the money went. If that sounds like your practice, book a consultation and we can talk it through.
Therapists and Counselors
Therapists and Counselors
LPCCs, LISWs, and IMFTs in solo practice across the metro. I reconcile session revenue from your practice management deposits to the bank, keep private pay and insurance payments straight as they arrive on their own schedules, and separate practice spending from personal so the numbers hold up.
Group Practices
Group Practices
Cincinnati has a lot of multi-clinician offices, and group practice bookkeeping is its own animal. Associate splits and salaries recorded correctly, W-2 staff and 1099 contractors tracked separately, year-end 1099s prepared, and reporting that shows what each clinician contributes.
Child, Family, and ABA Providers
Child, Family, and ABA Providers
Families in this region look hard for child and adolescent care, and the practices serving them tend to grow fast. Technician and analyst payroll, high session volume, and revenue that needs reconciling against the work delivered. I keep the records steady while the caseload climbs.
Addiction and Recovery Counselors
Addiction and Recovery Counselors
Ohio has needed this work badly, and LICDCs here carry a lot. Group sessions and individual sessions bill at different rates, payment arrangements vary with the community you serve, and the books should still tell you honestly whether the practice is sustainable.
Questions About This Area
You're based in California. How does that work for a practice in Cincinnati?
Bookkeeping is remote work these days. Your bank feeds, your practice management reports, and your statements reach me the same way whether you are two miles away or two thousand. We talk by phone or video, and I schedule around Eastern time so calls land between your sessions.
Do you work with practices on the Kentucky and Indiana side of the metro?
Yes. Covington, Newport, Florence, Lawrenceburg, and anywhere else in the tri-state. I work with practices all over the country, so state lines are simply something your books need to reflect accurately.
What does monthly bookkeeping cost?
Full-service monthly bookkeeping starts at $165 a month. Payroll starts at $150 a month for practices whose payroll system is already running. Catch-up and clean-up work is quoted once I see what exists, and you get the number before any work starts.
My books are more than a year behind. Is that too far gone?
No, and you are in good company. Most practice owners who reach out are behind, usually because the clinical work always came first. I record and reconcile period by period until you are current, then keep it that way going forward. No lecture attached.
Do you prepare tax returns or handle insurance billing?
Neither one. I keep your books accurate and organized so your tax preparer receives a clean handoff at year end. Claims, coding, and credentialing stay with your biller or your practice management system.
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.
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