Bookkeeping for Cleveland Mental Health Practices
Bookkeeping for therapists, counselors, and mental health practices in Cleveland. Books kept current and tax-ready by Aretha, who works with you directly.
Bookkeeping for Cleveland Mental Health Practices
Cleveland has a lot of clinicians who trained or worked inside the big health systems and then opened a practice of their own. The clinical work came naturally. The business side arrived without an invitation, along with a bank account nobody reconciles, a growing list of software subscriptions, and a tax preparer who needs numbers by spring.
I am Aretha Dirden, and I keep the books for mental health practices around the country. I do the work myself, so you are always talking to the person who touched your numbers. Before this I spent more than 15 years as a licensed nurse in mental health, which means you will never have to explain intakes, no-shows, or why a group hour runs differently from an individual one. If you are tired of carrying this part of the practice, book a consultation with me and we will talk it through.
Monthly Bookkeeping
Monthly Bookkeeping
Full-service bookkeeping on a steady monthly rhythm. Transactions categorized, bank and credit card accounts reconciled, and reports short enough to read between sessions. Anything in them that looks confusing, I will explain in plain language.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
Some practices have books that were never done. Others have books that were done in a way nobody trusts. Either way, I record the missing months, reconcile the accounts, correct what was categorized wrong, and hand you a starting point you can believe. No lecture about how it got there.
Payroll for Practices with Staff
Payroll for Practices with Staff
Once your payroll system is up and running, I take over the pay runs so payday stops living in your head. Clinicians and admin staff paid on time, every period. Setting up a brand new payroll system is outside what I do, and I will tell you that honestly before we begin.
Tax-Ready Records
Tax-Ready Records
I keep your books clean, categorized, and documented all year so the handoff to your tax preparer is quiet and simple. Year-end 1099s for associate clinicians, supervisors, and vendors are handled too, which keeps January from turning into a hunt for W-9s.
Cleveland Practices I Work With
Bookkeeping for therapists covers more ground than the phrase suggests. A solo counselor renting a room near Ohio City keeps very different books than a six-clinician group in University Circle or a practice seeing clients across Cuyahoga County by video. The transactions look different, the revenue arrives on different rhythms, and the reports that help the owner are not the same either.
My clients run practices with roughly one to ten employees. Therapists, counselors, psychologists, clinical social workers, addiction counselors, psychiatric nurse practitioners, group practices, telehealth practices, and ABA providers. What they want is the same. Books up to date, financials ready for tax time, clear visibility into the health of the practice, and honest numbers on what it actually earns. If your practice is somewhere in that list, book a consultation and tell me where things stand.
Solo Therapists and Counselors
Solo Therapists and Counselors
One clinician, a full caseload, and a business that grew up around the clinical work. I separate business from personal, reconcile what came in from private pay and insurance deposits, and show you what a week of sessions really earns once rent, licensure, and the software stack are accounted for.
Group Practices
Group Practices
Group practice bookkeeping for Cleveland practices with associates and admin support. Compensation splits and salaries recorded correctly, W-2 staff and 1099 contractors kept straight, and reporting that shows whether the next clinician you bring on is actually going to help.
Prescribing Practices
Prescribing Practices
Psychiatric nurse practitioners and psychiatrists running medication management see higher visit volume in shorter appointments, which means a lot of transactions to reconcile every month. I was a nurse for more than 15 years, so this part of Cleveland’s mental health world is familiar territory. Claims and coding stay with your biller. I handle the money once it moves.
Addiction and Recovery Counselors
Addiction and Recovery Counselors
Northeast Ohio has a deep recovery community, and the practices serving it often mix individual sessions, group work, and payment arrangements that vary from client to client. I keep the revenue sorted by type so a mission-driven practice can see its own numbers honestly and stay sustainable.
Questions About This Area
You're in California. Can you really keep the books for a Cleveland practice?
Yes. Most of my clients live nowhere near Lancaster. Bank feeds, statements, and monthly reports all move digitally, and we talk by phone or video whenever you want to. A practice in Cleveland gets the same attention as one down the street from me.
What does this cost?
Full-service monthly bookkeeping starts at $165 a month. Payroll processing for practices that already have a payroll system running starts at $150 a month. Your number depends on the size of your practice, how many accounts are involved, and how much activity runs through them. I will give you a real quote after we talk.
My books are months behind. Is that going to be a problem?
It happens all the time, and it is fixable. Catch-up and clean-up work is priced per engagement after I look at what already exists. We get the practice current first, then keep it current with monthly service so you never sit in that spot again.
Do you prepare my tax return?
No, I do not prepare returns. I keep your books organized and tax-ready all year so your tax preparer or CPA has what they need without chasing you for receipts in March. If they have questions about the records, I am happy to answer them directly.
Do you handle insurance billing, claims, or credentialing?
No. Claims, coding, and credentialing stay with your biller or billing service. My work begins once money moves. I reconcile the deposits that land in your bank against your practice records and keep the full financial picture accurate.
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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