Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Denver Mental Health Practices

Monthly bookkeeping for Denver therapists, group practices, and recovery providers. Books kept current and tax-ready by Aretha herself.

Bookkeeping for Denver Mental Health Practices

Denver has grown quickly, and the mental health community here has grown right along with it. Therapists renting suites in Cherry Creek and Capitol Hill, counselors sharing office space near Wash Park and the Highlands, group practices adding associates in the south Denver office parks, recovery programs serving people all across the metro. Rent went up. Software went up. Payroll went up. When the costs move that fast, guessing at your numbers gets expensive.

I’m Aretha Dirden, and I keep the books for mental health practices around the country from my desk in Lancaster, California. Denver sits one hour ahead of me, which makes a quick morning call simple to fit in. My monthly bookkeeping work covers the basics well, which means categorized transactions, reconciled bank and credit card accounts, and reports you can read in the ten minutes between clients.

Monthly Bookkeeping

Your books closed every month instead of once a year in a panic. Transactions categorized, accounts reconciled, and a profit and loss statement that shows what a full week of clinical hours actually brings in after the practice takes its share.

Catching Up

If months or years of transactions were never recorded, we start there. I gather statements, work period by period, and get you current. Falling behind happens to good clinicians all the time, and it is fixable.

Cleaning Up

Sometimes the books exist and nobody trusts them. Miscategorized expenses, duplicates, accounts that have never been reconciled. I find what is wrong, correct it properly, and hand you numbers you can believe again.

Payroll and 1099s

For practices whose payroll system is already up and running, I process each pay period so your clinicians and staff are paid right and on time. In January, I prepare the 1099s for your contract clinicians, supervisors, and vendors.

Denver Practices I Work With

Private practice bookkeeping for mental health professionals is the only work I do. That means a solo therapist seeing twenty clients a week, a group practice with eight clinicians and a front desk, a psychiatric nurse practitioner running medication management visits, or an ABA provider with technicians driving from Aurora to Lakewood in a single day. Most of the practices I serve have somewhere between one and ten people on the team.

I spent more than fifteen years as a licensed nurse working in mental health before I ever opened QuickBooks for a client. Nothing about your day needs explaining to me, and you will work with me directly every month rather than a rotating group of people you never meet. If that sounds like what you have been looking for, book a consultation and tell me about your practice.

Solo Therapists and Counselors

Session revenue reconciled from your practice management system deposits to the bank. Private pay and insurance payments land on different rhythms, sliding scale and no-shows show up in the numbers, and business spending stays separated from personal so your tax preparer is not guessing.

Group Practices

Associate pay recorded correctly whether you use splits or salaries, W-2 staff and 1099 contractors each tracked properly, and reporting that shows margin per clinician. Billing and claims stay with your biller. I reconcile what actually reaches the bank against what your system says you earned.

Addiction and Recovery Providers

Denver has a deep recovery community, and the books behind it are their own puzzle. Group work and individual sessions priced differently, payment arrangements that vary with the people served. Bookkeeping for recovery counselors keeps a mission-driven practice honest with itself about the money.

Prescribers and Telehealth Practices

Psychiatric nurse practitioners and psychiatrists carry higher visit volume in shorter appointments, and online-first practices carry a stack of platform, EHR, and merchant processing fees. I reconcile the payouts, track the recurring costs, and keep the reporting short enough for a packed schedule.

Questions About This Area

I'm in Denver and you're in California. Does that actually work?

It works well. Every one of my clients is remote. Denver runs an hour ahead of me, so an early call from your office before your first session is easy to schedule. You give me access to the accounts, I do the work, and we talk on a rhythm that fits around your caseload.

What does bookkeeping cost for a Denver practice?

Monthly bookkeeping starts at $165 per month. Where you land depends on how many accounts you have and how much activity runs through them. Catch-up and clean-up work is quoted per engagement once I have seen what exists.

My books are almost a year behind. Is that too far gone?

Not at all, and that is one of the most common reasons a practice owner reaches out to me. We gather statements, record and reconcile month by month until you are current, and then keep it that way going forward. You will never hear judgment from me about how it got that way.

Do you prepare my tax return?

I don't. I keep your books accurate and organized so your tax preparer has clean numbers to work from without a scramble in the spring. If it helps, I can send reports to them directly.

Can you run payroll for my associates?

Yes, as long as your payroll system is already set up and running. I process each pay period on time and record it in the books. I don't do payroll system setup. I also prepare 1099s in January for contract clinicians, supervisors, and vendors.

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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