Bookkeeping for Fort Worth Mental Health Practices
Bookkeeping for therapists, counselors, and group practices in Fort Worth. Books kept current and tax-ready by Aretha Dirden.
Bookkeeping for Fort Worth Practices
Fort Worth has grown quickly, and mental health practices have grown right along with it. New families keep arriving, waitlists keep filling, and clinicians who used to work for an agency are opening their own offices. The clinical side takes care of itself because you know how to do it. The books are usually what slides to Sunday night.
I’m Aretha Dirden, and I do the work myself. My whole business is bookkeeping for mental health professionals in private practice, and I work with clients across the country from my desk in Lancaster, California. Before this, I spent more than 15 years as a licensed nurse in mental health, so nobody has to explain the daily rhythm of a practice to me.
Monthly Bookkeeping
Monthly Bookkeeping
Monthly bookkeeping on a steady rhythm. Transactions categorized, bank and credit card accounts reconciled, and reports you can read in a few minutes between sessions. You always know where the practice stands.
Catching Up and Cleaning Up
Catching Up and Cleaning Up
Some practices call me with months of untouched books. Others have books that were kept, then kept badly. Either way I go through the history, fix what is wrong, reconcile every account, and hand you records you can believe again.
Payroll for Practices With Staff
Payroll for Practices With Staff
If your payroll system is already up and running, I take the pay periods off your plate and process them on time. Associates and admin staff get paid right, and you stop carrying payday around in your head all week.
Ready for Your Tax Preparer
Ready for Your Tax Preparer
I don’t prepare tax returns. What I do is keep your books clean, current, and organized all year so the handoff to your preparer in January is a quiet email instead of a two-week scramble through old statements.
Fort Worth Practices I Work With
The metro spreads out a long way. Offices near the medical district on the south side, practices along Camp Bowie, newer suites up around Alliance, clinicians working out of Keller, Mansfield, and Arlington. The practices look different from one another, and the questions I hear are almost always the same. Am I making money on this caseload? Where did last month actually go? Can I afford to bring on another clinician? I work mostly with therapists and counselors, along with psychologists, clinical social workers, addiction counselors, prescribers, and small group practices with one to ten people.
Everything happens remotely, which suits a schedule built around back-to-back appointments. There is no drive across town and no meeting squeezed into a lunch break. If any of this sounds like your practice, book a consultation with me and we can talk through where your books stand right now.
Family and Child Counselors
Family and Child Counselors
Fort Worth families keep these practices full. Private pay and insurance deposits land on different rhythms, sliding scale and no-shows move the numbers around, and I reconcile what arrived in the bank against what the practice earned. Claims, coding, and billing stay with your biller. The recording and reconciling is mine.
Group Practices With Associates
Group Practices With Associates
Splits or salaries recorded correctly, W-2 staff and 1099 contractors tracked separately, and reporting that shows margin by clinician. Classification questions belong with your attorney or tax professional, and the books reflect whichever answer is true for your practice.
Telehealth Practices
Telehealth Practices
Platform and EHR subscriptions, merchant processing fees, and payouts that need to be matched back to sessions. An online practice and a remote bookkeeper fit together naturally, whether your clients are in Tarrant County or spread across Texas.
Prescribers and ABA Providers
Prescribers and ABA Providers
Psychiatric nurse practitioners, psychiatrists, and ABA teams run higher volume with more staff and more moving pieces. My nursing years were spent in that world, so the terminology and the pace already make sense to me.
Questions About This Area
You're in California. Can you keep the books for a Fort Worth practice?
Yes. Every client I have works with me remotely, and Fort Worth is no different. You share documents through a secure portal, I get read-only access to the accounts, and we talk by phone or video whenever you want to walk through the numbers together.
What does it cost?
Monthly bookkeeping starts at $165 a month. Payroll for a practice that already has a payroll system running starts at $150 a month. Bill payment and invoicing support each start at $85 a month. Catch-up and clean-up work is quoted per engagement once I see what is there.
Do you prepare my tax return?
No. I keep your books accurate and organized all year so your tax preparer or CPA can work from numbers they trust. If they have questions about the records, I am happy to answer them directly.
My books are more than a year behind. Is that too far gone?
It isn't. Practices fall behind all the time, usually because the caseload came first. I go back through the statements period by period, record and reconcile everything, and bring you current. There is no lecture about how it got that way.
Can you run payroll for my group practice?
Yes, when the payroll system is already set up and running. I process each pay period so your clinicians and staff are paid correctly and on time. I do not build new payroll systems from scratch. I also prepare year-end 1099s for associates and contract supervisors.
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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