Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Indianapolis Mental Health Practices

Bookkeeping for therapists, prescribers, and group practices in Indianapolis. Books kept current, tax-ready, and easy to understand.

Bookkeeping for Indianapolis Practices

Indianapolis keeps showing up in my inbox, and it makes sense. Clinicians here are leaving hospital systems and agency caseloads to open their own practices, waitlists are long, and a lot of solo offices have quietly turned into small teams over the past few years. Growth like that is good news for the community and hard on a set of books nobody has time to keep.

Bookkeeping for mental health professionals is the only work I do. I spent more than 15 years as a licensed nurse in mental health before I ever opened QuickBooks for a client, so you will not spend our first call explaining what an EHR is or why your deposits never match your session calendar. I work with practices in Broad Ripple, downtown, the north side, and everywhere else around the 465 loop, all of it remotely, all of it done by me.

Monthly Bookkeeping

Transactions categorized, bank and credit card accounts reconciled, and a monthly report short enough to read between sessions. Starting at $165 a month. If a number on the report does not make sense to you, call me and I will explain it in plain language.

Catch-Up and Clean-Up

Some practices reach out because the books were never started. Others reach out because the books exist and nobody trusts them. Either way I get you current and accurate, priced per engagement once I see what is there.

Payroll for a Growing Team

Payroll processed every pay period for practices whose payroll system is already up and running. Your associates and admin staff get paid right and on time, and you stop carrying payday around in your head all week.

Tax-Ready Books and 1099s

I do not prepare tax returns. What I do is hand your tax preparer books that are already clean and organized, and get year-end 1099s out to your contract clinicians, supervisors, and vendors on time.

Indianapolis Practices I Work With

The mental health landscape in Indianapolis is a real mix. Solo therapists renting a room in Fountain Square or Meridian-Kessler. Psychiatric nurse practitioners building medication management practices. ABA providers with sizable teams of technicians. And group practices that started with one clinician, added two or three associates, and suddenly had payroll, splits, and questions nobody had answers for. Telehealth-only practices too, seeing clients across Indiana from a spare bedroom.

Most of the owners I work with have somewhere between one and ten people on the team. The books matter a great deal at that size, and a full-time in-house bookkeeper rarely pencils out yet. If that sounds like your practice, book a consultation with me and tell me where things stand right now. Honest starting point, no judgment.

Therapists and Counselors

Licensed counselors, marriage and family therapists, and clinical social workers seeing clients across Marion County. Session revenue reconciled from your practice management deposits to the bank, private pay and insurance payments arriving on their own separate rhythms, and personal spending kept out of the practice books where it belongs.

Practices With Associates

Going from one clinician to five changes the books more than most owners expect. Compensation splits recorded correctly, W-2 staff and 1099 contractors each handled properly, and reporting that shows what each clinician is really contributing before you hire the next one.

Prescribing Practices

Psychiatric nurse practitioners and psychiatrists running medication management with higher visit volume and shorter appointments. I was a licensed nurse for more than 15 years, so this corner of the field is familiar territory for me and nothing about your day needs translating.

ABA and Behavioral Health

Indiana has a deep bench of ABA and behavioral health providers, and those practices carry the heaviest staffing load in the field. Technicians and analysts on payroll, high session volume, and revenue that has to reconcile back against the work actually delivered.

Questions About This Area

You're in California. Can you really keep the books for a practice in Indianapolis?

Yes. Every client I have works with me remotely, in Indiana and all over the country. You give me access to the accounts, we talk by phone or video when it helps, and you have my direct line the rest of the time. Most owners tell me they hear from me more than they ever heard from a bookkeeper across town.

What does this cost for a practice my size?

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 per engagement after I look at what you have. You will get a real number from me before you commit to anything.

I haven't touched my books in over a year. Is that too far gone?

No, and you would be surprised how often I hear it. Falling behind happens when your calendar is full of clients. I go back as far as we agree makes sense, record and reconcile period by period, and get you current. No lecture about how it got that way.

Do you run payroll for group practices?

I do, for practices whose payroll system is already set up. I process each pay period so your associates and front desk staff are paid on time. I do not build payroll systems from scratch, so if you are about to hire your first employee, get the system in place and I will take it from there.

Do you prepare tax returns or handle insurance billing?

Neither one. I do not prepare tax returns, and I do not do insurance billing, claims, credentialing, or coding. What I do is keep your books accurate and organized all year so your tax preparer has clean financials to work from and you can see how the practice is actually doing.

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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