Bookkeeping for Louisville Mental Health Practices
Bookkeeping for therapists, counselors, and group practices in Louisville. Work directly with Aretha, remotely, with books kept tax-ready.
Bookkeeping for Louisville Mental Health Practices
I am Aretha Dirden, and bookkeeping for mental health professionals is the only work I do. Before this I spent more than 15 years as a licensed nurse in mental health, so when you tell me about your caseload, your Wednesday night group, the no-shows that never quite balance out, and the EHR that deposits money on its own schedule, none of it needs explaining to me.
Louisville has a lot of clinicians in private practice. Family counselors in St. Matthews and the Highlands, therapists in Middletown and Jeffersontown, recovery counselors working all over the metro, telehealth practices seeing clients across Kentucky. The practices look different from one another, and the ask is almost always the same. Books that are up to date, financials ready for tax time, a clear view of the practice’s health, and an honest read on what it actually earns.
Monthly Bookkeeping
Monthly Bookkeeping
Full-service bookkeeping starting at $165 a month. Transactions categorized, bank and credit card accounts reconciled, and monthly reports short enough to read between sessions. If a number surprises you, call me and I will walk you through it in plain language.
Catching Up and Cleaning Up
Catching Up and Cleaning Up
Some practices have never had their books done. Others have books that exist and cannot be trusted. I handle both, without any commentary about how it got this way. We get you current and accurate, then we keep you there.
Payroll for Practices With Staff
Payroll for Practices With Staff
If your payroll system is already set up, I run it. Every pay period processed on time so your associates, techs, and front desk staff are paid correctly and payday stops living in your head. Payroll system setup is one thing I leave to others.
Records Your Tax Preparer Can Use
Records Your Tax Preparer Can Use
I do not prepare returns. I keep the books tax-ready all year, so the handoff to your CPA in the spring is a short email with clean reports attached. No shoebox, no reconstructing twelve months in March.
Louisville Practices I Work With
A good number of Louisville clinicians came out of hospital systems and community mental health agencies before opening a practice of their own. That means the clinical work is second nature and the business side is brand new. The bookkeeping usually starts as a checking account, a spreadsheet with good intentions, and a growing pile of things to deal with later.
Recovery runs deep in this city. Meetings every night of the week, sober living homes, family programs, counselors carrying both individual clients and groups. Practices built around that work have their own money shape, and I keep the numbers straight so a mission-driven practice can stay open. One thing to be clear about is that claims, credentialing, and coding are not mine. That stays with your biller. I handle the books.
Family and Child Therapists
Family and Child Therapists
Parents paying out of pocket, sliding scale arrangements, sessions with more than one person in the room, and cancellations that move the whole week around. I reconcile what actually landed in the bank so you can see what a full schedule really produces.
Addiction and Recovery Counselors
Addiction and Recovery Counselors
Bookkeeping for recovery-focused practices where group rates and individual rates differ and payment arrangements vary with the community you serve. My nursing years covered this territory, so the day to day of your practice is familiar ground.
Group Practices
Group Practices
Associates on splits or salary, W-2 staff and 1099 contractors in the same practice, and a growing question about whether the next hire pencils out. I record compensation correctly and report in a way that shows margin by clinician.
Telehealth Practices
Telehealth Practices
Platform subscriptions, merchant processing fees, and payouts that need to match sessions. If you are licensed in Kentucky and Indiana and seeing clients on both sides of the river, your books should show that clearly for your tax preparer.
Questions About This Area
You are in California. How does that work for a Louisville practice?
It works the same way your telehealth sessions work. We meet by video or phone, I get secure access to your accounts, and you hear from me on a steady monthly rhythm. Practice owners in Louisville have my email and my calendar, and the person who does the work is the person who answers.
What does monthly bookkeeping cost?
Full-service bookkeeping starts at $165 a month. The actual number depends on how many accounts you have and how much activity runs through them. A solo counselor with one business checking account is different from a five-clinician group, and I will quote you honestly after we talk.
My books have not been touched in over a year. Is that too far gone?
No, and you are in good company. Most people who reach out are behind, and almost all of them apologize for it. I gather statements, record and reconcile period by period, and bring you current. Then we keep it current so you never have to have that feeling again.
Do you file my tax return?
I do not prepare tax returns. What I do is keep your books tax-ready all year so your tax preparer gets clean, reconciled financials instead of a folder of receipts. Plenty of my clients work with a Louisville CPA or enrolled agent, and I am happy to hand off the reports they ask for.
Can you run payroll for my group practice?
Yes, if your payroll system is already up and running. I process pay periods on time so your clinicians and staff are paid right. I do not set up new payroll systems, so if you are starting from scratch, get the system in place and I will take it from there.
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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