Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Minneapolis Mental Health Practices

Bookkeeping for therapy and mental health practices across Minneapolis and the Twin Cities. Books kept current, tax-ready, and clear, working directly with Aretha.

Bookkeeping for Minneapolis Practices

Minneapolis has one of the deepest therapy communities in the country. Practices fill converted houses in the southwest neighborhoods, office suites in Northeast and Uptown, and shared buildings out in St. Louis Park and Edina. I’m Aretha Dirden, and I keep the books for practice owners like that all over the map. Before I did this work, I spent more than 15 years as a licensed nurse in mental health, so nobody has to explain their day to me.

Private practice bookkeeping is all I do, and you work with me directly rather than a rotating team. Every month I categorize your transactions, reconcile your accounts, and send reports you can actually read. Your books stay current, they stay ready for tax time, and you get an honest look at what your practice is earning.

Monthly Bookkeeping

Transactions categorized, bank and credit card accounts reconciled, and a monthly profit and loss short enough to read between sessions. If a number looks strange to you, call me and I’ll walk through it in plain language.

Catching Up and Cleaning Up

Some practices come to me with a year of unopened statements. Others have books that were kept but nobody trusts them. I handle both, record and reconcile what’s missing, correct what’s wrong, then keep everything current going forward.

Payroll for Group Practices

Plenty of Minneapolis practices have grown past the solo stage. If your payroll system is already up and running, I’ll run payroll every pay period so your associates and front desk staff are paid on time and payday stops living in your head.

Records Your Tax Preparer Can Use

I don’t prepare tax returns. What I do is hand your preparer books that are clean, categorized, and reconciled, so filing season stops being a scramble for both of you.

Twin Cities Practices I Work With

The mix around Minneapolis is wide. Solo therapists renting one room and seeing clients four days a week. Group practices in the suburbs with six clinicians and someone at the front desk. Psychiatric nurse practitioners running medication management visits back to back. ABA teams with a dozen technicians moving between homes and schools. The books look different for each of these, and I’ve worked with all of them.

What they share is the owner. You went into this work to help people, and the money side lands at the bottom of the list after notes, phone calls, and supervision. That’s the piece I take off your plate. If any of this sounds like your practice, book a consultation with me and tell me where things stand right now.

Solo Therapists and Counselors

Private pay and insurance deposits arrive on their own schedules, which makes a month hard to read at a glance. I reconcile what your practice management system shows against what reached the bank, keep personal and business spending separated, and show you what a week of clinical hours really brings in.

Group Practices with Associates

Once you add clinicians, the real question is whether each one is carrying their weight. I record compensation splits and salaries correctly, keep W-2 staff and 1099 contractors straight, and give you reporting that shows margin per clinician. Classification calls belong with your attorney or tax professional, and the books record whichever answer is true.

Recovery and Addiction Counseling

Minnesota has been at the center of recovery work for decades, and a lot of counselors here run small practices with both group and individual sessions. Bookkeeping for recovery-focused practices means keeping different session rates and payment arrangements sorted out so the practice stays sustainable.

Telehealth Practices

Minneapolis winters keep a lot of sessions online, and some practices never went back to an office at all. Platform subscriptions, EHR fees, and payment processor cuts add up quietly. I reconcile the payouts and track the whole software stack so you know your real cost of doing business.

Questions About This Area

You're in California and my practice is in Minneapolis. How does that work?

The same way it works for my clients everywhere else in the country. Everything happens remotely, your statements come to me through a secure portal, and we talk by phone or video whenever it helps. I keep Central time in mind when we schedule so we can usually find a slot between your sessions.

What does monthly bookkeeping cost?

Full-service bookkeeping starts at $165 a month. Where your practice lands depends on how many accounts and transactions I'm working with. I'll give you a firm number after we look at your accounts together.

My books are a year behind. Is that a problem?

It's one of the most common reasons practice owners reach out to me. We start with catch-up work to get the missing months recorded and reconciled, then move into monthly service so it stays current. Your tax preparer ends up with clean records, and you won't hear a lecture from me about how it got that way.

Do you handle insurance billing or claims?

No. Billing, claims, credentialing, and coding stay with your biller or your staff. My work starts with the money that actually lands in the practice bank account. I reconcile those deposits and payouts so your books reflect what you really received.

Can you run payroll for my group practice?

Yes, as long as your payroll system is already set up and running. I process each pay period so your clinicians and staff are paid on time. I don't build new payroll systems, so if you're starting from scratch, get the system in place and I'll 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.

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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