Bookkeeping for Sacramento Mental Health Practices
Monthly bookkeeping, catch-up work, and payroll for therapy and mental health practices in Sacramento. You work directly with Aretha, remotely.
Bookkeeping for Sacramento Practices
Sacramento keeps its clinicians busy. Many of the practices here see state employees, their spouses, and their kids, and the referrals keep coming whether you work out of a suite in Midtown, a small office off Fair Oaks Boulevard, or a quiet room at home in Land Park or Natomas. The clinical week fills up first, and the bookkeeping ends up waiting for a Sunday evening that never quite arrives.
My name is Aretha Dirde, and I keep the books for mental health practice owners. Before this I spent more than 15 years as a licensed nurse working in mental health, so when we talk about your caseload, your no-shows, or the deposits landing from your practice management system, you will not have to explain any of it to me. Most Sacramento practices I work with start with monthly bookkeeping and stay there year after year.
Monthly Bookkeeping
Monthly Bookkeeping
Each month I categorize your transactions, reconcile your bank and credit card accounts, and send you reports you can absorb between sessions. If a number looks odd to you, call me and I will walk you through exactly where it came from.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
Some practices come to me with months of transactions that were never recorded. Others have books that were kept, just kept wrong. We figure out which one you have, get the records current and accurate, and then keep them that way.
Payroll and 1099s
Payroll and 1099s
If your payroll system is already up and running, I process it each pay period so your associates and front desk staff are paid right and on time. I do not set up new payroll systems, and I say that upfront. At year end I prepare 1099s for your contract clinicians, supervisors, and vendors.
Tax-Ready Records
Tax-Ready Records
I do not prepare tax returns. My job is to hand your tax preparer books that are clean, reconciled, and categorized properly, so filing season becomes a simple handoff instead of a scramble through a year of bank statements.
Sacramento Practices I Work With
The capital region has grown quickly, and so has the need for care. Clients come into Sacramento practices from Elk Grove, Natomas, Folsom, Roseville, and Davis, and a lot of solo clinicians here have added an associate or two in the past few years. Private practice bookkeeping is the only work I do, so I have watched how those transitions go and where the numbers usually get muddy.
Practice owners tell me they want the same four things. Books that are up to date. Financials ready for tax time. A clear view of how the practice is doing. An honest picture of what it actually earns. If that is what you have been wanting, book a consultation and tell me about your practice.
Solo Therapists and Counselors
Solo Therapists and Counselors
LMFTs, LPCCs, clinical social workers, and psychologists running a practice on their own. I reconcile session revenue, keep business and personal spending separated, and record the ordinary costs of practicing here, from license renewal and CEUs to your EHR subscription.
Group Practices
Group Practices
Sacramento has a lot of practices that outgrew one clinician. For group practice bookkeeping I record associate compensation correctly, keep W-2 staff and 1099 contractors straight, and show you margin per clinician so you know whether the next hire is helping.
Telehealth Practices
Telehealth Practices
Plenty of practices based in Sacramento now see clients across the valley and beyond by video. Platform and subscription fees, merchant processing costs, and payouts that arrive on their own schedule all get reconciled so your reports match reality.
Prescribers and Behavioral Health Teams
Prescribers and Behavioral Health Teams
Psychiatric nurse practitioners, psychiatrists, addiction counselors, and ABA providers serving families around the region. Higher visit volume and bigger staff schedules make the books busier, and after 15 years in nursing this side of care feels like home to me.
Questions About This Area
You're in Lancaster. Can you still keep the books for my Sacramento practice?
Yes. I work with practice owners remotely, in Sacramento and all over the country. We handle documents and questions online, and we talk by phone or video whenever you want to go over your numbers. Being a few hours down the state has never gotten in the way of doing this work well.
What does it cost?
Full-service monthly bookkeeping starts at $165 a month. Payroll for practices with a system already running starts at $150 a month. Catch-up and clean-up projects are quoted per engagement after I take a look at what exists, so you know the number before we begin.
My books are almost a year behind. Is that a problem?
It is common, and I promise you are not the first person to tell me that. We start where you are, record and reconcile month by month until the books are current, and then keep them current going forward. No lectures from me about how it got that way.
Do you prepare my tax return?
No. I do not prepare tax returns. I keep your books tax-ready so your tax preparer or CPA gets clean, organized records and does not have to chase you for answers in the middle of filing season.
Do you handle insurance billing or claims?
No. Billing, claims, credentialing, and coding stay with your biller or your practice management system. What I do is reconcile the money that actually lands in your bank account against your records, so your books reflect what the practice really collected.
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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