Accounting and bookkeeping for therapists who run a group practice
Once a therapy practice has several clinicians, its books stop being simple: insurance and private-pay deposits arrive through different channels, clinicians are paid per session as employees or contractors, and the owner needs to know which parts of the practice actually make money. Sorso keeps the books, closes each month and reports on it for group practices doing $0.5M to $10M a year.
- For practices
- $0.5M–$10M
- Price
- From $2,000/mo
- Books closed
- 15 business days
- Guarantee
- 45-day money back
Do therapists need an accountant or a bookkeeper?
A solo therapist can usually manage with a bookkeeper and a CPA at tax time. A group practice with several clinicians needs monthly accounting: reconciled books, clinician pay calculated from sessions, and a P&L that shows profit per clinician and per service line, so the owner can price, hire and pay with confidence.
What is different about these books
Insurance and private pay arrive differently
Insurance payments come as batched electronic deposits matched to remittance advice, private-pay sessions come through a card processor or your practice platform's payouts, net of fees. Both have to be matched to sessions, with the fees recorded, or revenue and costs are both understated.
Clinician pay is the biggest cost
Most group practices pay clinicians per session or as a share of collections. Calculating it from the session report, separating employees from contractors, and booking it by clinician is what lets you see whether each clinician's caseload covers their pay, their share of rent and admin, and the owner's margin.
Cancellations, sliding scale and payer clawbacks
Late-cancel fees, sliding-scale rates and payer recoupments all change what a session is really worth. Booked consistently, they show which payers and rates you can afford to keep; booked loosely, they vanish into one revenue line.
Taxes are your CPA's, the books are ours
We hand your CPA reconciled, tax-ready books, including the contractor payments they need for year-end forms. Sorso is not a CPA firm and does not file returns.
What we do every month
- Bank, card and platform payout accounts reconciled
- Insurance and private-pay deposits matched to sessions, fees recorded
- Clinician pay booked by clinician, employees and contractors kept apart
- Books closed within 15 business days of month end
- A monthly P&L with profit by clinician and by location or service line
- A short note on what changed and what to look at
Who it is for
- Group practices with several therapists, psychologists or counselors
- Practices doing $0.5M to $10M a year, with insurance, private pay or both
- Owners paying clinicians per session, as W-2 employees, 1099 contractors or a mix
- Owners adding locations or a new service line and wanting the numbers by each
If you are a solo therapist, we are probably not the right fit: a bookkeeper who serves solo practices will cost much less than $2,000 a month.
Questions owners ask
How much does accounting for a therapy group practice cost?+
Sorso's healthcare accounting, which includes the monthly bookkeeping, starts at $2,000 a month, plus a one-time onboarding fee that depends on how much cleanup your books need. After onboarding it runs month to month, and the first 45 days carry a money-back guarantee on the monthly fee.
Is Sorso a CPA firm?+
No. Sorso is not a CPA firm and does not file tax returns. We keep the books, close each month and report on it, and hand your CPA tax-ready books at year end. Most owners keep the CPA they already have; the CPA's work gets faster because the books arrive clean.
Do you work with solo therapists?+
Rarely. The service is built for group practices doing $0.5M to $10M a year. A solo practice is usually better served by a bookkeeper who specialises in solo therapists, at a lower price.
Can you work out what each clinician contributes?+
Yes. With clinician pay booked by clinician and revenue matched to sessions, the monthly P&L shows each clinician's collections against their pay and their share of overhead.
Do I have to sign a long contract?+
No. After onboarding the service runs month to month, and the first 45 days carry a money-back guarantee on the monthly fee.
Related
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Fractional CFO for mental health practices →
Clinician capacity, payer mix and growth decisions, from $4,000/mo.
Mental health revenue cycle →
How insurance billing problems show up in the numbers.
Case study: a 3-location mental health practice →
One location was losing money, invisible in the consolidated reports.
Talk it through
Want Stan to look at this for your clinic?
Stan Sukhinin, CFA, founded Sorso in 2020: a fractional CFO and accounting firm for outpatient clinics across the US, with accounting from $2,000 a month and fractional CFO from $4,000. Book a free 30-minute call, bring the question and, if you have it, last month's P&L, and he will tell you what he would check first.
Founder of Sorso and a CFA charterholder. Before Sorso, Stan spent 19 years in corporate finance at institutions including UniCredit and Société Générale — managing a $450M loan portfolio and making senior partner at a major mezzanine lender by 29 — then built a fractional CFO firm exclusively for outpatient healthcare clinics.