Bookkeeping for chiropractors, with care plans and PI cases kept straight
A chiropractic office collects in more ways than most practices its size: insurance, cash visits, prepaid care plans, and personal injury cases that pay when they settle. Sorso keeps the books for chiropractic practices doing $0.5M to $10M a year, closes each month within 15 business days and shows where the money actually comes from.
- For practices
- $0.5M–$10M
- Price
- From $2,000/mo
- Books closed
- 15 business days
- Guarantee
- 45-day money back
What does bookkeeping for a chiropractor involve?
Recording every deposit, bill and payroll run, reconciling bank and card accounts each month, and matching insurance, cash and care plan payments to the visits they pay for. Prepaid care plans are tracked until the visits are used, and personal injury balances are kept on their own list, because they can sit unpaid until a case settles.
What is different about these books
Insurance, cash and care plans
Insurance pays in batched deposits weeks after the visit, cash patients pay at the front desk or by card, and care plan patients pay up front or in instalments for visits they haven't had yet. Each channel is matched to the visits it covers, so you can see what a visit is really worth by how it was paid.
Personal injury and workers' comp
Personal injury cases are usually paid when the case settles, often for less than was billed, and sometimes not at all. We keep those balances on their own list rather than letting them inflate receivables, and record the settlement and any reduction when the money arrives. Workers' compensation claims are tracked the same way.
Associate chiropractors
Associates are often paid a base plus a share of what they collect. We book their pay by doctor, apart from front-desk and therapy staff, so the P&L shows whether each associate covers their pay and their share of rent and overhead.
Supplements and retail
Supplements, pillows and supports are retail sales with a product cost. Booked apart from treatment revenue, they show whether the shelf earns its space.
What we do every month
- Every bank, card and loan account reconciled
- Insurance, cash and care plan payments matched to visits
- Personal injury and workers' compensation balances tracked on their own
- Associate pay booked by doctor, by location if you have several
- Books closed within 15 business days of month end
- A monthly P&L, balance sheet and a short note on what changed
Who it is for
- Chiropractic practices and groups doing $0.5M to $10M a year
- Offices mixing insurance, cash visits and prepaid care plans
- Practices with personal injury or workers' compensation cases
- Owners with associate chiropractors or more than one location
If you are a solo chiropractor below about half a million dollars a year, a bookkeeper who serves small offices will cost less than we do.
Questions owners ask
How much does chiropractic bookkeeping 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 for chiropractors?+
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.
What is the difference between this and your chiropractic accounting service?+
It is the same service and the same price. This page describes the bookkeeping part: recording, reconciling and closing the month. Our chiropractic accounting page describes what we do with those books, such as cash versus insurance revenue, provider production and pay, and prepaid plans.
Do you bill or collect personal injury cases?+
No. We record personal injury balances and settlements in the books and show you what is outstanding. Billing the cases and negotiating with attorneys stays with your team or billing company.
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
Chiropractic practice accounting →
The full monthly service: cash vs insurance, provider pay, prepaid plans.
Fractional CFO for chiropractic practices →
Associate hiring, cash-pay strategy and new locations, from $4,000/mo.
Chiropractic revenue cycle →
Insurance, Medicare and personal injury collections.
Medical practice accountant →
What a practice accountant handles, and what stays with your CPA.
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.