How to keep track of finances in private practice - Philadelphia & Denver - Third Nature Therapy (2024)

Private Practice Consulting

Written By Julie Goldberg

How to keep track of finances in private practice - Philadelphia & Denver - Third Nature Therapy (1)

Five things you need to track your money like the Bad A** Therapist you are.

Let’s be 100% honest here. The reason you are learning how to set up a private practice in counseling is to make money. We not only need money for our basic necessities, but also for the necessities that fill us up, and make us feel recharged and ready for the world as therapists. Our jobs are HARD. We deserve to be fairly compensated for our time and expertise.

So, once you start making money, what do you actually do with it?

01. Find A Credit card processing system

If you plan on being in private practice and choose not to accept insurance, you’ll need a way to take payments. Some therapists opt for cash, money transfer, or checks to avoid credit card processing fees. While it will save you money on processing fees, it does cost you time and effort. You’ll have to track each client with their session payments and make sure it’s paid it’s full.

For Julie, a credit card processing system is worth the fees. It’s a virtual assistant that automatically collects payments and frees up her time to do other things at a higher hourly rate. With Simple Practice, all client payments are set to automatically run at the end of the day. The payments are then transferred into her business bank account which is linked to QuickBooks Online. This is 100% online, which limits human error.

The credit card processing fees are then written off as a business expense. A win-win!

02. Get a bookkeeping system

Once you have a way to have credit card payments automatically transferred into your business bank account, you’ll want to connect it to a bookkeeping system.

Two options for a bookkeeping system in private practice:

Manual tracking system

If you choose to track your income manually, you’ll want an excel or google sheet that sets you up for success. Each month, you’ll document your income and expenses. This can be tedious and leads to human error, but for some people, it works. Etsy has downloadable excel templates for therapists in private practice to track their income.

Automatic tracking system

If you choose to track your income using a computer program, you’ll still want to go make sure it’s up to date at least once a month. This is your “bookkeeping” time. If this isn’t your jam, you can find a bookkeeper that works specifically for you for therapists in private practice.

How to pay yourself in private practice

Figuring out how much to pay yourself will probably take some time to get just right. Generally speaking, you’ll want to save enough for taxes and expenses each month. But, while you are building your practice, your income could fluctuate month to month so it’s hard to set a salary from the get-go.

As you get started in private practice, we recommended transferring 50% of your income at the end of the month into your personal bank account. This will allow you to save enough for taxes and business expenses while you still get compensated for your time and work.

Once you have a more consistent income stream, think about how much you want to be paid each month. For Julie, she sets up automatic transfers on the 1st and 15th of the month into her personal bank account. These transfers account for retirement savings, health insurance, and a transfer to personal savings and investment accounts.

Some people use Gusto, which does all the transfers automatically. It also makes tax payments as you go. It does charge a monthly fee though, but if it gives you peace of mind that everything is done correctly, go for it!

We recommend Talking this over with your accountant for a more detailed plan.

04. Save for Quarterly tax payments

Each month, you’ll also want to save money in an account that you can use to pay your quarterly tax estimates. If you are just starting out in private practice, use an income calculator to predict your yearly income, and then save around 30% of that. It’s better to over-save and then pay yourself the extra at the end of the year than scramble for tax payments during tax season.

Set up automatic transfers to this account and forget about it. Whatever you do, don’t touch this money until you file your taxes. Discipline is key here.

Again, We recommend Talking this over with your accountant for a more detailed plan.

05. Plan for Retirement

Each month, you’ll want to set aside money for retirement. First, you need to set up an IRA with a bank or investment fund. Julie uses Vanguard and highly recommends working with them! The team is super supportive and friendly. Great for finance newbies with zero finance background.

Set up automatic transfers from your personal checking account into your retirement fund. Try to max out this account if possible.

That’s it! It’s pretty simple to get your retirement savings in place when you are a therapist in private practice.

To Review

Here are the five things you need in place to track finances in private practice:

  1. Credit card processing system

  2. Bookkeeping system

  3. Payroll system

  4. Quarterly tax saving plan

  5. Retirement saving plan

Now go get that money!

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JULIE GOLDBERG is the founder of Third Nature Therapy, a virtual therapy group offering holistic mental health care for people seeking a different perspective on wellbeing. As a co-founder of PREMADE and mental health practitioner herself, she offers straightforward and easy to implement methods for running a successful private practice.

Julie Goldberg

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How to keep track of finances in private practice - Philadelphia & Denver - Third Nature Therapy (2024)

FAQs

How to manage finances in private practice? ›

Keeping Your Practice Finances Separate

In other words, have separate bank accounts, tracking, etc. Then you pay yourself just like getting a paycheck from a job (more on this later.) One of the best ways to do this is to simply have a separate checking account that you use to manage the money for your practice.

What is a good profit margin for a private practice therapist? ›

Therapy practices generally have an average gross margin in the range of 60% to 80%.

Can you write off therapy as a business expense? ›

How therapy can qualify as a business expense. To qualify as a business expense, the therapy must be directly related to your business. For example, if you are a therapist, you can deduct the cost of your own therapy sessions because it helps you to be more effective in your work (duh).

What are 5 personal finance strategies? ›

Smart personal finance involves developing strategies that include budgeting, creating an emergency fund, paying off debt, using credit cards wisely, saving for retirement, and much more. Being disciplined is important, but it's also good to know when you shouldn't adhere to the guidelines.

Which type of therapist makes the most money? ›

Clinical psychology, psychiatry, and industrial-organizational psychology typically offer the highest earning potential in the field of psychology. However, income can vary based on factors like location and experience.

What is the most a private practice therapist can make? ›

Private Practice Therapist Salary in California
Annual SalaryMonthly Pay
Top Earners$119,908$9,992
75th Percentile$106,100$8,841
Average$89,887$7,490
25th Percentile$81,900$6,825

How to make $200K as a therapist? ›

To make $200k per year you'd need to make $769.20 per day 5 days a week with no holidays and that's before tax. You can make that in a day seeing 5 clients at $155 an hour. If you can pull that in at 30 hours a week, you can make over $200K.

How do you cut costs in private practice? ›

Eight Tips for Trimming Your Practice Expenses
  1. Set and Follow a Budget. ...
  2. Evaluate Your Rent or Mortgage Expenses. ...
  3. Seek out Better Rates for Communication Services. ...
  4. Don't Pay Full Price for Office Equipment. ...
  5. Maximize Your Tax Deductions. ...
  6. Review Your Staffing Needs. ...
  7. Rethink — Don't Eliminate — Your Marketing Efforts.

Why are physicians leaving private practice? ›

“The AMA analysis shows that the shift away from independent practices is emblematic of the fiscal uncertainty and economic stress many physicians face due to statutory payment cuts in Medicare, rising practice costs, and intrusive administrative burdens,” AMA President Jesse M.

What are the three most favorite duties of a practice manager? ›

Although their responsibilities depend on the size of the medical practice where they work, practice managers implement the policies and procedures that keep the medical office running smoothly. They are often responsible for staffing and scheduling, ensuring compliance with regulations, and managing the revenue cycle.

Can therapists write-off unpaid invoices? ›

For a therapy practice billing its clients, bad debt in the form of unpaid bills will typically appear on the books as receivables that cannot be collected. In that case, the amount of bad debt your business is dealing with is relatively small, so you may wish to use the “direct write-off method.”

Is therapy an IRS qualified medical expense? ›

For example, an amount paid for therapy to treat a diagnosed mental illness is a medical expense, but an amount paid for marital counseling is not.

What is the IRS allowable medical expenses? ›

You can deduct on Schedule A (Form 1040) only the part of your medical and dental expenses that is more than 7.5% of your adjusted gross income (AGI). This publication also explains how to treat impairment-related work expenses and health insurance premiums if you are self-employed.

How do you create a budget for private practice? ›

Tips to build a budget for your therapy practice
  1. Track your expenses competently.
  2. Use benchmarks while creating your budget. ...
  3. From time to time, compare the actual finances with your budget. ...
  4. Maximize your tax deductions. ...
  5. Review your personnel needs. ...
  6. Scale your budget as you grow.
Feb 29, 2024

What is the trick to managing personal finances? ›

Pay your bills on time every month.

Paying bills on time is an easy way to manage your money wisely, and it comes with excellent benefits: It helps you avoid late fees and prioritizes essential spending. A strong on-time payment history can also lift your credit score and improve your interest rates.

How do you practice financial self care? ›

6 Tips for Practicing Financial Self-Care
  1. Pay Yourself First.
  2. Treat Yourself.
  3. Invest for Retirement.
  4. Pay Off Debt.
  5. Look for Money Leaks.
  6. Keep Learning About Finance and Credit.
Sep 19, 2023

What is the best way to take control of your finances? ›

7 Steps for Taking Control of Your Finances
  1. Create a Budget. A budget starts with an inventory of your income and where you're spending it. ...
  2. Build a Financial Safety Net. ...
  3. Pay Off Debt. ...
  4. Invest in Your Future. ...
  5. Take Advantage of Tax Breaks. ...
  6. Automate Your Savings.
Jul 25, 2022

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