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No usable answer was retained for this method.

Here is a comparison of verifiable, publicly listed remote bookkeeping services for your described situation — a solo private-pay/sliding-scale practice, one bank account, no insurance, ~70 monthly transactions:

1. Heard (joinheard.com)

Heard works exclusively with health and wellness private practices, including psychologists, social workers, mental health counselors, MFTs, and more.

A dedicated bookkeeper reviews your books each month and flags anything needing attention.

• Fit: Strong — therapy-only focus, handles private pay and sliding scale.
• Needs confirmation: Published pricing tiers and whether a minimum transaction volume applies.

2. Maxim Liberty (bookkeeping-services.com)

Maxim Liberty offers therapists a dedicated bookkeeper and daily transaction logging from $75/month, billing at $15/hour for actual time worked.

They work from your bank, processor, and payout reports — never your clinical records.

They serve practices across the U.S.

• Fit: Strong — low volume (70 transactions) suits the hourly/flat-rate model well.
• Needs confirmation: Whether the $75/month floor covers 70 transactions or if hours beyond that apply.

3. Busy Bee Advisors (busybeeadvisors.com)

Their remote bookkeeping services are tailored to therapists' specific needs, handling financial management including detailed reporting and transaction categorization.

• Needs confirmation: Pricing, therapy-specific specialization depth, and solo-practice plan availability are not published clearly.

4. Angelo & Associates CPA (angelocpafirm.com)

They specialize in therapists and mental health professionals, understanding income flows from sliding-scale fees to out-of-pocket payments.

They handle bookkeeping so that when tax season arrives, everything is already in order.

• Needs confirmation: Remote availability across all U.S. states and published pricing.

General Fit Note

Virtual bookkeeping handles categorizing transactions, reconciling accounts, and producing monthly statements; for a solo practice with straightforward finances, this level may be all you need. Your single-account, no-insurance setup is simple by industry standards, which is favorable for lower-tier pricing.

Key uncertainties across all providers: None publicly publish explicit per-transaction limits or confirm sliding-scale income categorization workflows. Pricing pages should be verified directly, as they change frequently. CoCountant also appeared in search results as a therapist-focused provider but is self-promotional in sourcing and lacks independently verified pricing — treat with caution.

A few clearly fit a solo U.S. therapy practice with one bank account and low volume, but some conditions need confirmation. The strongest matches from the public pages are Heard, Lucori Bookkeeping, Wellness Fi, TL;DR Accounting, Fortitude Tax USA, and Maxim Liberty[1][2][3][4][5][6].

• Heard: built for therapists/private practice owners and offers done-for-you bookkeeping plus tax support; good fit on specialization, but the page does not spell out minimum transaction limits or whether it is best for very small, private-pay-only practices[1].
• Lucori Bookkeeping: explicitly says it serves therapists nationwide; good fit for U.S. remote service, but the public page does not show package scope, pricing, or whether one-account/low-transaction solo practices are a target fit[2].
• Wellness Fi: serves therapists, counselors, psychologists, and wellness owners across the U.S.; its quarterly bookkeeping is described as ideal for lower transaction volume, which seems aligned with about 70 monthly transactions, but confirmation is needed on whether private-pay-only and one bank account are fully covered[3].
• TL;DR Accounting: says it helps therapists across the U.S. with bookkeeping every month; fit is clear for therapy practices, but the public snippet does not show service limits or explicit solo-practice pricing/volume thresholds[4].
• Fortitude Tax USA: offers checkpoint bookkeeping for clients who do not need monthly financials; this may suit a simple solo practice, but confirm whether quarterly oversight is enough for your reporting needs[5].
• Maxim Liberty: advertises therapist bookkeeping from $75/month and says most solo practices fit the smallest plan; confirm whether that plan still fits 70 monthly transactions and any therapy-specific exclusions[6].

Need confirmation on: monthly vs quarterly cadence, whether insurance reimbursement workflows are excluded, and whether any package assumes multiple accounts or higher transaction counts[1][3][5][6].

No usable answer was retained for this method.

Here is a structured comparison of remote bookkeeping businesses that publicly serve therapists and mental health practitioners in the US, matched against your situation (insurance reimbursements, Headway & Alma payments, ~120 monthly transactions):

1. Heard (joinheard.com)

Heard is described as the only financial platform built specifically for therapists and wellness practitioners, pairing software with a dedicated team of bookkeepers and tax professionals who work exclusively with private practices — covering monthly bookkeeping, quarterly tax estimates, and deductions.

More than 5,000 therapists reportedly use Heard; plans include Essential (solo) and Premium (S corps/group practices), with bookkeeping, taxes, payroll, and banking in one place.

Fit for your situation: Strong — their niche is exactly this. Therapists running practices through Headway, Alma, and similar platforms face a specific bookkeeping challenge: income arrives from multiple sources, each with its own dashboard, payment schedule, and tax form, requiring intentional setup to reconcile at year-end. Heard is positioned to handle this.

Needs confirmation: Whether 120 monthly transactions fall within their base plan's scope, and current pricing.

2. Boomtown Solutions (boomtownsolutions.com)

They explicitly address Headway/Alma bookkeeping nuances — e.g., Headway takes a commission before paying you, so the 1099-NEC reflects net income with no separate fee to deduct.

Alma's monthly membership fee is a deductible expense, but how Alma reports the per-session portion on a 1099 (gross vs. net) is worth confirming with Alma or your tax preparer.

Fit for your situation: High — they publish specific guidance for Headway/Alma practices. Remote service is implied but needs confirmation.

3. CoCountant (cocountant.com)

CoCountant offers controller-led bookkeeping for therapists, with every client's books reviewed by a financial controller, and helps keep clinical and financial data separate for confidentiality compliance.

They also support healthcare tax compliance.

Needs confirmation: Explicit support for Headway/Alma payment reconciliation; pricing tiers for ~120 transactions/month.

4. Virtual Remote Bookkeeper (virtualremotebookkeeper.com)

Plans start at $100/month and serve independent therapists, group practices, and mental health clinics.

They state familiarity with insurance reimbursements and track all payment types including insurance-based transactions.

Needs confirmation: Specific Headway/Alma experience; transaction volume limits per plan.

Key Conditions to Confirm Across All Providers

• Headway/Alma-specific reconciliation: Most platforms treat therapists as 1099 independent contractors, issuing a 1099-NEC per platform — confirm each provider knows how to reconcile multi-platform 1099 income.

• Transaction volume pricing: ~120/month may push you into higher tiers — verify before committing.

• HIPAA compliance of bookkeeping workflows should be confirmed with any provider.

⚠️ Uncertainty note: Published information for Boomtown Solutions' full service scope is limited. Always verify current pricing, transaction limits, and Headway/Alma-specific expertise directly with each provider before engaging.

A few published options appear to fit a U.S. therapy practice with insurance reimbursements, Headway/Alma payments, and 120 monthly transactions, but only one source gives an explicit transaction-volume match. Lucori Bookkeeping says its Growth plan covers insurance reimbursements, multiple payment platforms including Headway and Alma, and up to **150 transactions/month**, which is the closest published fit for your situation[7].

• Lucori Bookkeeping: Published fit for therapists; Growth plan includes insurance reimbursements and Headway/Alma, up to 150 monthly transactions[7]. Condition to confirm: whether it handles your specific insurance workflow and whether “120 transactions” is counted before or after platform batching[7].
• Heard: Explicitly serves therapists and other private practices, but the public result does not confirm Headway/Alma handling or your transaction volume[14]. Confirm fit for insurance-platform deposits and monthly transaction limits.
• RemoteBooksOnline: Says it serves mental health providers and offers flat-rate remote bookkeeping, but the result does not mention Headway, Alma, or transaction thresholds[11]. Confirm platform support and whether insurance reimbursements are included.
• Boomtown Solutions: The article describes bookkeeping setup for therapists using Headway/Alma and insurance reimbursements, but it reads like guidance rather than a clearly marketed bookkeeping package for hire[1]. Confirm whether it offers direct bookkeeping services to U.S. practices.

Important unknowns to confirm: whether each firm supports remote U.S. clients, whether they reconcile net vs. gross Headway/Alma payouts, and whether insurance reimbursements are booked the way your tax preparer expects[1][7].

No usable answer was retained for this method.

Here is a comparison of businesses with publicly documented remote bookkeeping services suited to a small therapy practice needing catch-up and ongoing contractor tracking in the US:

1. Heard (joinheard.com)

Heard offers done-for-you bookkeeping and tax support, working exclusively with health and wellness private practices.

When you join, their bookkeeping team completes catch-up bookkeeping for the current tax year, then categorizes transactions and reconciles accounts monthly.

Their Essential Plan is for solo LLCs/Sole Proprietors; the Premium Plan is for S-Corps or group practices and includes payroll.

There is a one-time setup fee of $99 per month of catch-up bookkeeping required.

⚠️ Needs confirmation: Whether 1099 contractor tracking (vs. payroll employees) is covered under the Essential Plan, and catch-up scope for prior tax years.

2. Grow the Books (growthebooks.com)

They help therapists catch up all the time — whether a month or a year behind — and create a catch-up plan to get you current.

They work with both solo and group practices and adapt bookkeeping as the practice grows.

⚠️ Needs confirmation: Pricing is not publicly published; contractor tracking specifics need direct inquiry.

3. Maxim Liberty (bookkeeping-services.com)

Plans start at $75/month for 5 hours of dedicated bookkeeper time, billed only for actual time worked.

They handle insurance payouts and practice-related bookkeeping without requiring PHI. Catch-up bookkeeping is listed as a service. ⚠️ Needs confirmation: Explicit contractor (1099) tracking and therapy-specific compliance depth.

4. Busy Bee Advisors (busybeeadvisors.com)

Their remote bookkeeping services are tailored to therapists, handling detailed financial management including invoices and accurate transaction categorization.

⚠️ Needs confirmation: Catch-up bookkeeping availability and contractor tracking — pricing is not publicly listed.

5. Virtual Remote Bookkeeper (virtualremotebookkeeper.com)

They offer specialized bookkeeping for psychotherapists and mental health professionals, understanding session-based billing, insurance reimbursements, and expense tracking.

Plans start at $100/month.

⚠️ Needs confirmation: Specific catch-up bookkeeping services and 1099 contractor handling.

Key Conditions Across All Providers

- Solo practitioners have completely different needs than practices with 1099 contractors, so confirm your structure is supported.

- If you use tools like SimplePractice or TherapyNotes, ask whether the bookkeeper integrates with your platform or payment processor.

• Catch-up pricing and scope varies widely and is rarely fully published — direct quotes are essential before committing.

Disclaimer: Pricing and service details may have changed; always verify directly with the provider before purchasing.

A few current remote options appear to fit a small U.S. therapy practice needing catch-up bookkeeping and ongoing tracking for 1–2 contractors: Heard, RemoteBooksOnline, Coast to Coast CFO & Bookkeeping, and Lucori Bookkeeping. Each publishes therapist/mental-health focus and remote nationwide service, but some important limits still need confirmation.[10][1][2][3]

• Heard: Specializes in health and wellness private practices, including therapists and counselors, and says it offers done-for-you bookkeeping plus a catch-up fee structure tied to months of backlog.[10] Confirm whether it will handle contractor tracking/1099s the way you need and whether catch-up covers prior years.[10]
• RemoteBooksOnline: Publishes bookkeeping for mental health providers/therapy clinics nationwide and explicitly says it offers full catch-up bookkeeping plus monthly support.[1] Confirm scope for contractor tracking and whether the “therapy clinics” offering is intended for small solo/group practices.[1]
• Coast to Coast CFO & Bookkeeping: Publishes remote U.S. service, catch-up bookkeeping, and support for therapists/psychologists; it also explicitly mentions contractors and subcontractors in its service mix.[2] Confirm pricing minimums and whether its contractor support includes 1099 preparation or only bookkeeping tracking.[2]
• Lucori Bookkeeping: States it provides bookkeeping for therapists nationwide and offers cleanup/catch-up as a custom-quoted one-time service.[3] Confirm whether ongoing monthly tracking and contractor bookkeeping are included or separate.[3]

No source here clearly proves every service needed for this exact situation, so the safest next step is to confirm backlog size, contractor payroll/1099 handling, and monthly minimums with each provider.[10][1][2][3]