Pediatric Therapy Clinic Bookkeeping & Accounting
Fairlight CPA handles bookkeeping, payroll, and tax for pediatric therapy clinics — speech, occupational, and physical therapy practices juggling insurance families, school contracts, and therapist schedules built around small humans. We keep revenue by service line and therapist economics clear every month.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems pediatric therapy practices actually have
Three revenue lanes, three behaviors
Insurance sessions, private-pay families, and school or district contracts each bill, pay, and lag differently. One blended revenue line tells you almost nothing.
Evaluations and treatment aren't the same product
Evals bill higher, take longer, and feed the treatment pipeline. Clinics that can't see eval-to-treatment conversion are flying blind on growth.
Cancellations hit harder with kids
Sick kids, school events, seasonal waves — pediatric no-show patterns are brutal on utilization. The cost of an empty slot needs to be a number, not a feeling.
School contracts pay on district time
District invoices, purchase orders, and summer gaps create receivables and cash valleys that need their own planning lane.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how pediatric therapy practices actually make and spend money.
- Revenue by service line — insurance, private-pay, and school contracts tracked separately
- Therapist-level productivity and comp reporting across SLP, OT, and PT staff
- Monthly close by the 15th with AR aged by payer and district
- Payroll including part-time and per-session therapist arrangements
- Business and personal tax prep, quarterly estimates, and CFO reporting for clinic expansion
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
Revenue per therapist hour
collections against clinical hours by discipline — the staffing math
Cancellation/no-show rate
empty-slot cost made visible, by season and by day
School-contract AR
what districts owe and how old it is, apart from insurance AR
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile insurance remittances, family payments, and district checks to the session schedule monthly — three lanes, one bank feed, no blur — alongside whoever runs your billing.
Tax & entity
Summer programs, evaluation equipment, and sensory-gym buildouts create uneven spending; we time purchases and estimates so the tax bill follows the clinic's real seasonality.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Pediatric Therapy accounting FAQs
Our district pays 60+ days late — can books help?
They can make it manageable: district AR aged separately, cash forecast that plans for the lag, and clean invoicing records that speed up follow-through with the district office.
Can you split economics by discipline?
Yes — speech, OT, and PT lines each get their own revenue and therapist-cost view, so you know which service line to grow next.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $800/month. Exact fee fixed in writing after a short call.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for pediatric therapy practices.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.