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Speech-Language Pathology

Accounting and CFO services for speech therapy (SLP) practices

For SLP practices and teletherapy providers, bookkeeping, tax strategy, payroll, and CFO leadership built around contract and private-pay revenue.

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CPA-led · Nationwide & fully remote · Flat monthly fees
A speech-language therapy conversation

Works with the tools you already use

QuickBooks OnlineGustoADPSimplePracticeTherapyNotes
The Problem

Contract and private-pay revenue needs a specialist

Teletherapy, school contracts, and private-pay each carry different tax and cash-flow implications.

Contract vs private-pay mix

We model district contracts and private-pay so cash flow stays steady.

Teletherapy and multi-state

Remote providers can trigger multi-state payroll and tax. We keep you compliant.

Classification and comp

W-2 vs 1099 for SLPs and CFs, and a defensible owner comp strategy.

What You Get

Everything your SLP practice needs behind the front desk

One integrated, CPA-led team handles the entire business side, so your energy stays on care.

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  • ✓ Monthly bookkeeping and reconciliations
  • ✓ Clear monthly financial statements you actually read
  • ✓ Proactive, year-round tax strategy
  • ✓ S-corp and reasonable-compensation analysis
  • ✓ Full-service payroll and 1099 filings
  • ✓ Clinician classification handled defensibly
  • ✓ KPI dashboards and specialty benchmarking
  • ✓ A dedicated CPA-led team, never a call center
How It Works

From messy books to a real financial partner

A proven path, built around your clinical calendar. Most practices are fully live in 30–45 days.

01

Assess

A free deep-dive into your books, entity, comp, and pain points.

02

Build

We clean up the books, set your chart of accounts, and stand up the compliance calendar.

03

Run

Monthly financials, payroll, and tax filings delivered like clockwork.

04

Grow

Quarterly strategy, benchmarking, and proactive tax planning.

The economics

What we watch in a speech therapy practice

Every specialty has a handful of numbers that decide the year. These are the ones we put in front of you monthly, with the planning ranges we work against.

Speech therapy scorecardPlanning ranges
Clinician cost as a share of revenue50–58%
Sessions per SLP per week25–32
Contract versus private-pay mixTrack separately
Days in accounts receivable30–45
Teletherapy share of sessionsTrack separately
Net collection rate94%+
Operating margin12–22%

Why these three matter most

  • Contract revenue is a different businessDistrict and agency contracts pay on their own calendar, often 45–60 days, and carry different margin. They need their own line.
  • Multi-state teletherapy creates nexusDelivering across state lines can create payroll and income-tax filing obligations you did not intend.
  • What we watch monthlySessions, mix by channel, days in AR by payer, and clinician cost.

These are planning ranges we work against in engagements, not published survey data. Healthy figures vary by payer mix, geography, entity structure and stage — a practice outside a range is not necessarily unhealthy, it is a question worth asking. We benchmark you against your own trend first.

Questions

Speech Therapy practice FAQs

It can trigger multi-state payroll and income tax. We track where your providers work and keep you compliant.
We model both revenue streams so cash flow stays steady even when district contracts pay slowly.
Yes, alongside QuickBooks Online and your payroll platform.
Get Started

Ready for a financial partner who gets SLP?

Book a free, no-pressure practice assessment. We will review your books, entity structure, and tax posture and show you exactly where we would add value. You will speak with a CPA, never a call center.

Book Your Free Assessment →See How It Works
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