02 · Accounting & Bookkeeping
Smart financial management for modern ABA clinics.
We bring accrual-basis accounting and the future of bookkeeping to your clinic. Our AI-powered system combines automation, accuracy, and expert oversight to deliver clean, reliable, real-time financial data, books that are up-to-date, audit-ready, and strategically useful, so you can focus on care, not spreadsheets.
- Insurance depositRevenue+$18,420
- PayrollWages−$31,050
- Therapy suppliesMaterials−$1,240
- Office rentFacilities−$8,500
What's Included
Everything it takes, handled.
Automated bookkeeping enhanced by expert oversight, ensuring accuracy, efficiency, and real-time insights to guide smarter financial decisions.
Every piece below is handled end to end by our team — no gaps, no hand-offs, nothing left for you to chase. One partner, one accountable system, built around how ABA practices actually run.
Starting investment. Scales with transaction volume and the complexity of your practice.
Automated Transaction Management
Income and expenses are captured and categorized automatically, no long hours, delayed updates, or costly manual mistakes.
Real-Time Reconciliation
With real-time bank and payment reconciliations, you always know your true cash position.
Customized Financial Dashboards
Visual dashboards provide instant insight into revenue, expenses, and trends across your practice.
CPA Review & Oversight
Our CPA professionals oversee your books regularly, keeping everything accurate and compliant.
Secure Cloud Storage
All records are encrypted and safely stored in the cloud, accessible whenever you need them.
Accrual-Basis Accounting
Revenue is recorded when sessions are delivered and expenses when they are incurred, so every month's margin is real and your books are lender-ready.
Outcomes
What clinics see when this is handled well.
Accrual Accounting
Why accrual accounting matters for an ABA practice.
Most clinics start on cash-basis books because that is what the software defaults to. Cash books record money when it moves. In ABA, money moves 30 to 90 days after the session, and sometimes never, so cash-basis books describe your bank account, not your practice. Accrual accounting records revenue when the session is delivered and expenses when they are incurred. It is the only way a clinic can see what a month actually earned.
Revenue lands in the month you earned it
Sessions delivered in March are March revenue, whether the payer remits in April or June. Your monthly P&L stops swinging with payer timing and starts showing real margin, so you can tell whether a slow month was a care problem or a collections problem.
Receivables become visible
On cash books, an unpaid claim does not exist. On accrual books it sits in accounts receivable, aged by payer, so denials, underpayments, and write-offs show up as line items you can act on instead of money that quietly never arrived.
Payroll matches the sessions it delivered
RBT and BCBA wages are your largest expense, and they accrue every hour worked. Accrual books match those hours to the revenue they produced, so gross margin per client, per payer, and per location is a real number rather than a guess.
It is the language lenders and buyers speak
Banks, private equity buyers, and quality-of-earnings reviewers convert cash books to accrual before they will value a practice. Keeping accrual books from the start means your numbers are ready when a loan, a partnership, or an exit is on the table.
- Revenue recorded in March
- Cash basis$112,000, whatever payers happened to remit
- Accrual basis$180,000 at contracted rates, the sessions actually delivered
- Unpaid claims
- Cash basisNot on the books
- Accrual basis$68,000 in accounts receivable, aged by payer
- March payroll
- Cash basisTwo or three pay runs, depending on the calendar
- Accrual basisEvery hour worked in March
- Gross margin for the month
- Cash basisUnknowable
- Accrual basisA real number you can manage
Illustrative: a clinic that delivered $180,000 of sessions in March.
Who runs your books
Lakenya Bills, CPA, MBA
Managing Partner & Controller
- CPA, MBA
- 25 years in accounting & finance
- Private-equity controller
- M&A due diligence & integrations
Lakenya Bills, CPA, MBA, is Managing Partner and Controller at Bounce Back Financial, and she runs the accounting side of every engagement. She spent 25 years inside private-equity-backed companies and large healthcare systems, where accrual books are not optional. Investors read the monthly close line by line, and the controller answers for every variance.
Her career covers the full private-equity playbook: financial planning and analysis, budgeting and forecasting, variance analysis, due diligence on acquisitions, and integrating acquired companies onto one set of books. That is the standard buyers apply when they value a healthcare business, and it is the standard she applies to a clinic's books whether it has one location or ten.
For a founder-led ABA practice, that means books built the way a private-equity owner would build them: accrual-basis, closed on a schedule, and reported in a way that tells you where the practice is going, not just where the cash went.
Questions
Asked by founders like you.
Anything we didn't cover? Bring it to the strategy call, no pressure, no jargon.
Do we have to switch accounting software?
Almost never. We work on top of the tools you already use, QuickBooks Online and the platforms common in ABA practices, and layer automation and CPA oversight over them.
What does the AI actually do?
It captures and categorizes every transaction, reconciles bank and payment activity in real time, and flags anything unusual. Our CPA team reviews the output regularly, automation does the busywork, humans own the judgment.
How fast do our books close each month?
Days, not weeks. Most clinics are close-ready within ten days of month end, which means your dashboards and reports reflect reality while it's still actionable.
Is our financial data secure?
Yes. Records are encrypted in transit and at rest, stored in the cloud with access controls, and handled with the same care your clinical data demands.
Related Reading
Keep Exploring
Other ways we help clinics grow.
Let's Get Started
Ready to build financial clarity?
Let's show you exactly where your clinic can improve cash flow, profitability, and operational performance.