💬 Personal support all year — monthly Zoom check-ins keep you connected and confident about your numbers.

🎯 Niche expertise — we specialize in therapy and healthcare bookkeeping, so you don’t have to explain the details of your practice.

🎓 Built by a clinician — founded by a licensed speech-language pathologist who understands the realities of private practice.

💵 Simple, flat pricing — clear monthly rates with no surprises.

📊 Reports you can actually understand — practical insights you can use, not confusing spreadsheets.

🤝 Friendly communication — quick responses and a partner who cares about your success.

We know the unique financial challenges of therapy-based practices, from managing insurance reimbursements to tracking continuing education expenses.

Our clients include:

No hidden fees. No confusing hourly rates. Just straightforward monthly support from a licensed clinician and certified bookkeeper.

📌 All packages include monthly Zoom check-ins to keep your books accurate and give you clear financial insight year-round.

The Growth package adds deeper planning and readiness support for owners who want proactive budgeting and stress-free tax season. Quarterly budget reviews and year-end CPA coordination require enrollment in the Growth package for the full quarter or full tax year, respectively.

Hi, I’m Lee Ann, the founder of PracticeLedger. Before becoming a certified bookkeeper, I spent years working as a licensed speech-language pathologist. I know firsthand how much energy it takes to care for clients and manage a caseload, and that's not even taking into account all the things required to keep the business side of a practice running.

I started PracticeLedger because I saw how many therapists were burning out, not because of client work, but because of endless spreadsheets, late-night reconciliations, and tax-season stress. My goal is simple: to take that weight off your shoulders so you can focus on your clients, your growth, and your life outside of work.

When we work together, you’re not just hiring a bookkeeper. You’re gaining a partner who understands the unique challenges of therapy-based practices and who will keep your finances organized, clear, and stress-free all year long.