Healthcare & Behavioral Health

Why Cash-Basis Books Mislead a Behavioral Health Practice — and What a Real Close Looks Like

Most behavioral health practices keep their books on a cash basis: revenue when the deposit lands, expenses when the bill is paid. It is simple and it is what many small-business accountants default to. It is also the reason so many owners cannot answer the question "how did we do last month?" with any confidence — because the cash-basis answer describes when payers happened to pay, not what the practice did.

The two distortions

First, timing. A session delivered in March is paid in April or May depending on the payer. Cash-basis revenue for March reflects January and February sessions; a strong month of clinical work can look weak, and a slow month can look strong. Second, collectability. Cash-basis books never record the sessions that were delivered and will not be paid — denied claims, unpaid patient balances, timely-filing losses. The practice's true revenue per session is invisible, and its receivables are either unrecorded or recorded at face value.

Worked example

A 12-clinician group delivers 2,050 completed sessions in March at an expected net of $111 — $227,600 of earned revenue. March deposits, however, total $198,400, because February was a slow session month and Medicaid is running 60 days behind. Payroll for March's sessions is paid in March.

Cash basisAccrual basis
Revenue$198,400$227,600 gross of allowance
Allowance for uncollectible (4.2%)—($9,560)
Net revenue$198,400$218,040
Clinician compensation (March sessions)$121,900$121,900
Other operating expense$58,700$61,300 (incl. accrued malpractice, unpaid vendor invoices)
Operating result$17,800$34,840
Operating margin9.0%16.0%

Illustrative figures for a hypothetical practice; not a client's data.

The owner looking at cash-basis books believes March was a mediocre month and may hesitate on a planned hire. The accrual books show a strong month — and also show, for the first time, that 4.2 percent of what the practice earns is never collected, a number worth $115,000 a year that nobody was managing.

What a real close includes

  • Revenue recognized by date of service from the practice management system, reconciled to claims submitted and to cash received.
  • An allowance for uncollectible receivables, by payer and age, updated monthly from actual collection history.
  • Clinician compensation accrued to the sessions that generated it, including bonuses earned but not yet paid.
  • Expenses accrued when incurred: unpaid invoices, insurance and software prepayments amortized, rent straight-lined.
  • Balance sheet reconciliations: bank, credit cards, payroll liabilities, deferred revenue on any prepaid packages, patient credit balances.
  • A close calendar with owners and a target — business day seven to ten is achievable for a practice of this size.

Why buyers and lenders insist on it

A lender sizing a line of credit and a buyer performing quality-of-earnings both rebuild the practice's results on an accrual basis. A practice that already keeps them that way is credible on day one; a practice that hands over cash-basis books spends the diligence period explaining, and usually loses value doing it.

What we would do in the first 30 days

  1. Map the practice management, billing, and accounting systems; confirm session-level data can be exported by date of service.
  2. Rebuild the last three months on an accrual basis alongside the cash-basis books to show the owners the difference.
  3. Compute the allowance rate by payer and age from twelve months of remittance data.
  4. Design the close calendar, reconciliation checklist, and owner for each step.
  5. Run the first full accrual close for the current month and present both views side by side one final time before retiring the cash-basis report.

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