Every dollar that moves through your practice needs a home. When your bookkeeper sorts a transaction into a category, they are building the financial picture that powers your reports, your tax filing, and your sense of where your money is going.
Knowing what each category means helps you read your own books with confidence and spot anything that looks off.
What is a chart of accounts?
Your chart of accounts is the full list of categories your bookkeeper uses to sort every transaction. Think of it as the labeled drawers where your money gets filed.
Below is what each category covers, along with a few real examples so you can see where your transactions fall.
Why categories matter for your taxes
Your bookkeeping team categorizes with tax compliance in mind. The IRS only counts expenses that are ordinary and necessary for your practice. Careful categorization keeps your owner's distributions accurate, lowers your audit risk, and keeps personal items off your profit and loss so your quarterly estimates stay reliable. A handful of categories trip people up most often, and the callouts below flag them as you go.
Income
This is the money coming into your practice.
| Category | What it covers | Example transactions |
|---|---|---|
| Therapy Income | Session revenue, whether cash pay or insurance | A client's $150 cash-pay session payment; an insurance reimbursement from Aetna; a superbill payment from a client |
| Supervision Income | Clinical supervision or consultation you provide | A supervisee's monthly payment for supervision hours; a consult fee from another clinician |
| Consulting Income | Speaking, workshops, and consulting | A corporate wellness workshop fee; a practice-building coaching call you led |
| Teaching Income | CEU or group teaching income | An honorarium for leading a CEU training; payment for teaching a graduate seminar |
| Provider Income | Revenue from associate or employed providers | Income generated by an associate clinician on your team; revenue from a contracted provider seeing clients under your practice |
| Speaking Income | Public or professional speaking events | A keynote fee at a mental health conference; a panel honorarium |
| Retail Income | Retail sales such as supplements, creams, or orthotics | A supplement sale at the front desk; orthotics sold to a client (common for massage and chiropractic practices) |
| Other Income | Miscellaneous income that does not fit elsewhere | A vendor rebate; a small grant; a reimbursement with no clear home |
| Client Discounts / Refunds | Discounts and refunds given to clients (not sliding-scale fees or pro bono sessions) | A discount applied to a client's bill; a refund for a cancelled package or an overpayment |
| Interest Income | Interest earned on deposits | Interest on your business savings account; interest from a money market account |
| Uncategorized Income | A temporary holding spot for income still being researched | A deposit your bookkeeper is confirming the source of before sorting it |
| Diagnostic Service Revenue | Revenue from imaging or diagnostics | Payment for an X-ray or diagnostic assessment (common for chiropractic practices) |
| Package / Membership Income | Prepaid or recurring service packages | A prepaid 10-session massage package; a monthly membership plan for recurring care |
Provider Income vs. Owner's Investment
Income you earn for services and deposit into a business account is Provider Income. Money you move in to keep the practice running, such as covering operating costs, is recorded as Owner's Investments, not income. One watch-out: if you deposit earned income into your personal account first and then move it to the business, it can look like Owner's Investments. Leaving a note that it is income keeps your total earnings from being understated. W-2 income you earn outside your practice or from your S Corporation doesn't belong in your books; record only the 1099 income your practice generates.
Payroll and compensation
If you are an S Corporation and have employees or pay contractors, record those costs, along with related taxes and benefits, here.
| Category | What it covers | Example transactions |
|---|---|---|
| Payroll: Salaries & Wages | Employee payroll | Your W-2 office manager's biweekly paycheck; salary for an employed associate therapist |
| Payroll: Contractors | 1099 clinicians or staff | A payment to a contract clinician; payment to a contracted intake coordinator |
| Payroll: Payroll Taxes | Employer tax obligations | The employer share of Social Security and Medicare; federal unemployment tax (FUTA) on payroll |
| Payroll: Employee Benefits | Health and other employee benefits | An employer-paid wellness stipend for staff; a non-insurance benefit |
| Payroll: Deferred Compensation | Retirement or deferred pay | A contribution to an employee's deferred compensation plan |
| Payroll: Workers Compensation | Workers' comp insurance | Your workers' compensation insurance premium |
| Payroll: SUTA Expense | State unemployment | State unemployment tax on your payroll |
| Payroll: Reimbursable Expenses | Expense reimbursements run through payroll | Reimbursing an employee for a work purchase via payroll |
| Payroll: Health Insurance | Medical premiums for staff | Employer-paid medical premiums for an employee |
| Payroll: Dental Insurance | Dental premiums for staff | Employer-paid dental premiums for an employee |
| Payroll: Vision Insurance | Vision coverage for staff | Employer-paid vision premiums for an employee |
| Payroll: Life Insurance | Life insurance premiums for staff | Employer-paid group life insurance for an employee |
| Payroll Expenses: Fees | Payroll processing costs | Your monthly Gusto payroll fee; per-employee payroll charges |
Health, dental, and vision insurance for sole proprietors
The Payroll insurance categories above are for premiums you pay on behalf of W-2 employees. If your practice is a sole proprietorship, your own health, dental, and vision insurance are personal expenses, so they stay off your profit and loss. You can still claim the self-employed health insurance deduction on your personal tax return. For how this works, see How do health insurance premiums impact Sole Proprietor taxes?.
Operating expenses
These are the everyday costs of running your practice.
Marketing, education, and professional services
| Category | What it covers | Example transactions |
|---|---|---|
| Advertising and Marketing | Ads, SEO, and marketing services | A Psychology Today directory listing; Google Ads spend; a marketing agency invoice |
| Dues & Subscriptions | Professional memberships | Your APA, ACA, or AMTA membership; a state association fee |
| Testing & Reference Materials | Clinical tools and reference materials | A DSM-5-TR purchase; assessment tools or clinical workbooks |
| Continuing Education | CEUs, training, and conferences. See What counts as a continuing education expense?; graduate degrees and student loan payments follow different rules. | A CEU course registration; a conference ticket |
| Professional Development | Skill-building courses | A practice-building course; a business skills workshop |
| Professional Fees | Consultants and professional services | A practice consultant's fee; a fractional operations engagement |
| Legal Fees | Legal consultation | An attorney reviewing your client agreement; PLLC formation legal help |
| Accounting Fees | Bookkeeping or tax prep | A CPA's tax preparation fee; bookkeeping service costs |
Space, utilities, and technology
| Category | What it covers | Example transactions |
|---|---|---|
| Rent and Lease | Clinic rent or office lease | Your monthly office rent; a coworking therapy room lease |
| Utilities | Electric, water, and similar | The electric bill for your office; the water bill |
| Internet | Internet connectivity | Your office internet service |
| Communication Expenses | Phone, text, and virtual platforms | Your business phone line; a HIPAA-compliant texting or telehealth platform |
| Software Services | EHR, scheduling, accounting, CRM | Your SimplePractice or other EHR subscription; scheduling software; a client CRM |
Insurance
| Category | What it covers | Example transactions |
|---|---|---|
| Insurance: Professional Liability | Malpractice or professional coverage | Your malpractice insurance premium |
| Insurance: General | Business insurance coverage | A general business liability policy |
| Insurance: Property | Office or building coverage | Coverage for your office contents or building |
| Insurance: Auto | Business vehicle insurance | Auto insurance for a vehicle used in your practice |
Office, equipment, and upkeep
For purchases, the $2,500 capitalization threshold is applied per item, not per receipt total. An item under $2,500 is recorded as an expense immediately. A single item at or above $2,500 is tracked as an asset on your balance sheet and depreciated over time (more on that in the balance sheet section below). A receipt totaling more than $2,500 but made up of individually smaller items stays an expense.
| Category | What it covers | Example transactions |
|---|---|---|
| Office Expenses | Supplies, cleaning, and similar | Tissues, pens, and printer paper; cleaning supplies; waiting-room coffee |
| Computer: Hardware < $2,500 | Computers under the threshold | A new laptop; a tablet for telehealth |
| Equipment < $2,500 | Smaller tools and equipment | A white-noise machine; a small office printer |
| Furniture < $2,500 | Chairs, tables, and decor | A client chair; a desk; waiting-room decor |
| Maintenance & Repair | Routine office repairs | Fixing a leaky office sink; servicing the HVAC |
Travel, meals, and transportation
| Category | What it covers | Example transactions |
|---|---|---|
| Auto Related Expenses | Mileage, gas, and tolls for business | Gas for driving between office locations; mileage for client home visits |
| Parking & Tolls | Parking or tolls while traveling | Parking at a conference; tolls driving to a satellite office |
| Travel Expenses | Travel for work or training | A flight and hotel for a training; a rideshare to a conference |
| Meals & Entertainment | Business meals and client entertainment | A meal with a referral partner where you discuss business; a working lunch at a conference; entertaining a professional contact |
| Uniforms & Laundry | Laundry service, uniforms, and linens | Laundering massage linens; clinic uniforms or scrubs |
Auto Related Expenses: business use only
If you use your personal vehicle for your practice, only the business-use percentage of your auto costs is deductible, not the full bill. Heard collects details about your vehicle use during annual tax filing to work out that percentage. If a vehicle is owned under your business name, you can upload the registration documents to Heard. For the rules on buying or leasing a vehicle through your practice, see If I buy a car for my business, can I use it as a tax write-off?. For a deeper dive, see Heard's guide Deducting business mileage.
Meals & Entertainment vs. a personal expense
A meal counts as a business expense only when it is directly tied to conducting business, like a meal with a client, colleague, or professional contact where business is discussed. A coffee on your own lunch break is personal, so it is recorded as an Owner's Distribution rather than a business meal. For what qualifies, see What counts as a business meal?. For S corporations, business travel and related costs are typically claimed as a reimbursement under an Accountable Plan.
Uniforms & Laundry: what qualifies
This category is narrow. It covers work-specific clothing, uniforms, and protective gear required for your work that are not suitable for everyday wear. Examples may include scrubs, gloves, masks, other PPE, or clothing specifically designed or branded for your practice.
Business branding is not required for an item to qualify. The key is that the clothing or protective gear is required for the work and is not suitable for ordinary everyday use. Everyday clothing that can be worn outside of work, such as suits, business attire, or regular shoes, is personal and does not belong here.
The cost of cleaning and maintaining qualifying work clothing can also be included.
Fees, giving, and compliance
| Category | What it covers | Example transactions |
|---|---|---|
| Bank Service Charges | Banking and transaction fees | A monthly business account maintenance fee; a wire transfer fee |
| Credit Card Merchant Fees | Card processing fees | Stripe or Square processing fees on client payments |
| Charitable Donation | Philanthropic giving | A donation to a mental health nonprofit from your practice |
| Gifts | Client or employee gifts | A welcome gift for a new hire; a thank-you gift for a referral partner. Business gifts are deductible only up to $25 per recipient per year. You can give what you like; anything above $25 to the same person is not deductible. |
| Business Fees, Licenses & Permits | Registration and license renewals | Your state license renewal; LLC or PLLC annual registration; a local business permit |
| Account Verification & Service Fees | Account validation and service charges | A micro-deposit verification charge; an account validation fee |
| Commissions & Fees | Commissions and finder's fees | A referral commission; a finder's fee |
| Postage & Freight | Mailing and shipping | Mailing client records; shipping supplies |
Charitable Donations
Only donations to registered 501(c)(3) organizations are tax deductible. Even then, charitable donations are not deducted when calculating your practice's net profit; they are handled elsewhere on your tax return. For that reason, they are kept off your profit and loss statement.
One common question: donating your time or offering free or pro bono services is not a tax write-off, even though it is generous. Only money or goods you give to a qualifying charity can count. See Can I write off pro bono work? for more.
Fees on personal accounts
For any account marked personal, Heard does not bring bank service charges, ATM fees, or card merchant fees into your books.
Loans, depreciation, and taxes
| Category | What it covers | Example transactions |
|---|---|---|
| Depreciation Expense | Depreciation on fixed assets | The yearly depreciation recorded on equipment over $2,500 (a non-cash entry your bookkeeper makes) |
| Loan Repayment | Business loan principal and interest (only the interest portion is deductible) | A monthly payment on a business loan |
| Loan Repayment: Car | Vehicle loan payments (only the interest portion is deductible) | A monthly payment on a business vehicle loan |
| Interest Expense | Interest on business debt | The interest portion of a loan payment; interest on a business credit card balance |
| Taxes: City/Local Taxes | Local taxes | A city business tax; a local gross-receipts tax |
| Taxes: State Franchise Tax | Franchise or entity taxes | Your state's annual franchise tax, such as California's $800 LLC tax |
Where your tax payments go
Federal and state income tax payments are not business expenses because the tax is owed by you as the individual taxpayer, not by the practice. So these payments are recorded as an Owner's Distribution and kept off your profit and loss.
City, local, and state franchise or business taxes are different: those are recorded under Taxes: City/Local Taxes or Taxes: State Franchise Tax. Because these can show up in a few different forms, please upload a receipt to Documents > Taxes so your bookkeeper can confirm the tax type and categorize it correctly.
Therapy-specific and clinical costs
| Category | What it covers | Example transactions |
|---|---|---|
| Psychotherapy Fees | Your own therapy for professional development | Seeing your own therapist to support your clinical work |
| Clinical Supervision Fees | Payment for clinical supervision you receive | Payment to your own clinical supervisor; a consultation group fee |
| Therapy Animal: Certifications & Training | Certification and training for animal-assisted therapy | Certification for a therapy dog; handler training |
| Therapy Animal: Veterinary & Vaccination | Animal care and health | Vet visits and vaccines for your therapy animal |
| Therapy Animal: Liability Insurance | Coverage for therapy animals | An insurance policy covering your therapy animal |
| Other Expenses | A catch-all for costs that do not fit elsewhere | A one-off expense your bookkeeper cannot file under another category |
Other Expenses: use sparingly
Other Expenses is a catch-all for business costs that truly fit nowhere else, and it draws close attention during a tax audit, so your bookkeeper should use a specific category whenever one fits. A transaction lands here only when needed, usually with a note explaining it. If a cost is non-business, or its purpose cannot be confirmed, record it as an Owner's Distribution instead. For S corporations, personal expenses automatically fall under Owner's Distribution.
Practice-specific supplies
These categories apply to specific practice types beyond talk therapy.
These categories apply to specific practice types beyond talk therapy.
| Category | What it covers | Example transactions |
|---|---|---|
| Massage Oils & Supplies | Consumables like oils, creams, and lotions | Massage oils and lotions; disposable face-cradle covers |
| Chiropractic Supplies | Equipment parts, table paper, and electrodes | Table paper; electrodes; replacement parts for adjusting tools |
| Medical Supplies | Clinical consumables | Gloves, alcohol wipes, syringes, and saline |
| X-ray & imaging fees | Imaging and diagnostics | Costs for imaging or diagnostic services |
Accountable plan reimbursements
An accountable plan is a formal arrangement for S Corporations that lets your business reimburse you for the business-use share of certain personal costs, such as a home office or personal cell phone, without that reimbursement counting as taxable income. These categories track those reimbursements.
| Category | What it covers | Example transactions |
|---|---|---|
| Accountable Plan: Rent | Business-use share of home office rent | A reimbursement to you for the business portion of home rent |
| Accountable Plan: Utilities | Business-use share of home utilities | A reimbursement for the business portion of home utilities |
| Accountable Plan: Internet | Business-use share of home internet | A reimbursement for the business portion of your home internet |
| Accountable Plan: Cellular & Communication | Business-use share of your phone | A reimbursement for the business portion of your personal cell phone |
| Accountable Plan: Mileage Reimbursement | Business miles in your personal car | A reimbursement for business miles driven in your personal vehicle |
| Accountable Plan: Travel Expenses | Business travel you paid personally | A reimbursement for a conference trip you paid out of pocket |
| Accountable Plan: Repairs & Maintenance | Business-use share of home repairs | A reimbursement for the business portion of a home office repair |
Balance sheet categories
Not every transaction is income or an expense. Some move money between your own accounts, track what you own, or track what you owe. These show up on your balance sheet, not your profit and loss.
This is where a few common surprises live: a transfer between your accounts or a payment toward your credit card looks like activity, but it is not income or a new expense. Here is the thing: those expenses were already recorded when you made the original purchases.
Assets: what you own
| Category | What it covers | Example transactions |
|---|---|---|
| Cash, Checking Account | Your business checking | The balance and activity in your business checking account |
| Cash, Savings Account | Your business savings | The balance in your business savings account |
| Account Receivable | Unpaid invoices | A client invoice you have sent but not yet collected; an insurance claim billed but not yet paid |
| Money Transfer | Internal cash transfers | Moving money from checking to savings; a transfer between two business accounts |
| Loans to Shareholder | Owner loans receivable | Money your business lends to you as the owner |
| LT Securities (Bond Investment) | Long-term investments | A bond or long-term investment your practice holds |
Money Transfer vs. Owner's Distribution vs. Owner's Investments
These three look similar but mean different things:
- Money Transfer: moving money between two business accounts.
- Owner's Distribution: moving money from a business account to a personal account for personal use.
- Owner's Investments: moving money from a personal account into the business to keep the practice running.
Keeping personal and business activity separate matters most for S corporations, which is why a dedicated business bank account is best practice. Mixing personal transactions into business accounts can raise audit risk and, in serious cases, expose owners to personal liability for the business's debts. See: Why do I need to set up a business bank account as an S corporation?.
Property, plant, and equipment (PP&E) covers the larger assets your practice keeps and uses over several years, including anything at or above the $2,500 threshold. The $2,500 threshold applies per item, not per receipt. A single $3,000 receipt made up of items that each cost less than $2,500 is recorded as an expense, not capitalized. To capitalize an item, your bookkeeper must confirm it is a single item over $2,500, so please upload the receipt to Documents > Taxes.
| Category | What it covers | Example transactions |
|---|---|---|
| Equipment ≥ $2,500 | Large equipment assets | A high-end biofeedback or clinical system over $2,500 |
| Furniture ≥ $2,500 | Furniture over the threshold | A full office furniture set above $2,500 |
| Computer: Hardware ≥ $2,500 | Computer equipment over the threshold | A high-spec workstation over $2,500 |
| Therapy Equipment | Exercise or diagnostic equipment | Treatment equipment used with clients |
| Chiropractic Adjusting Tools | Adjustment tools and tables | An adjusting table or set of adjusting instruments |
| Business Vehicle | A vehicle used for business | A car or van titled to your practice |
| Land | Owned land | Land your practice owns |
| Fixed Asset - Building | An owned building | An office building your practice owns |
| Fixed Asset Improvements - Building | Buildout or improvements | A renovation or buildout of your owned space |
| Accumulated Depreciation | Depreciation tracking | The running total of depreciation recorded against your assets (a contra-asset your bookkeeper maintains) |
Liabilities: what your business owes
A loan or other debt appears on your books only if it is in the business's name. Debts held in your personal name are not recorded as business liabilities.
| Category | What it covers | Example transactions |
|---|---|---|
| Accounts Payable | Vendor balances | A vendor bill you have received but not yet paid |
| Payroll Payable | Outstanding payroll | Wages owed to staff that have not been paid out yet |
| Retirement Payable | 401(k) or IRA withholding | Retirement amounts withheld from pay but not yet deposited |
| Credit Card Payments | Outstanding credit balances | A payment from business checking to your business credit card |
| Loans from Shareholder | Owner loans payable | Money you, the owner, lend to your business |
| Business Loan < 1 year term | Short-term loan obligations | A loan due within a year |
| Mortgage Loan | Current portion of mortgage debt | The current portion of a mortgage on owned property |
| Business Loan ≥ 1 year term | Long-term financing | A multi-year business loan balance |
| Business Vehicle Loan | Vehicle financing | The balance on a loan for your business vehicle |
Credit Card Payments vs. Owner's Investments vs. Owner's Distribution
Who paid whom decides the category:
- Credit Card Payment: a business account pays a business credit card.
- Owner's Investments: you pay a business credit card from a personal account.
- Owner's Distribution: a business account pays a personal credit card, since that is for personal purposes.
A payment to an account or card not connected to Heard is treated as a personal transaction. If you paid for a business expense with a personal card, see How to add business transactions charged to a personal card. Paying the card isn't an expense: the purchases were already recorded when you made them, so counting the payment again would double-count them.
Leased vehicles work differently
If you lease a vehicle, meaning a true lease where you will not own it at the end of the term (not a lease-to-own), only the business-use share of the lease payments is deductible, and only under the actual-expense method, so the full payment is not always deductible. For higher-value leased vehicles (fair market value over $62,000 at lease start for 2025), the IRS lease inclusion amount slightly reduces the deductible amount each year, and that threshold is set annually. Your tax team handles the specifics at filing.
Equity: your stake in the business
| Category | What it covers | Example transactions |
|---|---|---|
| Owner's Distribution | Owner draws | Money you take out of the business for yourself |
| Owner's Investments | Capital contributions | Personal money you put into the business |
| Retirement Contribution | Retirement deposits | A deposit to your SEP-IRA, Solo 401(k), or other retirement account |
| HSA Contribution | Health savings account contributions | A contribution to your health savings account |
| Retained Earnings | Accumulated profit or loss | The profit your practice has kept over time |
Owner's distribution vs. paying yourself a salary
An owner's distribution is a draw: money you take out of the business for yourself, tracked under equity. For sole proprietors, this is how you pay yourself; see How to Pay Yourself as a Sole Proprietor. A salary runs through payroll as W-2 wages, which generally applies if your practice is taxed as an S corp; if so, see How do I set a reasonable salary, and why is it important?. Which one fits depends on your entity type, so it is worth confirming with a tax professional.
Retirement contributions depend on your entity type
For S corporations, record an owner's retirement contributions under Payroll: Employee Benefits, because an S corp can deduct retirement contributions made through payroll. For sole proprietors, retirement contributions are personal: money moved into or withdrawn to fund a retirement account is recorded as an Owner's Distribution.