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Truswork

Behavioral health finance has its own logic — payer mix, authorization, and clinical hours all behave differently than typical service businesses. We bring you accounting and payroll built for it.

The engagement, in shape
  • 01

    Behavioral-health-aware bookkeeping and reporting

  • 02

    Multi-state payroll, taxation, and benefits coordination

  • 03

    Cash flow modeling that accounts for payer payment lag

01

Books that explain what is happening, not just what happened

We set up financial reporting that surfaces the metrics behavioral health operators actually need — cost per encounter, payer mix profitability, clinical hour utilization — instead of generic P&L cuts that hide the levers.

02

Payroll that handles credentialing and clinical hours correctly

Behavioral health payroll involves licensure, credentialing, supervision hours, and multi-state taxation. We run payroll the way the program operates — accurately, on time, and audit-ready.

03

Cash flow modeling that respects how payers pay

Payer reimbursement timelines mean cash arrives long after the clinical work. We model that lag explicitly so your program is funded for its actual operating cycle, not its idealized one.

We start every engagement with a working session — no slides, no boilerplate. Tell us where you are, and we’ll show you the shortest credible path to where you want to be.