For counsellors, physiotherapists, chiropractors, massage therapists and small clinics. Your books done the day you upload your statements, for $79 a month.
Free to join. The first 1,000 in get their catch-up free.
Sales tax
Ohio's sales tax is 5.75%, and cities and counties add their own, about 7.29% in all on average. If what you sell is taxable, you collect it and file returns with the state.
State income tax
Ohio taxes income over $26,050 at 2.75%, including the profit from your business.
Federal tax
Working for yourself, you pay 15.3% self-employment tax on most of your profit, plus federal income tax, usually in four estimated payments: April 15, June 15, September 15 and January 15.
Contractors
Paid a contractor $2,000 or more in 2026? Send them a 1099-NEC by January 31.
What every business here keeps track of in 2026. Rates change, so check with your accountant before you file.
Why therapists and clinics need different books
Payments from clients, insurers and sometimes the government, each on its own schedule, plus practitioners paid as staff or associates and rent shared between rooms. Sales tax works differently for health services, which trips up a lot of books.
What a bookkeeper for therapists and clinics in Ohio keeps track of
Payments from clients, insurers and benefit plans
Associates' pay or splits
Rent and shared costs
Continuing education and licensing
Sales tax rules for health services
Taxes for therapists and clinics in Ohio
Health services usually aren't taxed in Ohio; products you sell may be.
Health services usually aren't subject to sales tax.
Associates you pay as contractors $2,000 or more in 2026 need a 1099-NEC.
Payments from insurance companies can come with their own 1099s.
What SumSwift does for therapists and clinic owners, for $79 a month
Exempt sales handled, with GST/HST credits only on the share of costs that's for taxable sales
Insurer and government payments sorted, including OHIP, MSP and RAMQ remittances for physicians
Associates' payments and slips
Invoices made, emailed and chased in SumSwift, with a pay link your customers can use
Every statement checked against the balances your bank printed, to the cent, with personal spending kept off your profit
A year-end package and free access for your accountant
Up to 3 accounts included. Prices in USD. Your accountant still files your tax return, with clean books and free access.
Questions.
How much does a bookkeeper for therapists and clinics cost in Ohio?
Published price guides put most small businesses at $300 to $1,500 a month for a bookkeeper, more when the books are busy, as they often are for therapists and clinics. SumSwift does the monthly work for $79 a month, the day you upload your statements.
Can you handle insurance payments?
Yes. Payments from insurers and benefit plans are matched and sorted like any other income.
Does SumSwift know Ohio's tax rules?
Health services usually aren't taxed in Ohio; products you sell may be. Health services usually aren't subject to sales tax.
Behind on my books. Can you catch me up?
Yes. A catch-up of up to 12 months is $599, once, checked against your bank to the cent.