Bookkeeping › New Hampshire › Manchester › Therapist and clinic bookkeeping

Bookkeeping for therapists and clinics in Manchester, NH.

For counsellors, physiotherapists, chiropractors, massage therapists and small clinics. Your books done the day you upload your statements, checked against your bank, for $79 a month.

Free to join. The first 1,000 in get their catch-up free.

Sales tax

New Hampshire has no sales tax, so there's none to collect on your sales.

State income tax

New Hampshire has no state income tax on your business profit.

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 in Manchester (about 120,000 people) keeps track of in 2026. Rates change, so check with your accountant before you file.

Therapists and clinics in Manchester, by the numbers

Hillsborough County, home to Manchester, has 214 therapy and health practitioner offices (other than doctors and dentists) with employees (Census Bureau, 2023).

That's 9% more than in 2018 (197).

Another 792 are run by one person with no employees, mostly self-employed owners.

Across New Hampshire there are 732 with employees, so about 29% are in Hillsborough County.

Every one of them has books to keep: sales to match to the bank, costs to sort and tax to work out.

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 Manchester 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 New Hampshire

Health services usually aren't taxed in New Hampshire; 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 Manchester?

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 New Hampshire's tax rules?

Health services usually aren't taxed in New Hampshire; 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.

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Clean books for your clinic in Manchester.

Upload your statements and see your books in minutes. $79 a month, cancel anytime.

Free to join. The first 1,000 in get their catch-up free.