TAMPA & LAKE MARY PSYCHIATRIST BOOKKEEPING & ACCOUNTING
Mental Health Practice Bookkeeping & Accounting by Florida CPA's
We help Medical Practices including Therapists, Psychiatrists, and Mental Health professionals in Tampa and the US gain financial clarity through CPA-level accounting designed for the medical aesthetics industry.
From session revenue and insurance reimbursements to provider payroll and practice overhead, we translate your financial data into clear performance insights that help improve profitability and protect the income you are building inside your practice.
Our CPA-led accounting and advisory services give practice owners the financial visibility needed to confidently hire providers, expand services, and grow their practice - without costly financial surprises.
Is this your practice...?

Struggle #1:
You get no helpful guidance on your numbers.

Struggle #2: You haven't spoken with your CPA in over a year.

Struggle #3:
You never get accurate financials on time.
But How Does This Impact My Profit?
99% of Profit & Tax Strategy is proactive, not reactive
A lack of clarity = missed opportunities & lost profit
A lack of expert guidance is quietly killing your profit
Messy books lead to costly penalties




We’ve designed the CPASystem™ to eliminate these struggles once and for all:
MENTAL HEALTH PRACTICE BOOKKEEPING & ACCOUNTING
Mental Health Clinics We Work Best With
If you own a mental health practice in Tampa or Lake Mary, whether you're a therapist, psychiatrist, counseling clinic, or behavioral health provider and feel like you're flying blind financially with messy books and no clear insight into your practice performance, you're not alone.
Stronghold works best with mental health practices earning at least $200K in annual revenue that want proactive tax strategy, accurate financials, and real insight into what's driving provider utilization, margins, and cash flow.
Many growing practices struggle to understand provider profitability, insurance reimbursements, payroll costs, and cash flow, which makes it difficult to confidently hire clinicians or expand the practice.



Group Mental Health Clinics
Behavioral Health Clinics



Multi-provider Practices
Built Specifically for Clinics
Mental health clinics face fundamentally different financial challenges than typical businesses. Provider-based revenue, insurance reimbursements, clinician payroll, and multi-provider practices create complexity that generic bookkeeping systems aren’t designed to track or analyze properly.
Many practices lack clear insight into provider productivity, reimbursement timing, payroll efficiency, and overall practice profitability, making it difficult to confidently hire clinicians or grow the practice.
True healthcare-focused accounting aligns session revenue, insurance payments, provider compensation, and operating costs to provide meaningful insight into clinician utilization, capacity for hiring, and profit per provider, not just generic numbers prepared for tax filing.
Service Profitability

Figure out which services are draining your resources.
Owner's Pay Guidance

Pay yourself the right way to maximize personal wealth.
Unlimited CPA Access

Unlimited access without concern for hourly billing.
Team Productivity Insight

Labor Cost Analysis to stop wasted time.
Proactive Strategy

Live Quarterly strategy calls with a proactive team.
The CPASystem™ — Proven 3-Step Process

Free Discovery Call
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Identify compliance red flags
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Uncover missed profit opportunities

Foundation Buildout
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Eliminate costly compliance risks
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Capture missed profit opportunities
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Establish peace of mind processes

Ongoing CPASystem™
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Clear numbers each month
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Peace of mind from errors & penalties
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Advisory for savings & growth


Clear Numbers
No more lack of clarity. Financials every month.
Protection
No more costly surprises. CPA-Reviewed books.
Advisory
No more unanswered questions. Guidance monthly.
Your Dedicated Accounting Team
Since 2017, we've helped private medical practices keep their hard-earned profits & grow sustainably. With backgrounds auditing F500 public companies, we specialize in offering white-glove accounting & advisory best practices learned from the big-companies and applied to small businesses.
Stronghold Accounting was born out of the desire to disrupt the low standards of accounting services. Recognizing a gap in the industry for:
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Exceptional Communication
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High-quality financials & strategic insight
For medical practice owners feeling lost and misguided, our mission is to unlock their financial clarity & peace of mind through our proven CPASystem™. We act as your dedictaed accounting team. Our holistic approach ensures quality, consistency, and peace of mind communication, allowing you to focus on what you do best.
Alex M. Riccio, CPA
Alex M. Riccio, CPA | Stronghold Accounting
Co-Founder

"If you don’t walk away from your first month with more financial clarity than you’ve had all year—we’ll refund every penny.”
—The Stronghold Guarantee
Our Team's Expertise
Big Firm-Trained, Entrepreneur-Focused
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Background conducting financial audits of F500 companies
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Applying big-company practices to small businesses
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Trained and certified at 2 of the 4 of the largest global accounting firms
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Top-Rated QuickBooks Experts in Florida

