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Healthcare

Best Business Bank for Mental Health Counselors

You hold space for your clients. We'll hold space for your finances.

What Mental Health Counselors Need From a Bank

Average Revenue

$60,000–$150,000

Cash Flow Pattern

Steady if fully booked; new practices take 6-12 months to fill; slight dip during holidays when clients cancel

Typical Transactions

40-160/month

Category

Healthcare

Primary Banking Needs

Insurance panel reimbursement tracking
Cash-pay and sliding scale management
Private practice overhead tracking

Therapists shouldn't lose sleep over their practice finances

Insurance reimbursed you $72 for a session your private pay clients pay $160 for — and you can't track the difference

You offer sliding scale to 8 clients and have no idea how much revenue that costs you annually

Between rent, EHR, insurance, and supervision — your overhead is 40% before you see a single client

Best Banks for Mental Health Counselors Compared

Bank Monthly Fee APY FDIC
Holdings $0 1.75% $3M
Found $0 basic, $35/month Plus 0% basic, 1.50% Plus (up to $20K) Standard FDIC
Lili $0 basic, $25/month Pro 0% basic, 3.00% Pro (up to $100K) Standard FDIC
Relay $0-$25 based on plan 0% checking, 1.03-3.03% savings Standard FDIC
Novo $0-$25 based on plan 1.10% on select tiers Standard FDIC
U.S. Bank Healthcare Banking $25-50/month based on account type 0.01-0.05% Standard FDIC
Bank of America Business $16/month (waived with $5K balance) 0.01% Standard FDIC
1

Holdings

$0/mo · 1.75% APY

Modern mental health counselors who want automated expense tracking and zero-fee banking

Key Features

  • AI bookkeeping that separates client session fees from practice overhead
  • Automatic categorization of supervision and continuing education costs
  • HIPAA-compliant financial management for mental health practices
  • Sub-accounts for different counseling services and payment sources

Pros

  • Zero fees preserve more profit from counseling sessions
  • AI automatically tracks licensing, supervision, and professional development
  • High-yield savings for variable mental health counseling income
  • Enhanced FDIC coverage suitable for larger practice deposits

Cons

  • Newer bank without mental health industry experience
  • Online-only platform may not suit traditional practice needs
2

Found

$0 basic, $35/month Plus/mo · 0% basic, 1.50% Plus (up to $20K) APY

Private practice mental health counselors who struggle with tax organization

Key Features

  • Automatic tax savings from counseling income
  • Receipt capture for continuing education and licensing expenses
  • 1099 preparation for private practice counselors
  • Business expense tracking for mental health practices

Pros

  • Strong tax automation for private practice counselors
  • Auto-saves percentage for quarterly tax payments
  • Good tracking for professional development expenses
  • Mobile app for busy counseling schedules

Cons

  • APY only available with paid Plus plan
  • $20K limitation on high-yield earnings
  • Monthly fee required for premium features
3

Lili

$0 basic, $25/month Pro/mo · 0% basic, 3.00% Pro (up to $100K) APY

Mental health counselors with steady client base who want high-yield savings and detailed budgeting

Key Features

  • Tax bucket for mental health counseling income
  • Expense categorization for professional development and training
  • Client payment tracking and session billing management
  • Spending insights for counseling practice operations

Pros

  • Highest APY for mental health practice savings
  • Good budgeting tools for variable counseling income
  • No foreign transaction fees for international training
  • Real-time expense tracking and financial insights

Cons

  • No physical checkbooks for office rent and vendor payments
  • Limited cash deposit options at retail locations
  • Best features require Pro plan subscription
4

Relay

$0-$25 based on plan/mo · 0% checking, 1.03-3.03% savings APY

Mental health group practices or counselors planning to expand their practice

Key Features

  • Multiple accounts for different counseling services
  • Team features for group practice and clinic management
  • Automated allocation of client session payments
  • Integration with mental health practice management software

Pros

  • Excellent for group practices and mental health clinics
  • Strong business banking and team collaboration features
  • Good savings rates for practice expansion funds
  • Scales from solo counselor to mental health center

Cons

  • No interest earned on checking accounts
  • More complexity than needed for solo practitioners
  • Limited individual mental health counselor features
5

Novo

$0-$25 based on plan/mo · 1.10% on select tiers APY

Solo mental health counselors who want simple banking with basic business features

Key Features

  • Simple business banking for counseling practices
  • Expense categorization for professional development
  • Integration with mental health billing platforms
  • Business debit card for practice-related expenses

Pros

  • Clean, counselor-friendly user interface
  • Good for solo and small mental health practices
  • No monthly fees on basic plan
  • Straightforward expense tracking and management

Cons

  • Limited high-yield savings opportunities
  • No physical branch locations available
  • APY only available on premium account tiers
6

U.S. Bank Healthcare Banking

$25-50/month based on account type/mo · 0.01-0.05% APY

Large mental health practices and counseling centers that need specialized healthcare banking

Key Features

  • Healthcare and mental health industry specialization
  • Integration with mental health practice management systems
  • Professional liability insurance partnerships
  • Dedicated healthcare relationship managers

Pros

  • Deep healthcare and mental health industry expertise
  • Comprehensive business banking services
  • Professional insurance and risk management partnerships
  • Mental health practice financing and expansion loans

Cons

  • High monthly fees and minimum balance requirements
  • Very low interest rates on business deposits
  • Complex fee structures and account requirements
7

Bank of America Business

$16/month (waived with $5K balance)/mo · 0.01% APY

Traditional mental health practices that prefer physical banking locations and established institutions

Key Features

  • Extensive branch and ATM network nationwide
  • Business credit cards and practice financing
  • Traditional business banking relationship management
  • Integration with popular accounting software

Pros

  • Physical branch locations for in-person banking needs
  • Comprehensive business banking and credit services
  • Established banking reputation and financial stability
  • Easy access to business credit and financing options

Cons

  • Monthly fees unless maintaining high account balances
  • Very low interest rates on business deposits
  • Less specialized for mental health professionals

Frequently Asked Questions

Can Holdings show me how much I earn per session across different payers?

Yes. Our AI categorizes insurance reimbursements, private pay, and sliding scale payments separately, so you see true per-session earnings by payer type.

I'm a new therapist building my practice. Is Holdings right for me?

Absolutely. Zero monthly fees and no minimums mean you're not paying for banking while you build your caseload. AI bookkeeping grows with your practice.

Does Holdings work for group practices?

Yes. Whether you're solo or running a group practice with associates, Holdings handles the banking and bookkeeping cleanly.

How does Holdings handle HIPAA concerns?

Holdings doesn't store or process protected health information. We handle your business finances — patient records stay in your EHR where they belong.

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Ready to open your account?

Holdings offers free banking with 1.75% APY for mental health counselors.