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Payouts and Bookkeeping Advice

Guidance for bookkeepers and accountants working with practices that use NexHealth Payments.

Updated this week

Payout Timing & Bank Deposits

NexHealth batches payments into daily payout windows:

  • Payout Window: Transactions processed between 10:00 PM PT/1:00 AM ET and 9:59 PM PT/12:59 AM ET the following day.

  • Standard Payout Timing: Payouts are initiated 48 hours after the close of the payout window.

  • Bank Deposit Timing: Funds typically appear in your bank account 1–2 business days after the payout is initiated, depending on your bank.

  • Expedited Payouts: Upon request and for a nominal fee, the payout delay can be reduced to 24 hours.

Understanding Payout Amounts

NexHealth issues net payouts, which means:

  • The fees are deducted before the deposit is sent to the bank account.

  • You will not see a separate debit for fees.

Cash-Basis Bookkeeping (Simplified Method)

If you use cash-basis accounting, the simplest workflow is:

  • Categorize bank deposits from NexHealth directly into your Revenue account.

  • Since payouts are net of fees, this method skips fee tracking but reflects actual received cash.

Accrual-Basis Bookkeeping (Detailed Method)

For accrual accounting or when tracking gross revenue and fees:

  1. Download the Transactions Report:

    • Go to Payments > Transaction History > Reports

    • Select your desired date range and download the Transactions (CSV) file

  2. What’s in the Report:

    • Each row represents a single transaction

    • Columns include:

      • Gross Amount

      • Fees

      • Net Amount

      • Transaction Date

      • Payout Date

  3. How to Reconcile:

    • Group transactions by Payout Date

    • The sum of Net Amounts for a single payout date will match the bank deposit you receive 1–2 business days later

    • Modify the deposit in your bookkeeping software, changing it from simply reflecting the Net amount crediting a revenue account to instead reflect the Gross Amount categorized to credit a revenue account and the Fees categorized to debit a COGS account.

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