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Clinic Bookkeeping & Monthly Accounts

Monthly Accounts That Mean Something: Know Your Clinic's Real Profitability Every Month

Most clinic operators track what's in their bank account. But cash position is not profitability, and the difference matters when you're deciding whether to add a second practitioner, renew your lease, or judge whether last month was actually good or just had favourable payment timing. BM provides monthly clinic bookkeeping that closes the gap between what's in your account and what your clinic actually earned.

The Cost of Bookkeeping Left Until Year-End

Common bookkeeping situations BM inherits from new clinic clients: accounts prepared once a year for tax purposes only, with no monthly visibility into whether the clinic is actually profitable; drug and consumable costs buried in a single 'expenses' line that makes it impossible to know if spend is reasonable; rental payments and equipment finance treated inconsistently across months; and a year-end scramble where 12 months of receipts need to be reconstructed before the auditor arrives. The auditor charges for that reconstruction. And during the year, you made business decisions without reliable numbers.

Who This Suits

  • Clinics currently preparing accounts annually for audit and tax, with no monthly visibility
  • Clinic owners who aren't sure whether drug and consumable spend is under control
  • Multi-doctor or multi-room practices where cost allocation between practitioners matters
  • Clinics with bank facility covenants or investor reporting requirements
  • Clinics approaching their first annual audit who need a clean 12-month record

What's Included

Monthly transaction recording and categorisation (medical supplies, staff, rent, utilities tracked separately)
Drug and consumable cost tracking with month-on-month comparison
Monthly P&L statement and balance sheet
Bank reconciliation
Accounts receivable monitoring (including third-party payer reimbursement tracking)
Monthly management report tailored to clinic operations
Annual financial statement preparation
Audit support and liaison documentation

How It Works

01

Review Current Records

We review what records you have, how they're organised, and what's missing. We then set up a chart of accounts built for clinic operations, not generic small business.

02

Establish the Month-End Rhythm

We create a consistent monthly cycle: receipt collection deadline, categorisation, reconciliation, and report delivery. You know exactly when accounts will be ready each month.

03

Deliver and Review Monthly

We deliver the monthly accounts with clear commentary on key movements. Anything unusual, such as a cost spike or a receivables movement, is flagged and explained.

What You Get

Monthly P&L that shows actual clinic performance, not just cash position
Drug and consumable spend tracked and benchmarked month-on-month
Clean audit trail that means faster, cheaper annual audits
Financial data that supports real decisions: adding staff, reviewing supplier costs, assessing lease renewal
Year-end accounts that don't require 12 months of reconstruction
Tax deductions correctly claimed because expenses are properly categorised throughout the year

What Happens Without Monthly Accounts

Clinics running without monthly accounts typically discover financial problems 3 to 6 months after they started, by which time corrective action is much harder. A clinic losing money on drug costs but not tracking them doesn't find out until the annual accounts are done. A clinic with a growing receivables problem doesn't know it until cash runs short. And when the auditor arrives to reconstruct 12 months of records, that's 12 months of receipt-chasing billed at auditor rates. Beyond audit costs, disorganised records also carry a tax cost: expenses that are real and allowable but not properly documented may not be claimed, meaning the clinic carries unnecessary tax pressure through records that don't reflect its actual cost structure.

Enquire About Clinic Bookkeeping

Tell us your clinic type, team size, and how your accounts are currently managed. We'll propose a monthly bookkeeping plan that fits.

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