Medical Practice Monthly Reporting Pack

Taxstra · Updated September 7, 2026

Use a common cutoff for billing, receipt, bank and ledger records. Keep the example values separate from your actual records.

These are hypothetical management-reporting examples. Educational, not individualized tax or accounting advice. Read the accompanying guide for assumptions and limitations.

Billing-to-bank reconciliation

Record Example amount Evidence Notes / supporting record
Gross charges $100,000 Service-period billing report
Contractual adjustments ($40,000) Approved adjustments
Net revenue $60,000 Charges less adjustments
Opening net A/R $50,000 Prior close
Receipts applied ($48,000) Posting batches
Closing net A/R $62,000 Aging and ledger
Receipts awaiting bank settlement $1,500 Clearing reconciliation
Bank deposits $46,500 $48,000 less $1,500; no fees assumed

Aging and provider totals

Schedule Example values Reconciliation Notes / supporting record
A/R 0–30, 31–60, 61–90, over 90 days $38,000; $14,000; $6,000; $4,000 Total $62,000
Provider A $60,000 charges; $24,000 adjustments; $36,000 net revenue; $30,000 receipts Tie to practice totals
Provider B $40,000 charges; $16,000 adjustments; $24,000 net revenue; $18,000 receipts Tie to practice totals
Profit $60,000 net revenue less $42,000 expenses $18,000; includes $2,000 depreciation
Cash change before financing and owner activity $46,500 bank deposits less $40,000 paid costs $6,500; excludes other cash changes

Monthly close and responsibilities

Step Record Responsible role / completion Notes / supporting record
Establish common cutoff Dated billing, payroll and ledger exports Assign owner
Reconcile receipts, refunds and fees Batch-to-bank schedule Assign owner
Reconcile banks, cards, payroll and loans Statements and reconciliations Assign owner
Review A/R and unpaid costs Aging and vendor reports Assign owner
Review equipment and owner activity Asset and equity schedules Assign owner
Deliver financial reports P&L, balance sheet, cash and provider reports Assign reviewer
Resolve exceptions Open-item list and decision date Assign approver

Questions for the review

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