Plain-English Client Reports for Bookkeepers

What a client sees each month.

The books answer “did we make money?” This page also answers “is our marketing working?” and “what are customers saying?” Most client reports leave those out.

Example only. The clinic and every number below are made up.

Summit Spine & Wellness

September 2026 monthly summary

You had a good month. The clinic brought in $47,400 and kept $8,900 after paying everything, up from $6,600 in August. Your bank balance grew to $31,450.

$8,900Profit this month▲ $2,300 vs August

$31,450Cash in the bank▲ $4,150 vs August

58New patients▲ from 41 in August

4.6 ★Google rating9 new reviews

Is our marketing paying off?

You spent $2,400. The extra $1,200 over August brought about 17 more patients, roughly $71 each.

Where new patients came from	Spent	New patients	Cost each
Google profile (free)Found you on Google Maps or search	$0	21	$0
Google Ads	$1,400	17	$82
Patient referrals	$0	15	$0
Facebook adsCHECKCosts the most per patient	$700	5	$140
Online listing serviceCHECKNo patients traced to it	$300	0	n/a

Is each new patient worth what it costs?

Not every patient is worth the same. This compares what it costs to win a patient from paid marketing with what an average patient brings in over a year.

$109Cost to win a patient from paid marketing$2,400 ÷ 22 paid patients

$684What an average patient is worth in a year12 visits × $95, after cost of care

6.3 to 1Return on each marketing dollarHealthy is 3 to 1 or better

2 visitsTo earn back the cost of winning a patientEach visit leaves about $57

Marketing is 5% of revenue. Because about 40% of each visit’s fee goes to the cost of care, ads need to bring in at least $1.67 in sales for every $1 spent just to break even. If patients start leaving sooner, this number drops fast, so it is worth watching every month.

What needs a look this month

Four items, in order of importance.

$4,100 in insurance claims is over 60 days old.Total waiting on insurers is $9,800. Claims this old are often denied if nobody follows up.
Part of the $2,400 marketing spend is not working.Google Ads brings patients at $82 each. Facebook costs $140 each, and the listing service has no patients traced to it.
4 Google reviews are waiting for a reply.Google is your cheapest source of new patients, with 21 this month.
$6,950 in bills are due in the next 30 days.Your cash covers this more than four times over. No action needed.

This is a bookkeeping summary and not tax or legal advice. In a real report, patient counts by source come from the client, and review numbers come from their Google Business Profile. Patient value uses the client’s own estimate of visits and fees.

How it works.

Send one report

Pick a client and send a P&L or whatever you normally export. Remove the client’s name and any account numbers first.

We write the summary

You get back a one-page summary like the one above, built from your numbers. We tell you anything we are not sure about.

You decide what to do with it

Send it to the client, change it, or throw it away. If it is useful, we talk about doing it every month.

It works from reports you already have.

No new software to learn. The marketing and review sections need a little extra information from the client, and we will tell you exactly what.

It does not replace you or their accountant.

You stay the person the client trusts with the numbers. We do the explaining, and nothing here is tax or legal advice.