Multi-site healthcare · GP, physio, allied health, dental, psychology, NDIS
Most clinics, from a single site to a group of fifteen, run finance the way they did when they opened: a practice manager or a bookkeeper does the books, the accountant helps at year end, and nobody can say which site made money last month, whether practitioner payroll tax is right, or whether the next site will pay for itself. LedgerLift is the finance function in between, built by someone who ran it for a group that grew from 8 clinics to 84.
Fixed monthly fee · from $167 + GST a month (a quarterly check-in) · read-only Xero to start · or book a 20-minute call
They show up between site two and site five, and they're the same in GP, physio, dental and allied health.
One Xero file, five sites, no site margin
Tracking categories aren't applied, shared costs aren't allocated, and the second site has been "about break-even" for two years.
Practitioner payroll tax
Contractor practitioners assumed to be contractors, staff in two states, lodged in one. The total is roughly right; the state is wrong, and the penalty arrives before the bill.
The service trust nobody reconciles
Fees between the trust and the clinic entities booked at year end, intercompany out of balance, no consolidated view until the accountant does the tax.
Site number four, on optimism
Fit-out, practitioner ramp and break-even month never modelled; the bank asks for a case and there isn't one.
What you get
On time or half price: your pack by working day 10, or that month's fee is halved, when your books and inputs arrive on time. And your first month is on us if it doesn't earn its fee: after your first pack and call, tell us it wasn't worth it and you don't pay for that month. Three scopes, one retainer. Bookkeeping is included free, or your practice manager or bookkeeper keeps it if you'd rather. Your accountant keeps tax and BAS and gets our locked file each month.
Automated · free with every plan
Nobody wants to do bookkeeping, and most of it is the same transactions coded the same way every month. So we automate it. AI captures your bills and receipts, codes them and matches your accounts in your Xero, every week, and a person handles anything it can't. It costs us little, so it costs you nothing. You pay only for the work that takes judgement: the close, the numbers and the decisions.
Bookkeepers typically charge a small business $600 to $1,200 a month
$0
with any plan, from the $167 Check‑in. You pay for Xero; we don't charge for the bookkeeping.
Get your free Health CheckMarket range for small businesses with 50 to 200 transactions a month, from Xero's and Digit's 2026 bookkeeping cost guides. GST settings are agreed with your registered BAS or tax agent before anything goes live; BAS stays with them and payroll with your payroll provider. Payment runs, debtor chasing and supplier queries are Finance admin, quoted on your volume.
From $2,500 + GST / month
From $4,000 + GST / month
From $5,500 + GST / month
Not ready for monthly? Start with a quarterly check-in from $167 + GST a month ($500 a quarter, no lock-in), a quarterly report from $500 a month, or a monthly report on your existing books from $1,000, and step up when you're ready. See the starter packages.
General practice group · Jared's career
A GP group grew from 8 clinics in one state to 84 across Australia in four years. Jared built the finance function that ran it: a team of 14, one set of policies, a new ERP, payroll for about 600 staff, monthly board reporting, covenant testing for the lending syndicate, and the finance side of every clinic integration. The problems at 8 sites were the same as at 84, just smaller.
Multi-state employer · LedgerLift project
Payroll tax lodged in one state while staff worked across several. The liability was rebuilt by state and year, contractor arrangements tested, every return reconciled, a monthly accrual left running. The same review applies to practitioner contracts in a clinic group.
HR consultancy · LedgerLift client
For a business selling its people's time, we built utilisation reporting from the time system into a weekly deck, drove billing from the same data, and rebuilt the budget on utilisation per person. Practitioner utilisation in a clinic is the same number.
Free, read-only Xero access for 48 hours, nineteen checks, your top three priorities and what they're costing you. Nothing in your file is touched.