Accounting & Bookkeeping for Canadian Health Clinics
We do the books for Canadian clinics: RMTs, physiotherapists, counsellors and psychotherapists, chiropractors, and medspas. GST/HST handled correctly for your profession, Jane App reconciled into Xero, and payroll for your practitioners, on a fixed monthly fee.
Clinic books are not regular business books
A generalist bookkeeper who has not worked with Canadian clinics usually gets at least one of these wrong. Each one quietly misstates your revenue or your tax position until year-end.
GST/HST exempt vs taxable
Most regulated health services are exempt; cosmetic, wellness, and retail are taxable. The split is profession- and province-specific, and it is the error we fix most often.
Insurance & direct billing
Reconciling TELUS eClaims, Pacific Blue Cross, ICBC, and WCB payouts against your practice-management software so revenue ties out to the penny.
Practitioner vs clinic income
Associate percentage splits, contractor-versus-employee classification, and keeping each practitioner's earnings clean and CRA-defensible.
Software that does not connect
Jane and most practice-management tools have no native accounting integration. We build the export-and-reconcile workflow so your books stay accurate without manual re-entry.
Does your clinic charge GST/HST?
Most regulated health services are GST/HST-exempt: physiotherapy, chiropractic, psychology, and, since June 2024, counselling therapy and psychotherapy. But cosmetic and aesthetic procedures, wellness services, and product sales are taxable, and a clinic that offers both is a mixed supply. Charge tax on the wrong service and you owe the CRA; miss input tax credits and you overpay. It is profession- and province-specific, and it is exactly where a CPA who works with clinics earns their fee.
Always confirm your profession and province with a CPA before your first filing.
Bookkeeping guides for your profession
Massage Therapists (RMTs)
RMT bookkeeping, GST/HST by province, and Jane reconciliation.
Counsellors & Psychotherapists
Post-2024 GST/HST exemption, private-practice books, associate splits.
Medspas & Aesthetics Clinics
Taxable cosmetic services, product COGS, and mixed-supply clinics.
Chiropractors
Exempt services, supplement retail, and multi-practitioner clinics.
Physiotherapy, naturopathic, and dietitian guides are on the way.
The software we run Canadian clinics on
Jane for the front of house, Xero for the books, Dext for receipts, Wagepoint for payroll. Cloud-based, Canadian-ready, and set up so the pieces actually talk to each other.
Booking, charting, insurance billing, and telehealth, built in Canada.
Cloud accounting with clean GST/HST handling and Canadian bank feeds.
Snaps receipts and bills and syncs them into Xero automatically.
Canadian payroll for employed practitioners: CPP, EI, T4s, ROEs.
Get one month free on Jane with code LEDGERLOGIC1MO
Mention the code at signup. We set Jane up and wire it into your Xero books.
Affiliate link. LedgerLogic may earn a commission at no extra cost to you.
Full-service accounting for your clinic
Monthly bookkeeping
Reconciliation, categorization, and Jane-to-Xero revenue tie-out every month.
GST/HST & sales tax
Exempt-versus-taxable set up correctly, then filed on time, every period.
Payroll & associates
Employee payroll plus contractor and associate-split reporting done right.
Tax & incorporation advice
Year-end, corporate tax, and guidance on professional corporations (a lawyer-led setup we coordinate).
Clinic accounting questions, answered
A CPA who actually knows Canadian clinics.
GST/HST set up right for your profession, Jane reconciled into Xero, payroll for your practitioners, and a fixed monthly fee. Book a free discovery call and we will scope it to your clinic.