CPA-Built · 2026

The software stack for Canadian health clinics.

Bookings and charting up front, clean books out back: the set-up we run for Canadian clinics, so patient scheduling, billing, and bookkeeping all connect.

Every tool includes an exclusive offer, real first-year savings on each layer.

Disclosure: some links are affiliate links. If you use them, we may earn a commission at no extra cost to you.

Curated by Sebastien Prost, CPA, from tools we run and deploy for Canadian clients.

Built by a CPA firm
Canadian-specific
Updated July 2026
Quick answer

What software does a Canadian health clinic need?

A Canadian health clinic runs on three connected layers: a practice-management platform (Jane App) for online booking, charting, insurance billing, and telehealth, a cloud ledger (Xero) for the books and GST/HST, and receipt capture (Dext) for supplier bills and expenses. Jane lets Canadian clinics choose Canadian data residency at signup, and its reports feed straight into Xero for clean month-end bookkeeping.

The stack

Practice management, ledger, receipts

Three layers that connect the front desk to the books, so nothing is re-keyed at month end.

Bookings & charting
Jane App
Jane App

Bookings, charting, and billing for Canadian clinics.

1 month free
Ledger
Xero
Xero

The cloud ledger your clinic income reconciles into.

80% off for 6 months
Receipts
Dext
Dext

Supplies, rent, and equipment receipts, coded into Xero.

90% off for 3 months
Layer 1 · Bookings & charting
Jane App 1 month free

Jane App, the practice hub

Jane App runs the front of a Canadian health clinic: online booking, charting, insurance billing, and telehealth, with patient data kept in Canada. Mention code LEDGERLOGIC1MO at signup for one month free. Its reports feed straight into your bookkeeping.

Layer 2 · Ledger
Xero 80% off for 6 months

Xero, the ledger

Xero holds your clinic books: bank feeds, GST/HST where it applies, and reporting. Jane income reports reconcile against your bank in Xero, so month end is a review rather than a rebuild.

Layer 3 · Receipts
Dext 90% off for 3 months

Dext, the receipt capture

Dext captures supplier bills and expense receipts by photo, email, or upload and posts them to Xero coded, so your clinic expenses and any input tax credits stay current between filings.

How it fits together

How the clinic stack fits together

1
Set up Jane App

Configure online booking, charting, and insurance billing. Mention code LEDGERLOGIC1MO at signup for one month free.

2
Connect Xero for the books

Xero holds your ledger, GST/HST, and reporting. Jane income reports reconcile against your bank in Xero.

3
Capture expenses with Dext

Supplies, rent, and equipment receipts flow into Xero coded, so your clinic books stay current.

First-year value
$600+

Approximate first-year value of the offers across the clinic stack, before the month-end time you save.

  • Jane App one month free with code LEDGERLOGIC1MO
  • Xero 80% off for six months
  • Dext 90% off for three months
Set it up to grow

Set it up to grow with your practice

From a solo practitioner to a multi-disciplinary clinic, the same stack scales as you add practitioners and rooms.

Solo practitioner
1 practitioner

Jane, Xero, and Dext are all you need. One Jane plan covers bookings, charting, and billing; Xero keeps the books clean.

Sweet spot
Growing clinic
2 to 6 practitioners

Jane scales to multiple practitioners and rooms, while Xero tracks revenue by practitioner and Dext keeps expenses coded.

Multi-disciplinary
6+ practitioners

The same stack handles a busy clinic: Jane for the front desk, Xero for consolidated books, and profession-specific bookkeeping support.

Run a specific discipline? See our guides for clinic bookkeeping by profession, from massage therapy to physiotherapy and med-spas.

Common questions

Clinic stack questions

What software does a Canadian health clinic need?
Three connected layers: a practice-management platform for booking, charting, and billing (Jane App), a cloud ledger for the books and GST/HST (Xero), and receipt capture for supplier bills (Dext). Jane lets Canadian clinics choose Canadian data residency at signup and its reports feed into Xero for clean month-end bookkeeping.
Is Jane App good for Canadian clinics?
Yes. Jane is built in Vancouver, handles Canadian insurance direct billing, and lets Canadian clinics choose Canadian data residency at signup, which matters for privacy compliance. It covers online booking, charting, billing, and telehealth in one platform, and is widely used across massage, physiotherapy, chiropractic, counselling, and med-spa clinics.
How does clinic income get into the books?
Jane produces income and payment reports that reconcile against your bank deposits in Xero. We map Jane payouts to the right Xero accounts so revenue, practitioner splits, and sales tax land correctly, and the monthly bank reconciliation confirms everything ties out.
Do health clinics charge GST/HST?
Most core health services provided by regulated practitioners are exempt from GST/HST, but retail products and some services, such as cosmetic procedures, are taxable. Xero is set up to track the taxable and exempt sides separately, which matters most for med-spas and clinics selling supplements or products.
How much does the clinic stack cost?
From about $110 per month, depending on your Jane plan and practitioner count. Year one is cheaper because of the offers: Jane gives one month free with code LEDGERLOGIC1MO, Xero is 80% off for six months, and Dext is 90% off for three months.
What about payroll for clinic staff?
Jane is rolling out its own Jane Payroll, which will keep pay runs inside the same platform for many clinics. Until it is fully available for your setup, Xero connects to Canadian payroll tools that handle CPP, EI, and CRA remittances, so payroll still posts cleanly to your books.
The bottom line

Front desk to books, connected

Run bookings, charting, and billing in Jane, and let the numbers flow into Xero for clean books. Start your clinic on Jane with one month free.

Jane App

Clinic stack

1 month free with Jane

Start