Bookkeeping for Medical and Dental Clinics
HST-exempt service classification, OHIP and insurance billing reconciliation, multi-provider payroll, and professional corporation T2 filing — for physicians, dentists, specialists, and allied health practitioners.
Last updated: March 2026
Why Clinics Need Specialists
Healthcare Accounting Is Not Standard
HST exemptions, OHIP reconciliation, professional corporation rules, and multi-provider payroll make clinic bookkeeping one of the most specialized areas in accounting.
Complex Billing & HST Rules
Medical services are generally HST-exempt, but cosmetic procedures, dental supplies, and some allied health services are taxable. Misclassifying even a portion creates liability.
Multi-Provider Payroll
Clinics typically employ a mix of salaried staff, hourly assistants, and contracted practitioners — each with different payroll treatment and remittance requirements.
OHIP and Insurance Reconciliation
Reconciling OHIP billings, insurance reimbursements, patient payments, and fee schedule adjustments across multiple practitioners is time-consuming and error-prone.
Professional Corporation Compliance
Many physicians, dentists, and specialists operate through a professional corporation — requiring T2 filings, dividend declarations, and CRA compliance beyond typical small business rules.
Our Services
What Taxxel Handles for Clinics
HST-Exempt vs. Taxable Classification
Correct classification of medical, dental, and allied services so HST is applied only where required — and ITCs are recovered on eligible expenses.
OHIP & Insurance Reconciliation
Monthly reconciliation of OHIP billings, third-party insurance payments, and patient balances against your practice management system.
Multi-Provider Payroll
Payroll for full-time, part-time, and contracted staff — including hygienists, assistants, and admin — with accurate T4s and remittances.
Professional Corporation Bookkeeping
Full bookkeeping for physician, dental, and specialist professional corporations — including inter-entity transactions.
T2 Corporate Tax Return
Annual T2 filing for your professional corporation, including salary and dividend allocations, and any applicable health professional deductions.
Monthly Financial Statements
Clear monthly P&L and balance sheet — so you can monitor collections, overhead ratios, and profitability by provider or location.
Accounts Receivable Management
Tracking outstanding OHIP, insurance, and patient balances — flagging aged receivables before they become write-offs.
Overhead Expense Analysis
Benchmarking your supply costs, lab fees, rent, and staffing ratios against industry standards to identify cost reduction opportunities.
Complete Package
What's Included
- Monthly bookkeeping and bank reconciliation
- HST/GST filing with correct exempt/taxable classification
- OHIP and third-party insurance reconciliation
- Patient account and accounts receivable tracking
- Payroll for all clinic staff types
- CRA remittances for source deductions
- T4 and T5 slip preparation
- Professional corporation bookkeeping
- Intercompany and management fee transactions
- Monthly P&L and balance sheet
- Annual T2 corporate tax return
- Overhead and expense ratio reporting
Pricing
From $100/month
Flat monthly rate based on practice size and services. No hourly billing — predictable costs every month.
Get a Custom QuoteAll Health Disciplines Welcome
Medical, dental, chiropractic, optometry, physiotherapy, psychology, naturopathic, and specialist practices across the GTA and Ontario.
FAQ
Frequently Asked Questions
Ready to Get Started?
Get in touch today — we are here to help with your tax and bookkeeping needs.
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