Physical Therapy & Health Clinics
Accounting built around the way your clinic cares, bills, and grows.
Health clinic owners manage more than appointments and patient care. They manage practitioners, staff, insurance payments, treatment revenue, payroll, software systems, supplies, rent, and year-end tax obligations.
We support physiotherapy, chiropractic, rehabilitation, massage therapy, and multidisciplinary health clinics with accounting, tax, bookkeeping, payroll, and planning conversations built around how clinics actually operate.
Our role is to help you understand your numbers, stay organized, and make better decisions for your clinic, your team, and your future.
Why It Matters
A busy clinic needs clean records behind the scenes.
Health clinics often have several moving parts.
There may be practitioners paid in different ways, staff payroll, patient payments, insurer reimbursements, WSIB or MVA-related billing, software reports, room usage, equipment costs, supplies, and HST/GST considerations where applicable.
When your accounting is organized properly, it becomes easier to understand cash flow, profitability, payroll obligations, tax deadlines, and growth decisions.
Who We Help
Support for health and wellness clinic owners.
We work with clinic owners and health professionals who want their accounting and tax work handled with accuracy, structure, and long-term care.
Physiotherapy Clinics
For clinics managing treatment revenue, practitioners, staff payroll, insurance payments, supplies, and operating expenses.
Chiropractic Clinics
For chiropractic practices with recurring appointments, practitioner compensation, equipment costs, and year-end reporting needs.
Rehabilitation Centres
For clinics supporting rehabilitation, MVA-related treatment, WSIB-related work, multidisciplinary care, and administrative reporting.
Massage Therapy Clinics
For registered massage therapy clinics managing practitioner payments, HST/GST considerations, staff, contractors, and service revenue.
Multidisciplinary Health Clinics
For clinics offering physiotherapy, chiropractic, massage therapy, acupuncture, counselling, wellness, or complementary health services under one roof.
Incorporated Health Professionals
For clinic owners and health professionals operating through a corporation or considering incorporation.
Services Include
Accounting and tax support built around clinic operations.
Clinic Bookkeeping
Monthly or quarterly bookkeeping support to keep clinic records current, organized, and easier to understand.
Software & Payment Reconciliation
Support reconciling clinic software reports, patient payments, direct billing, insurer payments, deposits, and adjustments.
Practitioner & Staff Compensation
Support organizing payroll, contractor payments, practitioner splits, T4/T4A coordination, and related records.
HST/GST Considerations
Support with HST/GST treatment, taxable versus exempt activity, input tax credit considerations, and documentation where applicable.
WSIB, MVA & Insurance Billing Support
Support organizing records related to WSIB, MVA, insurer payments, direct billing, receivables, and payment timing.
Expense Tracking
Organization of clinic expenses such as rent, supplies, equipment, software, insurance, professional fees, marketing, and administrative costs.
Corporate Tax & Year-End Coordination
Corporate tax preparation, bookkeeping review, payroll slips, HST/GST filings, and personal tax coordination for incorporated clinic owners.
CRA & Compliance Support
Support with CRA correspondence, documentation requests, payroll questions, HST/GST reviews, and record organization.
Growth & Cash Flow Planning
Planning conversations around hiring, additional practitioners, equipment purchases, new rooms, second locations, financing, and clinic expansion.
Planning Topics
Clinic owners need clear numbers before major decisions are made.
A strong clinic requires more than full schedules. Owners also need to understand cash flow, profitability, practitioner costs, payroll, tax obligations, equipment needs, and long-term planning opportunities.
We help clinic owners create space for these conversations before decisions become urgent.
Are Practitioners Employees or Contractors?
Worker classification can affect payroll, CPP, EI, tax reporting, documentation, and compliance. This should be reviewed carefully based on the facts.
Is My Clinic Actually Profitable?
Revenue alone does not show the full picture. Clear reporting helps owners understand margins, practitioner costs, payroll, supplies, and overhead.
How Should I Pay Myself?
Salary, dividends, or a combination should be reviewed in the context of tax, cash flow, CPP, RRSP room, corporate savings, and personal needs.
How Should Insurance and WSIB Payments Be Tracked?
Direct billing, WSIB-related payments, MVA claims, insurer reimbursements, write-offs, and receivables should be organized clearly in the books.
Can My Clinic Support Growth?
Adding practitioners, treatment rooms, staff, equipment, or another location requires clearer reporting, cash flow visibility, and planning.
Do My Systems Still Fit the Clinic?
As a clinic grows, informal bookkeeping and reporting processes may no longer be enough. Stronger systems can reduce stress and improve decision-making.
Our Approach
We begin by understanding how your clinic operates.
Every health clinic has its own structure, team, billing process, software, expenses, and goals.
Before providing guidance, we take time to understand how your clinic earns revenue, how practitioners and staff are paid, how expenses are tracked, and what decisions may be coming in the future.
Understand
We review your clinic structure, practitioner model, software reports, payment flow, payroll process, expenses, and prior filings.
Organize
We help organize bookkeeping records, payroll information, clinic reports, payment records, HST/GST documentation, and supporting files.
Coordinate
We coordinate bookkeeping, payroll, HST/GST considerations, corporate tax, and personal tax where relevant.
Plan
We support planning conversations around cash flow, compensation, practitioner costs, equipment, growth, retirement, and succession.
Support
We remain available throughout the year for questions, filings, reporting, CRA correspondence, and planning conversations.
Financial Clarity
Clear records help your clinic run with more confidence.
When clinic records are organized, owners can better understand profitability, payroll, receivables, expenses, cash flow, and tax obligations.
Clear accounting also helps prepare for financing conversations, equipment purchases, additional practitioners, expansion, and long-term planning.
Good records do not only help with filing taxes. They help you run the clinic with more confidence throughout the year.
Key Benefits
Connected Thinking
Your clinic, corporation, family, and future are connected.
For many health professionals, the clinic is one of the most important financial assets they own.
Decisions around tax, compensation, cash flow, equipment, insurance, retirement, and estate planning can all connect to the long-term success of the owner and their family.
Through SG's relationship-based approach, clients benefit from thoughtful conversations that consider the person, family, and business behind the clinic.
Questions
Common questions from physical therapy and health clinic owners.
Let's Start
Keep your clinic organized and financially prepared.
Whether your clinic is established, growing, or ready for better systems, we are here to help you understand your numbers and stay organized.
Start with a conversation.