Revenue & Billing Reconciliation

Financial Management & Reporting

Tax Planning & Practice Structuring

At Vault CPA, we provide specialized health care accounting and advisory services for medical clinics, dental clinics, and pharmacies to strengthen financial performance, ensure compliance, and support long term growth. From insurance, MSP, and PharmaCare revenue reconciliation to associate structuring, tax planning, and succession planning, we help your practice operate efficiently, remain compliant, and achieve sustainable success.

Health Care Accounting

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Revenue & Billing Reconciliation

Financial Management & Reporting

Tax Planning & Practice Structuring

At Vault CPA, we provide specialized medical accounting and advisory services for medical clinics, dental clinics, and pharmacies to strengthen financial performance, ensure compliance, and support long-term growth. From insurance, MSP, and PharmaCare revenue reconciliation to associate structuring, tax planning, and succession planning, we help your practice operate efficiently, remain compliant, and achieve sustainable success.

At Vault CPA, we provide financial planning that converts short-term results into lasting stability. By analyzing cash flow, growth goals, and capital structure, we create strategies that enhance profitability and resilience. From budgeting and forecasting to investment and debt planning, we help build a strong foundation for sustainable growth and confident decisions.

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Revenue & Billing Reconciliation

Reconciling billings and bank deposits to ensure all funds are accurately received and recorded.

Managing goverment & private insurer claims to prevent revenue leakage

Monitoring patient billing and receivables to strengthen cash flow control

Delivering provider level revenue reporting to support informed financial decisions

Financial Management & Reporting

Delivering monthly bookkeeping and bank reconciliations to maintain financial accuracy

Allocating associate income, managing payroll, and ensuring GST and PST compliance

Overseeing facility operations and expense management to control overhead

Preparing year end financial statements and tax filings in compliance with the CRA

Tax Planning & Practice Structuring

Structuring professional corporations to optimize tax efficiency and long term growth

Designing owner compensation strategies balancing salary and dividend planning

Implementing holding company structures to enhance tax deferral and asset protection

Planning succession and practice transitions to preserve value and continuity

Financial Management & Reporting

Delivering monthly bookkeeping and bank reconciliations to maintain financial accuracy

Allocating associate income, managing payroll, and ensuring GST and PST compliance

Overseeing facility operations and expense management to control overhead

Preparing year end financial statements and tax filings in compliance with the CRA

Tax Planning & Practice Structuring

Structuring professional corporations to optimize tax efficiency and long term growth

Designing owner compensation strategies balancing salary and dividend planning

Implementing holding company structures to enhance tax deferral and asset protection

Planning succession and practice transitions to preserve value and continuity

Revenue & Billing Reconciliation

Reconciling MSP billings and bank deposits to ensure all funds are received and recorded accurately

Managing goverment & private insurer claims to prevent revenue leakage

Monitoring patient billing and receivables to strengthen cash flow control

Delivering provider level revenue reporting to support informed financial decisions

Tax Planning & Practice Structuring

Structuring professional corporations to optimize tax efficiency and long term growth

Designing owner compensation strategies balancing salary and dividend planning

Implementing holding company structures to enhance tax deferral and asset protection

Planning succession and practice transitions to preserve value and continuity

Strategic Financial Oversight

Reconciling MSP billings and bank deposits to ensure all funds are received and recorded accurately

Managing government & private insurer claims to prevent revenue leakage

Monitoring patient billing and receivables to strengthen cash flow control

Delivering provider level revenue reporting to support informed financial decisions

Tax and Capital Optimization

Structuring capital and assets to improve after-tax financial performance

Managing debt and equity levels to maintain optimal capital efficiency

Planning shareholder payouts to balance returns and corporate liquidity

Evaluating financing options to fund sustainable business development

From Practice Launch to Practice Maturity

Onboarding and Discovery

We assess your practice’s financial structure, revenue systems, and tax position to design a cohesive strategy. This ensures accuracy, compliance, and efficiency while aligning with CRA and regulatory requirements for medical practices, dental practices, and pharmacies.

Analysis and Structuring

We analyze your revenue patterns, associate compensation model, and clinic overhead structure to design an optimized financial framework. This ensures billing accuracy, tax efficiency, and operational clarity while supporting sustainable practice growth

Implementation and Coordination

We work alongside your practice administrators and software providers to implement each element of your financial structure, including selecting and setting up accounting software to ensure your systems are ready to operate.

Ongoing Review and Adjustment

We provide ongoing guidance as your practice, revenue structure, and tax environment evolve. This ensures your financial systems remain current, compliant, and aligned with your long-term growth objectives.

Let’s Bring Clarity to Your Practice

Whether you’re launching a new clinic, expanding operations, or planning a future transition, Vault CPA provides structured guidance to strengthen financial performance, reduce tax exposure, and ensure long term practice stability.

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Do I still need an accountant if my EMR handles billing?

Yes. EMR systems submit claims and track billings, but they do not reconcile bank deposits, structure financial statements, allocate associate income, or provide tax planning. Proper accounting ensures your reported revenue matches actual deposits and remains compliant with CRA requirements.

How do you reconcile insurance payments properly?

We reconcile billings submitted to MSP/Pharmacare against remittance statements and actual bank deposits. This ensures adjustments, reversals, and shadow billings are accurately recorded and no revenue is missed.

How should associate income and overhead be structured?

We design clear allocation models that track provider level revenue, shared overhead, and net payouts. This improves transparency, prevents disputes, and ensures compensation is tax efficient and properly documented.

What tax strategies are available for incorporated physicians?

We advise on salary versus dividend planning, holding company structures, income smoothing, and long-term succession planning. Our approach ensures compliance while optimizing after tax income and practice growth.