General bookkeepers miss critical tax rules specific to healthcare. Healthcare practices have unique tax deductions, reporting requirements, and CRA regulations. When your bookkeeper doesn’t specialize in healthcare, you could be overpaying taxes or facing compliance issues without even knowing it.

You never quite know where your money is or when it’s coming. Between insurance companies paying months late, patient payments spread across appointments, and outstanding claims, it’s nearly impossible to know your real financial picture. This makes planning, hiring, or expanding feel like a guessing game.

Your previous bookkeeper left a mess, and now you’re paying the price. Maybe they didn’t understand how to handle insurance billing, misclassified expenses, or simply weren’t detail-oriented. Now you’re stuck with incorrect records that could take months to untangle—and might trigger CRA red flags.

You’re running a practice, not an accounting department. Between patient care, managing staff, ordering supplies, and everything else on your plate, bookkeeping gets pushed to evenings and weekends—or worse, doesn’t get done at all. Your expertise should be spent on your patients, not on spreadsheets.

Worrying that one day the CRA will come knocking and find problems. When your books aren’t maintained properly, every letter from the CRA creates panic. You’re not sure if your records would hold up under scrutiny, and the thought of an audit keeps you up at night.

You’re working harder than ever, but your bank account doesn’t reflect it. You know money is coming in, but between unexpected expenses, inefficient processes, and lack of financial visibility, profits seem to disappear. Without proper bookkeeping, you can’t identify which services are actually profitable, where money is being wasted, or how to price your services correctly.