Why Healthcare Practices Choose Stellar Accounts
We’re not generalist bookkeepers trying to figure out dental on the fly. We’ve spent 15+ years mastering the unique financial challenges of healthcare practices across Canada.
After 50+ healthcare practices, we’ve learned exactly what works—and what general bookkeepers constantly miss.
Why Your Practice Needs Specialized Healthcare Bookkeeping
Most bookkeepers can handle basic invoices and bank reconciliation. But healthcare practices aren’t typical businesses—and the mistakes general bookkeepers make cost you thousands every year.

General bookkeepers don’t understand:
❌ Insurance reconciliation by provider
They post payments to the practice, not to individual dentists or doctors.
❌ Associate compensation structures
Split percentages, production vs. collection models, lab cost deductions—it’s confusing to them.
❌ Multiple revenue streams
Insurance, patient co-pays, third-party billing, cosmetic vs. medical procedures.
❌ Provider-level profitability
They can’t tell you which dentist or service line is actually making money.
❌ Healthcare-specific tax rules
GST/HST on cosmetic procedures, CRA rules for medical equipment, deductible expenses.
The result?
Errors that erode trust, inflate A/R, distort profit, and create year-end nightmares.
15+ Years, 50+ Healthcare Practices, Deep Expertise
We didn’t stumble into healthcare bookkeeping. We chose it because we saw a massive gap between what healthcare practices need and what general bookkeepers provide.
💆 Dermatology Practice Expertise
We understand:
- Dual revenue streams (medical MSP + cosmetic private pay)
- Product inventory management (skincare, injectables)
- Medical device financing (lasers, cosmetic equipment)
- Different tax treatment (medical exempt, cosmetic taxable)
- Cosmetic service pricing and margin analysis
Common issues we solve:
- Mixed medical/cosmetic revenue tracking
- Product COGS and inventory reconciliation
- PST on cosmetic services vs. exempt medical
- Device lease vs. purchase accounting
🧠 Psychology Practice Expertise
We understand:
- Direct billing to insurance companies
- Session-based revenue tracking
- Group practice income distribution
- Office expense allocation in shared spaces
- Cancellation and no-show policies
- Continuing education expense tracking
Common issues we solve:
- Direct billing reconciliation errors
- Session revenue not matching bank deposits
- Group practice profit-sharing disputes
- Expense allocation among practitioners
Learn About Our Psychology Services – Page is coming soon
The Stellar Accounts Difference
🎯 We’re Proactive, Not Reactive
General bookkeepers wait for you to ask questions. We catch problems before they become expensive mistakes.
Examples:
- “Your associate’s split rate changed in June, but collections aren’t reflecting it—let’s fix that before year-end.”
- “This insurance payment is $1,200 short—we’ve flagged it and started follow-up.”
- “Your hygiene schedule has 8 unbooked hours this week—that’s $2,600 in lost revenue.”


💬 We Speak Your Language
We don’t need you to explain what an associate payout is, how hygiene production works, or why MSP billing is complicated. We already know.
What this means for you:
- No frustrating explanations
- Faster problem-solving
- Confidence that we understand your business
🇨🇦 We’re Canadian Compliance Experts
Healthcare practices face unique Canadian tax and compliance requirements. We know them inside and out.
We handle:
- GST/HST exemptions vs. taxable services
- PST on cosmetic procedures (BC, SK, MB)
- CRA rules for medical equipment
- T4 vs. T4A for associates and contractors
- Provincial payroll regulations
- WCB reporting requirements


📊 We Provide Practice-Specific Insights
Your books aren’t just for tax compliance—they’re tools to grow your practice.
We show you:
- Profitability by provider
- Profitability by service type
- Revenue trends by month/quarter
- Hygiene department performance
- Cash flow forecasting (30-90 days)
- Healthy vs. concerning financial ratios
📅 Monthly, Not Just Year-End
We reconcile associate payouts, lab costs, and insurance payments MONTHLY—not once a year when it’s too late to fix.

Our Healthcare Practice Results
After 15 years serving 50+ healthcare practices:
- $24K average annual savings per practice
- 12-15 hours saved monthly by practice owners
- 18-30% cash flow improvement through better A/R management
- Zero associate disputes with accurate monthly reconciliation
- 100% Canadian team understanding CRA and provincial rules
Healthcare Practices We Specialize In
Primary Specialties:
🦷 Dental Practices (70% of clients)
⚕️ Medical Clinics (15% of clients)
💆 Dermatology Practices (10% of clients)
🧠 Psychology Practices (5% of clients)
We also serve:
Orthodontic practices, Periodontal practices, Cosmetic surgery clinics, Chiropractic clinics, Physiotherapy practices, Multi-location healthcare groups
Practice sizes:
Solo practitioners, Small practices (2-5 providers), Mid-size clinics (6-15 providers), Large multi-location groups
Vancouver-Based, Canada-Wide Service
Headquartered in: Vancouver, British Columbia
Serving practices across:
- British Columbia
- Alberta
- Ontario
- Saskatchewan
- Manitoba
- All Canadian provinces
We understand provincial differences:
- BC: PST on cosmetic services
- ON: EHT (Employer Health Tax)
- AB: No PST
- SK/MB: PST rules
- Provincial healthcare billing systems (MSP, OHIP, AHS, etc.)
All-In on Healthcare
We specialize in:
- Healthcare practice bookkeeping
- Medical and dental clinic financial management
- Healthcare-specific compliance and reporting
Why this matters:
Specialization means expertise. And expertise means we catch errors, prevent problems, and deliver insights that generalists simply can’t.