We provide specialized accounting and tax services to physiotherapists and physiotherapy clinics across Ontario from our Toronto and Oakville offices.
Whether you’re an associate building a caseload, a solo practitioner, or you own a busy multi-therapist rehab clinic, we work with physiotherapy professional corporations and unincorporated practices throughout the GTA and the rest of the province.
Cassar CPA Professional Corporation
Cassar CPA Professional Corporation
Cassar CPA Professional Corporation
Cassar Business Services Inc.
Here are a few reasons physiotherapists across Ontario choose Cassar CPA:
Physiotherapy services are HST-exempt in Ontario when you’re registered with the College of Physiotherapists of Ontario. Sounds simple. It isn’t. Because your services are exempt, you generally can’t recover the HST you pay on rent, equipment, and supplies, and the moment you start selling braces, supports, or exercise gear, or renting a room to another practitioner, you’re into taxable territory. That mix is where clinics get it wrong. We sort out what’s exempt, what’s taxable, and how to track both so CRA has no reason to come knocking.
How you pay associates and locums, and whether they’re contractors or employees in CRA’s eyes, is the grey area that trips up most accountants. Get the fee split wrong and someone overpays tax, or you end up with a payroll reassessment. We set up associate and locum arrangements so the structure holds up and the numbers work for everyone.
We know what a physiotherapy practice actually spends money on: treatment tables, exercise and rehab equipment, modalities like ultrasound and TENS units, clinic build-outs and leasehold improvements, the practice-management software you run on (Jane App, Cliniko, and the like), and the staff costs that come with growth. We make sure you’re recovering those costs the way CRA allows.
At Cassar CPA, we believe physiotherapists deserve more than a year-end tax return. You deserve accountants who understand the cash flow of a clinic that waits on insurers, the difference between an exempt treatment fee and a taxable product sale, and the ownership rules that shape whether incorporating actually helps you. That’s why we offer accounting firm services and tax specialist support designed for physiotherapists, so you can focus on getting patients better while we look after the finances, compliance, and tax planning.
Here’s how Cassar CPA supports physiotherapy practices:
We’ll look at your current setup: associate vs sole proprietor vs physiotherapy professional corporation, clinic ownership structure, how you bill (insurance, WSIB, MVA, private pay), your product and room-rental revenue, and your current tax position. From there we map out where you stand and where there’s room to keep more.
Buy or lease that new equipment? How do you handle a clinic renovation as a leasehold improvement? Because you can’t claim input tax credits on exempt-service expenses, the real after-tax cost of a purchase isn’t always what it looks like. We work through the timing with you so capital decisions land where they should, on your tax return.
Monthly bookkeeping that reconciles your Jane App or Cliniko deposits against what actually hits the bank, payroll for associates and support staff, matching insurer, WSIB, and MVA payments to the sessions they cover, financial statements, T1 personal and T2 corporate returns, HST filings on your taxable supplies, professional liability insurance, CPO fees, all the line items that make up a real clinic’s books, handled.
We keep you current on changes to CRA rules, the HST treatment of clinic revenue, the small business deduction, and record-keeping best practices, so you’re ready when CRA asks.
“Their diligent approach and personal care have saved me thousands of dollars in taxes over the years!”
"You simply won’t get this quality of service from a big firm.”
“I’ve been working with Matt for a while now and I recommend him as much as I can to my friends and family”
“Cassar CPA has saved me a lot of time, money, and headache!”
“We love Matt and his team! We use them for our NFP organization and they’re always fast, flexible, and knowledgeable”
“Fantastic and knowledgeable team with very forward thinking practices.”
"Matt and his team provide clients efficient and speedy turnaround on monthly accounting and year-end services, while at the same time acting as an advisor on various finance matters.”
If you’re a physiotherapist, work as an associate, or own a physiotherapy clinic and need an accounting firm that understands your practice, Cassar CPA is here. With offices in Toronto and Oakville, we support physiotherapy practices across Ontario. Let’s set up a discovery meeting to review your current setup and figure out where we can help.
Generally, no, not on treatment. Physiotherapy services delivered by a physiotherapist registered with the College of Physiotherapists of Ontario are HST-exempt, so you don’t charge HST on treatment fees, whether the patient pays directly or through insurance, WSIB, or an auto claim.
Here’s the quick split most clinics need:
The catch is that exempt status means you usually can’t claim back the HST you pay on clinic expenses tied to those exempt services. Once you’ve got both exempt and taxable revenue, you’re in a mixed-supply situation that needs careful tracking. Getting that split right is the whole game, and it’s exactly what we handle.
It depends on what you’re earning, how much you leave in the business, and your long-term plan. Registered physiotherapists in Ontario can set up a physiotherapy professional corporation, subject to approval from the College of Physiotherapists of Ontario. The main draws are deferring personal tax by keeping earnings in the corporation at the lower corporate rate, and eventually the Lifetime Capital Gains Exemption if you sell qualifying shares. One thing to know up front: the College requires that shareholders be physiotherapists, so the family income-splitting that some other professionals rely on generally isn’t available here. We model it against your actual numbers before recommending anything.
The usual clinic costs, treatment and rehab equipment, professional liability insurance, CPO dues and licensing, continuing education, clinic rent, practice-management software, staff and associate wages, and business-use-of-home if you see patients or do admin from home. The equipment and clinic build-out costs are generally recovered over time through the capital cost allowance rather than deducted all at once. We make sure everything is classified and timed properly under CRA rules.
Carefully, this is where a lot of clinics get into trouble. When you bring on an associate or a locum, how you split the fee and whether you treat them as a contractor or an employee has real tax and HST consequences. Get the classification wrong and CRA can reassess you for payroll deductions, CPP, and EI going back years. There’s also a question of whose revenue the treatment fee actually is, which affects both income tax and the HST-exempt treatment. We set the arrangement up so it reflects how you actually work and holds up if CRA looks at it.
The big one is HST. Clinics that sell products or rent out rooms sometimes miss that this revenue is taxable, or they wrongly try to claim input tax credits against exempt services. Beyond that: misclassifying associates as contractors when CRA would call them employees, mixing personal and clinic expenses, and leaving incorporation too late to make the most of it. Each of these is fixable, but cheaper to prevent than to clean up during a CRA review.
Cassar CPA Professional Corporation works with physiotherapists and physiotherapy clinics across Ontario from our offices in Toronto (WaterPark Place, 20 Bay Street) and Oakville (132 Trafalgar Road).
Toronto · Oakville · Mississauga · Brampton · Vaughan · Markham · Richmond Hill · Etobicoke · Burlington · Milton · Halton Hills · Other GTA & Halton Region Communities
Toronto Office
WaterPark Place 20 Bay Street, 11th Floor
Toronto, ON M5J 2N8
