Book Consultation

Gondaliya CPA

Corporate Tax Filing Experts

Tax Accountant for Fertility Clinics in Ontario and Across Canada

You collect large sums before any of the treatment behind them has happened, which makes a fertility clinic the most deferred-revenue-heavy business in healthcare. A prepaid cycle, a multi-cycle package carrying a refund promise and a cryostorage term paid several years in advance are not revenue on the day the card clears. They are brought into income and reserved out under ITA paragraph 20(1)(m), and a clinic that books deposits as sales overstates income and pays tax years early. We recognise storage fees over the storage term, carry the obligation behind a refund guarantee as a real liability, and characterise every stream against the health care provisions in Part II of Schedule V of the Excise Tax Act and the qualifying health care supply limitation on them before any rate is set — without asserting a conclusion in either direction. We apportion input tax under ETA section 141.01 where the clinic is mixed, split incubators and cryogenic dewars in Class 8 from servers in Class 50 and software in Class 12, and treat donor, surrogate and intended-parent payments as the federal compliance area they are, documented in the books and bounded by your own counsel. Whether you run a full IVF laboratory, a monitoring and transfer practice, an andrology service or a fertility preservation program, we handle the cycles, the packages and the storage — with AFFORDABLE flat fees.

1300+
5-Star Google Reviews
✅ REGISTERED CPA FIRM – VERIFY NOW

AFFORDABLE Fertility Clinic Tax Accountant

A fertility clinic gets two things wrong before it gets anything else right, and both of them come from the same fact: the money arrives long before the care does. The first is timing. A patient pays for a cycle, or for a bundle of cycles with a refund or partial-refund promise attached, before a single step of it has been delivered. Cryostorage is harder still, because a fee paid annually or for several years at once buys an obligation that may run for decades over material the clinic goes on holding and paying to hold whether or not the patient ever returns or keeps paying. None of that is revenue when it arrives. It is brought into income and reserved out under ITA paragraph 20(1)(m), recognised as cycles are actually performed and as storage terms actually run, and a clinic that treats deposits as sales pays tax on work it has not done. The second thing is the sales tax split, which is sharper in this practice than almost anywhere in medicine. Clinical treatment sits on one side. Services supplied for a purpose that may not be a qualifying health care supply, administrative and coordination fees, storage and non-clinical charges sit on the other. We do not tell you which of your streams is exempt and which is taxable, because that conclusion belongs to your actual facts and not to a web page; we establish it, document it, and only then set a rate. At Gondaliya CPA, we specialize in deferred revenue, storage-term recognition and mixed-supply apportionment for fertility practices, providing AFFORDABLE flat-fee support that keeps you CRA-compliant and stops you paying more tax than you owe.

As a fertility clinics accountant, we work with full IVF and embryology laboratories, monitoring and frozen transfer practices, andrology services, and fertility preservation and storage programs across Ontario, with year-round support rather than a once-a-year scramble. We tell you how much of your bank balance is treatment you still owe, what each treatment type actually costs once media, consumables and liquid nitrogen are loaded against it, and where your contractor and cross-border exposure sits.

Let us handle the numbers so you can focus on the patients and the laboratory.

Gondaliya CPA team - accounting and tax services for fertility clinics

Our Official Partners

Google Reviews
CPA Ontario
QuickBooks
Wagepoint
Xero
Stripe
Rotessa
Hubdoc
ADP

Accounting That Understands How a Fertility Clinic Actually Works

A fertility practice holds other people’s money for care it has not yet given. Cycles are paid for in advance, packages carry promises that can be called in, storage obligations outlive the fees that funded them, drugs may move through your books without ever being your own supply, and the exempt-versus-taxable line decides whether the tax on your media, nitrogen and service contracts comes back or stays. At Gondaliya CPA, we understand that reality and provide practical, industry-focused solutions across Ontario.

📅

Prepaid Cycles Are Not Revenue

Money taken for treatment not yet given is brought into income and reserved out under ITA paragraph 20(1)(m), recognised as cycles are actually performed rather than when the card cleared.

❄

Storage Is a Multi-Year Obligation

Fees paid annually or several years at once fund an obligation that may run for decades. We recognise them over the storage term and track material whose patient has gone quiet.

🧾

The Split Decides Your Credits

Clinical care on one side, coordination, administration and storage on the other. Whether any stream is exempt or taxable is established on your facts, never assumed either way.

📋

Third-Party Arrangements

Payments and reimbursements involving donors, surrogates and intended parents are governed by federal law. We document and track them in the books; your counsel sets the legal boundary.

Stay Compliant and Minimize Your Fertility Clinic Tax

For a fertility clinic, staying onside with CRA and your regulators and paying the least legal tax are the same job. We keep every filing on schedule while claiming every laboratory, consumable and staffing dollar the T2 allows, so nothing is missed and nothing invites a reassessment.

🏥

Regulators, Accreditation and Federal Law

A fertility clinic answers to several authorities at once. Health Canada administers the Assisted Human Reproduction Act and the regulations under it, including the consent and reimbursement regulations: we name that as federal law requiring your own counsel and we assert nothing about what it permits, prohibits, caps or allows to be reimbursed. The College of Physicians and Surgeons of Ontario regulates the physicians and the out-of-hospital premises under the Regulated Health Professions Act, 1991 and the Medicine Act, 1991. Laboratory quality runs through Ontario Laboratory Accreditation delivered by IQMH. Add CFAS, ASRM and ESHRE memberships, CSMLS certification for laboratory staff, OMA dues and CMPA protection: each is a real annual cost that belongs in the ledger. What any of these bodies requires on consent, storage duration, disposal or abandoned material is a question for them and your counsel, not an answer we supply.

✅

CRA Obligations for Fertility Clinics

Staying compliant with CRA means more than one return a year. We manage GST34 returns with each stream characterized against Part II of Schedule V and the qualifying health care supply limitation before a rate is applied, input tax apportioned under ETA section 141.01 where the clinic is mixed, refunded packages adjusted through ETA section 232 credit notes, prepaid cycle money reserved under ITA paragraph 20(1)(m), cryostorage recognised across the storage term, incubators and dewars in Class 8 with servers in Class 50 and software in Class 12, embryologists, sonographers and locums tested against Form RC4110 with T4A slips filed, Regulation 105 and T4A-NR considered on non-resident payments, and source deductions reconciled to the PD7A. These are the areas CRA looks at first on a clinic file.

📈

Year-End Deliverables for Fertility Clinics

At year-end, a clinic corporation needs a proper trial balance and financial statements that state deferred revenue as a liability rather than burying it in fees, carry the obligation behind every refund or partial-refund package, show unexpired storage terms separately from treatment revenue, present laboratory and cryogenic equipment at net book value by class, and split the Class 8, Class 50, Class 12, Class 13 and Class 14.1 pools, plus a T2 with GIFI that ties to your HST returns. A lender reads the deferred revenue line before it reads the bank balance. Our team prepares every deliverable on time.

Accounting & Tax Experts for Fertility Clinics

Gondaliya CPA fertility clinic accounting expertsGondaliya CPA fertility clinic tax experts
  • AFFORDABLE + Fully Registered CPA Firm
  • Business and Corporate Tax Expert
  • Small & Medium Business Expert
  • Accounting, bookkeeping, and tax filing
  • Certified CPA
  • 1300+ 5-star Google reviews
  • 30-Day Money-Back Guarantee
  • 60-Day Fees Matching Policy

Why Choose Our Accounting Services for Fertility Clinics?

1
🎯

Tax Planning — Reserves & Pools

We set the ITA paragraph 20(1)(m) reserve deliberately, recognise storage across its term, split Class 8 dewars from Class 50 servers, and protect the $500,000 Small Business Deduction.

2
📊

Consulting — Cycle Costing & Packages

Our bookkeeping costs each treatment type against the revenue it produced, funds the obligation behind every refund package, and shows what a cycle is actually worth net.

3
🛡

CRA Representation — Credits & Contractors

When CRA challenges an input tax apportionment, a deferred revenue position or the embryologist line, we prepare the response and pursue relief on Form RC4288 where a prior error caused the penalties.

4
🏢

Bookkeeping — Cash Flow & Sale

We build the cash flow that funds nitrogen, media and service contracts out of money already collected, produce the statements your lender reads, and model the clinic sale years ahead.

★
Fully Licensed CPA Ontario
★
1300+ ★★★★★
Google Reviews
★
30-Day Money-Back Guarantee
★
60-Day Fees-Matching Policy
ACTIVELY ACCEPTING
Fertility Clinic Clients
Includes personal T1 filing for you and your family
Convenient Availability
Weekend and evening support until 9 PM
Always Within Reach
Just a call away when you need us

Fertility Clinic Tax and Accounting Services in Ontario

📄

Corporate Tax Filing (T2) for Fertility Clinics

Professional T2 preparation with prepaid cycles reserved, cryostorage recognised across its term, incubators in Class 8 and servers in Class 50, and CRA compliance on every line.

💳

Bookkeeping & Accounting for Fertility Clinics

Books that carry deferred cycle revenue, unexpired storage terms and package refund obligations as the liabilities they are, reconciled monthly to your clinic management system.

💵

Payroll Services for Fertility Clinics

Embryologist, nursing and locum payments handled properly, with PD7A remittances, T4 and T4A slips filed on time and classification tested against Form RC4110.

🧾

GST/HST Filing for Fertility Clinics

AFFORDABLE HST filing with each stream characterized against Part II of Schedule V first, input tax apportioned under ETA section 141.01, and refunded packages adjusted correctly.

📈

Tax Planning for Fertility Clinics

Smart tax planning on the deferred revenue reserve, laboratory equipment timing across Class 8 and Class 50, the Small Business Deduction, and the exit structure.

⏳

Corporate Catch-Up Filing for Fertility Clinics

File overdue T2 and HST years, rebuild the deferred revenue and capital pools you never had, and get back into CRA compliance with accurate catch-up support.

🛡

CRA Audit Resolution for Fertility Clinics

Expert support on input tax apportionment, deferred revenue and contractor classification audits, handled with confidence from the first letter.

📊

CPA Financial Statements (Notice to Reader) for Fertility Clinics

CPA-compiled financial statements that lenders accept, stating deferred revenue as a liability and laboratory equipment at net book value by class.

🏢

Incorporation Services for Fertility Clinics

Full incorporation including NUANS, articles and the section 85 rollover of your laboratory equipment, goodwill and patient list, coordinated with your own counsel on share structure.

📒

Catch-Up Bookkeeping Services for Fertility Clinics

Months or years of clinic system exports, merchant statements, supplier invoices and nitrogen records reconstructed and reconciled, so your revenue figure is finally accurate.

🌐

US Corporation & LLC Tax Filing for Fertility Clinics

Cross-border filing where patients, shareholders or owners sit outside Canada, covering Part XIII withholding, NR4 reporting and T1135 obligations.

📜

Voluntary Disclosure Program for Fertility Clinics

Come forward on storage fees recognised too early, deposits booked as revenue or credits claimed without an apportionment before CRA calls, cancelling penalties through a Voluntary Disclosures Program application.

Accounting & Tax Services Tailored for Fertility Clinics

Real, practitioner-level CPA expertise for full IVF and embryology laboratories, monitoring and frozen transfer practices, andrology services, and fertility preservation and storage programs across Ontario — built for a business that holds money for care it has not yet given.

  • We prepare your T2 with GIFI on Schedule 100 and Schedule 125, separating single cycle fees, multi-cycle package revenue, laboratory fees, cryostorage billing and coordination charges onto their correct lines so CRA’s matching reads your return properly.
  • We reserve money taken for cycles not yet performed under ITA paragraph 20(1)(m), so a package sold in November for treatment running through the following spring is taxed across the periods the work is actually done.
  • We recognise cryostorage fees over the storage term rather than in the year the patient paid, because a multi-year prepayment funds nitrogen, monitoring and service contracts that run long after the deposit cleared your bank.
  • We claim capital cost allowance on Schedule 8 with incubators, micromanipulators and cryogenic dewars in Class 8 at 20%, clinic servers and workstations in Class 50 at 55%, and software licences in Class 12 at 100%.
  • We review whether fertility medication billed through the clinic is your own supply or a disbursement passed to the patient, because that single characterisation changes both your reported revenue and the tax that follows it.
  • We carry a deferred revenue liability for every cycle sold and not yet performed, every package part delivered and every storage term still running, because cash in the clinic account is not income the corporation has earned.
  • We reconcile your Mellowood Medical IDEAS, eIVF or BabySentry export to the bank and the ledger every month, so what the clinic system says was billed and collected matches what your financial statements actually report.
  • We track the obligation behind every refund or partial-refund package as a real liability rather than profit, so a program promising money back on an unsuccessful outcome is funded on the balance sheet before it is claimed.
  • We cost each treatment type against the revenue it produced, loading culture media, consumables, liquid nitrogen, embryologist time and incubator service contracts against cycles performed, so you can see which part of the clinic actually pays.
  • We capture supplier, laboratory, nitrogen and service invoices through Dext into QuickBooks Online or Xero and reconcile monthly, keeping the six years of records ITA section 230 requires and every recoverable input tax credit identified.
  • We test your embryologists, sonographers, locum physicians and care coordinators against the Form RC4110 factors, because a large contractor line on a clinic file with no analysis behind it is the first thing a payroll auditor pulls.
  • We file T4A slips on the people who are genuinely contractors, so the laboratory, imaging and locum payments you deducted are reported the way CRA expects instead of sitting inside an unsupported subcontract total.
  • We run clinic payroll with income tax, CPP and EI withheld and remitted on the PD7A by the 15th of the following month, because CRA’s late-remittance penalty on source deductions reaches 10% on a graduated scale.
  • Where a visiting embryologist, locum or consultant is a non-resident performing services in Canada, we address Regulation 105 withholding and the T4A-NR reporting that follows rather than paying the invoice as though the border changed nothing.
  • We file your T4 slips and T4 Summary by the last day of February, register WSIB coverage from the first hire, and monitor Ontario payroll against the $1,000,000 Employer Health Tax exemption.
  • We characterise each of your revenue streams against the health care provisions in Part II of Schedule V of the Excise Tax Act and the qualifying health care supply limitation on them before any rate is set.
  • We assert no conclusion in either direction on treatment, storage, coordination or any other stream: the characterisation is reached on your own facts, documented in writing, and revisited whenever the clinic adds something structurally different.
  • Where a supply is exempt there are no input tax credits, so the tax on culture media, consumables, liquid nitrogen, service contracts, laboratory rent and clinic software behind it is absorbed rather than recovered.
  • Where the operation is mixed we apportion input tax on a fair and reasonable basis under ETA section 141.01 and use the same method consistently through the year, instead of claiming everything and waiting for a reviewer.
  • We watch the $30,000 small supplier threshold, which counts only taxable supplies, because a clinic carrying large exempt revenue can sit under it for years and cross it the week a taxable stream starts.
  • We time laboratory and cryogenic equipment purchases against your fiscal year-end, weighing the 20% Class 8 rate on incubators and dewars against the 55% Class 50 rate on servers, so the deduction lands where it is worth most.
  • We set the salary-versus-dividend mix for the owners, paying enough T4 salary to build RRSP room while the balance flows as dividends, so combined tax stays near the 12.2% Ontario small-business rate instead of 53.53%.
  • We keep active income under the $500,000 Small Business Deduction limit using ITA section 125 and watch the associated-corporation rules where the same owners also hold the clinic premises or a separate laboratory company.
  • We plan the deferred revenue position against your year-end so a busy prepayment season does not land tax on cycles the clinic has not yet run, and the ITA paragraph 20(1)(m) reserve is set deliberately rather than discovered.
  • We plan at least two years ahead so your shares qualify for the $1.25M Lifetime Capital Gains Exemption under ITA 110.6, purifying retained prepayment cash that would otherwise fail the active-business asset test.
  • We reconstruct cycle fees, package revenue, laboratory charges and cryostorage billing from your clinic system exports, merchant statements and bank deposits across every unfiled year, rebuilding the six years of records ITA section 230 requires.
  • Late filing costs 5% of the balance owing plus 1% per month up to twelve months, so we file your oldest unfiled T2 first to stop the penalty compounding and limit the arrears interest CRA charges.
  • We rebuild the deferred revenue position year by year, because a catch-up filing that recognised every prepayment on receipt overstates income in the year the money arrived and understates it in every year the treatment was delivered.
  • We rebuild the capital pools across the missing years, moving clinic servers and software out of Class 8 into Class 50 and Class 12 and carrying the laboratory build-out in Class 13 over the lease term.
  • We file a Voluntary Disclosures Program application on Form RC199 before CRA contacts you, because a disclosure accepted under the general program cancels penalties in full and gives roughly 50% interest relief on the older years.
  • When CRA questions your input tax credit claim we produce the characterisation file for each stream and the ETA section 141.01 allocation method, because an unexplained full claim across a mixed clinic invites the reassessment.
  • When CRA tests your revenue against bank deposits we show the deferred revenue reconciliation and the ITA paragraph 20(1)(m) reserve, because money collected for cycles not yet performed is not income the clinic has earned.
  • When CRA challenges the contractor line we produce the agreements, the invoices and the Form RC4110 analysis for every embryologist, sonographer and locum, because that line is where a clinic audit almost always begins.
  • When CRA opens a full audit we manage the file and answer the revenue, credit and payroll queries inside the deadlines, so a one-year review does not expand across the three prior years CRA is able to reopen.
  • We file the Notice of Objection within 90 days of a reassessment and pursue taxpayer relief on Form RC4288, cancelling penalties and interest a prior accountant’s storage and deposit errors caused, and protecting your Tax Court rights.
  • We prepare the CSRS 4200 compilation engagement financial statements a lender requires across two fiscal years for a laboratory build-out, an incubator and cryogenic equipment package, or the purchase of an existing clinic.
  • Your compiled statement of financial position shows deferred revenue as the liability it is, so cash held against cycles not yet performed and storage terms not yet run is not read by a lender as equity.
  • We show laboratory and cryogenic equipment at net book value by class, and the acquired patient list and goodwill separately in Class 14.1, because a lender values the clinical plant on different evidence from the intangibles.
  • We build the statement of operations with cycle fees, laboratory charges, storage revenue and coordination fees classified consistently across two years and tied to the T2 filed with CRA, so the bank accepts the file without further questions.
  • We deliver the compiled statements within 30 days of receiving your records and the year’s T2 figures, because an equipment lease approval or a clinic acquisition closing does not wait for a slow accountant to catch up.
  • We incorporate under the Ontario Business Corporations Act and coordinate with your own counsel on how the practice may be held and who may own the shares, because that question is set by regulator and statute rather than by us.
  • We complete the section 85 rollover on Form T2057, transferring your existing laboratory equipment, clinic goodwill and patient list into the corporation at elected amounts and deferring the capital gain a straight sale would otherwise trigger.
  • We set the opening Class 8, Class 50, Class 12, Class 13 and Class 14.1 schedules from the rollover, so the corporation starts with an asset base that is correct rather than rebuilt from memory years later.
  • We open the corporation’s CRA Business Number with RT and RP accounts within the first 30 days and move the clinic system, merchant and supplier accounts across, so revenue lands in the entity obliged to report it.
  • We set the chart of accounts with deferred cycle revenue, storage revenue by term, package refund liabilities and medication pass-throughs built in from the first month, so the records accumulate correctly rather than being reconstructed later.
  • We rebuild months or years of neglected books from clinic system exports, merchant statements, supplier invoices and nitrogen and service records, so a clinic that grew faster than its bookkeeping finally gets a ledger that ties.
  • We separate cycle fees, package deposits, storage billing, laboratory charges, coordination fees and medication pass-throughs into their own accounts across the whole backlog, which is the one correction that changes every figure downstream of it.
  • We rebuild the equipment and software schedule from purchase invoices and split it across Class 8, Class 50, Class 12 and Class 13, which is almost always pooled incorrectly when we inherit a clinic file from another firm.
  • We identify the input tax credits buried in unentered supplier, nitrogen, service contract and equipment invoices wherever the supply they relate to is taxable, because two unfiled years can hide five figures of recoverable tax.
  • We reconstruct the deferred revenue and package refund liability at each year-end across the caught-up months, so an accurate T2 can be filed without guessing how much of the banked cash was treatment still owed.
  • On out-of-province and international patients we review the place of supply rules against what was actually supplied and to whom, rather than treating a foreign billing address as an answer in either direction.
  • Where a non-resident holds shares in the clinic corporation we handle the Part XIII withholding on dividends paid out of Canada and the NR4 reporting that follows, so nothing is missed at 25% or at the treaty rate.
  • We file Form T1135 where the owners’ foreign property costs more than $100,000, avoiding a penalty regime CRA applies whether or not any tax was actually owing on the holding in that year.
  • Where cryoshipping, imported media or an imported instrument crosses the border we treat duty and tariff classification as part of landed cost and a question for a customs adviser, asserting no rate or program eligibility.
  • Where a United States citizen is a shareholder of the clinic corporation we coordinate the Canadian and US returns, because their reporting obligations reach into a Canadian company in ways most clinic owners discover far too late.
  • We bring your corporation forward on years of cryostorage prepayments taken into income on receipt, which is the quietest and most cumulative error on a clinic file because the obligation behind the money runs on for years.
  • We disclose input tax credits claimed in full across a mixed clinic where an ETA section 141.01 allocation was required, correcting the net tax before a reviewer finds the same gap and assesses penalties and interest on it.
  • We file your submission on Form RC199 with a full reconstruction from clinic system exports, merchant statements and bank records, so a clinic that outgrew its bookkeeping is not left facing an arbitrary CRA assessment.
  • We come forward on embryologist, sonographer and locum payments made for years with no T4A slips filed, because the per-slip penalties and the classification exposure both sit behind that single subcontract line.
  • We confirm your disclosure is genuinely voluntary before CRA contacts you — the single condition that makes it valid — and secure the roughly 50% interest relief on the older years, turning a prosecution risk into a managed correction.

Fertility Clinic Tax & Deferred Revenue Check

Six quick questions on your prepaid cycles, your storage recognition, your refund packages, your supply characterization, your capital pools and whether it is time to incorporate. No fee shown.

1. Do you reserve money taken for treatment cycles not yet performed?

2. Are cryostorage fees recognised across the storage term rather than on receipt?

3. Is the obligation behind every refund or partial-refund package carried as a liability?

4. Has each revenue stream been characterized before a GST/HST rate was applied?

5. Are incubators and dewars in Class 8 with servers and software split out properly?

6. Is your fertility clinic incorporated?

Free CPA Consultation for Fertility Clinics

Case Studies: Fertility Clinic Accounting & Tax

Toronto IVF Clinic — Prepaid Packages Taxed a Year Early

The problem: A Toronto clinic sold multi-cycle packages through the autumn for treatment that ran from January onward, and a prior accountant had taken every dollar into income on the day the card cleared. That included cycles not yet started and the obligation behind a partial-refund promise that was still live. The corporation was paying tax on work it had not performed, in the year it had the least cash left after media, nitrogen and service contracts.

What we did: We reconstructed package sales and cycle delivery from the clinic management system, reserved the undelivered portion under ITA paragraph 20(1)(m), carried the refund obligation as a liability, and restated the prior year on the same basis.

The result:

  • $486,000 of package revenue reserved into the year it was delivered
  • $59,292 of corporate tax deferred to the following year
  • Deferred revenue now reported monthly, not discovered at year-end

Vaughan Fertility Practice — Credits Claimed With No Apportionment

The problem: A Vaughan practice ran four distinct revenue streams: clinical treatment, cryostorage, third-party reproduction coordination, and administrative amounts charged to associate physicians. Nobody had ever characterized any of them against the health care provisions in Part II of Schedule V of the Excise Tax Act or the qualifying health care supply limitation on them, and the prior accountant had simply claimed input tax credits in full on every media, nitrogen, service contract, rent and software invoice. There was nothing on file to support the claim.

What we did: We characterized each of the four streams separately on its own facts and documented the basis for each, established that the treatment was not uniform across the practice, built an input tax apportionment under ETA section 141.01 on a fair and reasonable basis, and corrected the prior returns voluntarily before any CRA contact.

The result:

  • Four streams characterized individually and documented
  • $34,180 of net tax corrected voluntarily, penalties cancelled
  • Apportionment method now applied every filing period

Ottawa Fertility Preservation Program — The Storage Book Nobody Tracked

The problem: An Ottawa program billed cryostorage annually and, for many patients, several years at once, and every dollar had gone straight to revenue in the month it arrived. Nobody could say how many storage terms were unexpired, how much had been collected against them, or which patients had stopped responding while their material stayed in the tanks. The owner rebuilt a storage spreadsheet by hand before every board meeting and before every nitrogen reorder.

What we did: We exported the storage register from the clinic system, built a storage-term schedule that recognises each fee across the term it covers, separated unexpired terms into deferred revenue, flagged the accounts where the patient had gone unreachable as an obligation still being funded, and connected nitrogen and service invoices through Dext into QuickBooks Online.

The result:

  • 11 hours a month of manual spreadsheet work eliminated
  • Unexpired storage terms visible as a liability every month
  • Nitrogen and monitoring cost tracked against storage revenue earned

Our Simple Process

How We Work With Fertility Clinics

Know Exact Fees within 2 Minutes NOW

Our clear, efficient process ensures every step is transparent, building trust and long-term client relationships.

Here’s a simplified process approach:
Step 1

Kickoff (Document Request)

Collect prior T2 returns, the clinic management system billing and storage registers, merchant statements, package and refund terms, supplier and nitrogen invoices, equipment and service contracts, associate and locum agreements, and bank statements.

Step 2

First 30 Days (Cleanup & Setup)

Set up QuickBooks Online or Xero with Dext against your clinic system, characterize every revenue stream, build the storage-term and deferred cycle schedules, rebuild the Class 8, 50, 12 and 13 pools, and run the RC4110 analysis.

Step 3

Monthly Close

Clinic system to bank reconciliation, deferred cycle revenue and unexpired storage terms updated, package refund obligations reviewed, cycle costing against media and nitrogen, GST34 with input tax apportioned, and contractor reconciliation.

Step 4

Quarterly Planning Review

Salary and dividend mix, the deferred revenue reserve against your year-end, laboratory and cryogenic equipment timing across Class 8 and Class 50, associate overhead arrangements, and cash flow against obligations already funded.

Step 5

Year-End Close & T2 Filing

Trial balance, financial statements with deferred revenue stated as a liability and unexpired storage shown separately, the ITA paragraph 20(1)(m) reserve settled, T2 with GIFI, and CRA preparation.

Get Your Fertility Clinic Taxes Done Right Today

Transparent Pricing for Fertility Clinics

Affordable Pricing for Fertility Clinics

Know Exact Fees within 2 Minutes NOW

We believe in clear, upfront pricing so you know exactly what to expect. All fees include HST.

  • Tax Preparation (Corporation) — From $400
  • Tax Return Filing (Corporation) — From $400
  • Tax Compliance Audit — FREE CRA audit support for our clients
  • Tax Strategy — FREE for our clients
  • Accounting Base Plan — From $100 per month
  • Bookkeeping Management — Free for our Accounting clients
  • Financial Reporting — Free for our Accounting clients
  • Business Formation — Flat $35
  • Incorporation Process — Flat $35
  • Entity Setup Assistance — Flat $35
  • Full-Service Payroll — From $125 per month

Payment is by Interac e-Transfer to info@gondaliyacpa.ca only. Security question: Not Applicable, as auto-deposit is enabled.

Meet Your Lead Fertility Clinic Accountant

Meet your lead fertility clinic accountant. As your reproductive medicine practice and corporate tax adviser, you deal with the same two people every year.

Sharad Gondaliya CPA

Sharad Gondaliya, CPA

Principal

Bio

647-212-9559
sharad@gondaliyacpa.ca

Vandana Goel CPA

Vandana Goel, CPA

Accounting Specialist

Bio

647-250-0242
vandana@gondaliyacpa.ca

What Our Clients Say

1300+ five-star reviews from fertility clinics, medical practices and healthcare business owners across Ontario and Canada.

Serving Fertility Clinics Across Ontario

Our CPA team provides specialized accounting and tax solutions for fertility clinics, embryology and andrology laboratories and reproductive medicine practices throughout Ontario. We understand why prepaid cycles are not revenue on receipt, why a cryostorage fee buys an obligation that outlives the payment, why every stream has to be characterized before a rate is applied, and what CRA looks at first when it opens a fertility clinic file.

Toronto (ON)

55 Queen St E Ste 1205, Toronto, ON M5C 1R6, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Mississauga (ON)

2100 Camilla Rd #716, Mississauga, ON L5A 2J8

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Brampton (ON)

4 Starhill Crescent, Brampton, ON L6R 2P9, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Scarborough (ON)

24 Clementine Square, Scarborough, ON M1G 2V7, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Vaughan (ON)

19 Cabinet Crescent, Woodbridge, ON L4L 6H9, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Oshawa (ON)

210 Durham St, Oshawa, ON L1J 5R3, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Ottawa (ON)

2090 Neepawa Ave a314, Ottawa, ON K2A 3L6, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Etobicoke (ON)

60 Stevenson Rd #1601, Etobicoke, ON M9V 2B4, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Hamilton (ON)

70 Starling Dr, Hamilton, ON L9A 0C5, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Guelph (ON)

1155 Gordon St, Guelph, ON N1L 1S8, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Windsor (ON)

4387 Guppy Ct, Windsor, ON N9G 2N8, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

North York (ON)

150 Graydon Hall Dr #912, North York, ON M3A 3B2, Canada

+1 (647) 212-9559

9:00 AM – 8:30 PM (Mon – Sun)

Fertility Clinic Accounting & Tax FAQs

Should I incorporate my fertility clinic?
Incorporating gives you limited liability and roughly a 12.2% Ontario combined rate on the first $500,000 of active income under ITA section 125, against a personal rate reaching 53.53% when unincorporated. The decision turns on whether the practice earns more than the owners withdraw, because that surplus is what a corporation lets you defer. There is a second reason specific to this business: a clinic holds large prepayments and a multi-year storage book, and a corporation is the entity that can carry those obligations, finance the laboratory against them and eventually be sold. How a medical practice may be held and who may own its shares is set by regulator and statute rather than by us, so we work alongside your own counsel on structure and then handle the section 85 rollover on Form T2057.
When do I recognise revenue on a treatment cycle?
As the cycle is actually performed, not on the day the patient paid. Money received for services not yet rendered is brought into income and then reserved out under ITA paragraph 20(1)(m), so a cycle sold in November and carried out across the following spring is taxed in the periods the work happens. This is the single most expensive timing error we see on fertility clinic files, because a busy prepayment season lands the tax bill in the year you had the least cash left after media, consumables, nitrogen and service contracts. A monitoring or frozen transfer cycle pulls on a shorter timeline than a full laboratory cycle, and the schedule has to reflect what each one actually delivers.
How do I account for a multi-cycle package with a refund promise?
In two parts, because two different things are happening. The treatment side is deferred revenue: the package price is recognised as cycles are actually performed, with the undelivered portion reserved under ITA paragraph 20(1)(m) rather than taken into income when the patient paid. The refund promise is a separate obligation, and where a package carries a guarantee of money back the amount behind it is a real liability on the balance sheet while the promise is live, not profit you can plan around. When a refund is actually paid, the tax side is handled through an ETA section 232 credit note rather than by netting the amount off fees, which matters because the refund usually falls in a later filing period than the sale did.
How do I account for prepaid cryostorage fees?
Across the storage term, which is the hardest deferred revenue in the practice. A fee billed annually, or for several years at once, buys an obligation that keeps running over material still in the tanks whether or not the patient returns, keeps paying or ever responds again. We recognise the fee over the term it covers, carry unexpired terms as deferred revenue, and schedule the nitrogen, monitoring, alarm and service contract cost that keeps running against it. We also flag the accounts where the patient has become unreachable, because the obligation continues while the revenue behind it has stopped, and that is a genuine operational and accounting problem. What any regulator, college or federal statute requires be done with abandoned or unreachable-patient material is a question for those authorities and your own counsel, and we assert nothing about it.
Is my clinic service subject to HST?
That has to be answered for your actual streams rather than for fertility clinics in general, and we do not answer it in either direction on a web page. The Excise Tax Act exempts certain health care services in Part II of Schedule V, and since 2013 that exemption has been limited to supplies made for a qualifying health care purpose; Part II of Schedule VI separately zero-rates specified medical devices item by item. Clinical treatment, cryostorage, coordination and administration fees, and non-clinical charges each have to be characterized against those provisions on your own facts. We establish the characterization stream by stream, document the basis in writing, and only then set a rate and file the return, and we revisit it whenever the clinic adds something structurally different.
If one of my streams is an exempt supply, why does that cost me money?
Because exempt is not the same as free of tax, and this is the point that surprises clinic owners most. Where a supply is exempt you do not charge tax on it, but you also cannot claim input tax credits on what you bought to make it. The HST on culture media and consumables, liquid nitrogen, incubator and cryo-tank service contracts, laboratory rent and clean-room HVAC, clinic management software and professional fees stops being recoverable and becomes a real cost the practice absorbs. In a fertility clinic those inputs are most of the cost base, so the effect is not marginal. Where a supply is taxable the ordinary rules apply and those credits come back. That difference is exactly why the characterization is worth doing properly rather than guessing.
How do I allocate input tax credits in a mixed clinic?
Under ETA section 141.01, on a fair and reasonable basis that you then use consistently throughout the year. Almost every clinic of any size is a mixed operation, and once the streams do not all carry the same treatment the question stops being what rate applies and becomes how the tax on shared inputs is apportioned. Rent, utilities, clinic software, administration and general supplies serve everything, so a defensible method and a written record of it are what hold the position up. Note also that the $30,000 small supplier threshold counts only taxable supplies, which means a clinic carrying large exempt revenue can sit under the threshold for years and cross it the week a taxable stream starts.
Do I charge HST on an administrative or coordination fee?
That is exactly the kind of charge that has to be characterized rather than assumed, and we will not tell you the answer runs one way before looking at the facts. A fee for administration, coordination, case management or something supplied for a purpose other than a qualifying health care purpose does not automatically share the treatment of the clinical care it sits beside, and the Act addresses purpose rather than the provider’s profession. Overhead charged to an associate physician is a separate question again: where a clinic takes a share of an associate’s billings in exchange for space, staff, booking and equipment, that is ordinarily consideration for a taxable supply of administrative services rather than a division of professional income, though whether a particular arrangement is a supply, a cost-sharing arrangement or a partnership turns on the written agreement and the conduct of the parties.
How do I handle fertility medication billed through the clinic?
By first establishing whether it is your supply at all. Medication is a large cost in this practice and it can move three ways: billed through the clinic, reimbursed by a private plan, or bought by the patient directly from a pharmacy. Whether a pass-through is the clinic’s own supply or a disbursement made on the patient’s behalf changes your reported revenue, your cost of sales and the tax treatment of both, so it is reviewed on the actual arrangement and the actual paperwork rather than assumed from how the invoice happens to be laid out. We also keep the plan reimbursements reconciled as receivables rather than guessed at, because an unreconciled third-party balance is one of the easiest ways for a clinic to lose real money quietly.
What CCA class is an incubator, a cryogenic tank or my laboratory build-out?
Incubators, micromanipulators and laser systems, laminar flow and IVF workstations, ultrasound units, centrifuges, andrology benches, cryogenic dewars and liquid nitrogen tanks, alarm and temperature monitoring hardware and clinic furniture generally go to Class 8 at 20%. Servers, workstations and witnessing hardware belong in Class 50 at 55%, and application and clinic-management software licences in Class 12 at 100%, as does a medical instrument whose cost does not exceed $500. The laboratory and clean-room leasehold, including dedicated HVAC, goes to Class 13 over the term of the lease, and goodwill or an acquired patient list lands in Class 14.1 at 5%. The common error we inherit is everything pooled into Class 8 with the build-out expensed, which understates the deduction on exactly the equipment that is obsolete first.
Do I file T4A slips for a visiting embryologist or locum?
For the ones who are genuinely contractors, yes, and the test comes first. You have to weigh the relationship against the factors in Form RC4110: control over how and when the work is done, who supplies the equipment, whether the worker can subcontract, and the chance of profit against the risk of loss. An embryologist who works set shifts in your laboratory on your equipment with no other clients looks different on those factors from a consultant who covers four clinics. Filing slips supports the deduction you claimed and makes the classification question visible to you before a reviewer raises it. Where the person is a non-resident performing services in Canada, Regulation 105 withholding and T4A-NR reporting are reviewed payment by payment rather than assumed away.
How do I handle donor, surrogate and intended-parent payments in the books?
As a live compliance area that has to be documented and tracked, with the legal boundary set by your own counsel rather than by your accountant. Payments and expense reimbursements involving donors, surrogates and intended parents are governed by federal law: the Assisted Human Reproduction Act and the regulations made under it, including the consent and reimbursement regulations, administered by Health Canada. Whether a particular payment or reimbursement is permitted at all is a question for that legislation and for your counsel. We do not state what that legislation permits, prohibits, caps or allows to be reimbursed, and we do not name a reimbursable category or a figure, because that is advice for counsel and for Health Canada rather than for us. What we do is make sure every such payment and reimbursement is separately identified, supported and reconcilable in your ledger, so the records exist in the form a review would want to see them.
What can a fertility clinic write off, and how do I value the clinic if I sell it?
On the expense side: embryologist, nursing and coordinator payroll, liquid nitrogen and tank monitoring, culture media, catheters, pipettes, dishes and single-use consumables, equipment service contracts and calibration, accreditation and quality-management costs, cryoshipping and courier, third-party genetic testing invoices, laboratory rent and HVAC, clinic management and EMR subscriptions, CMPA protection, legal and professional fees, and CFAS, ASRM, ESHRE, CSMLS and OMA dues. On capital, see the CCA classes above, all on Schedule 8. On a sale, a share sale can access the $1.25M Lifetime Capital Gains Exemption under ITA 110.6 where the shares qualify, with purification of retained prepayment cash and a two-year runway; an asset sale triggers recapture where proceeds beat undepreciated capital cost and puts goodwill and the patient list in Class 14.1. The feature that distinguishes a fertility clinic is that the storage book is priced as an assumed obligation rather than an asset, because the buyer inherits years of maintenance on material already paid for.

Related Industries We Serve

Accountant for Specialist Physicians

  • Mixed supply characterization
  • Associate and overhead arrangements
  • Corporate tax filing and statements

Accountant for Walk-In Clinics

  • Clinic overhead and staffing payroll
  • Exempt and taxable stream review
  • Corporate tax planning and bookkeeping

Accountant for Family Doctors

  • Practice income and receivables
  • Capital pools and leasehold build-out
  • Corporate tax filing and statements

Accountant for Occupational Therapists

  • Prepaid block and package revenue
  • Contractor classification review
  • Corporate tax planning and advisory

Fertility Clinic Accounting & Tax Done Right.

Prepaid cycles and multi-cycle packages reserved under ITA paragraph 20(1)(m) for treatment not yet given, cryostorage recognised across the storage term with unexpired terms carried as a liability, the obligation behind every refund promise funded rather than banked as profit, every revenue stream characterized against the health care provisions in Part II of Schedule V of the Excise Tax Act and the qualifying health care supply limitation on them before a rate is set, input tax apportioned under ETA section 141.01 where the clinic is mixed, refunds adjusted through ETA section 232 credit notes, incubators and cryogenic dewars in Class 8 at 20% split from servers in Class 50 at 55% and software in Class 12 at 100%, and donor, surrogate and intended-parent payments documented as the federal compliance area they are. AFFORDABLE flat fees, no hourly billing. Licensed CPA Ontario. 1300+ five-star reviews. 30-Day Money-Back Guarantee.



Scroll to Top