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Gondaliya CPA

Corporate Tax Filing Experts

Tax Accountant for Sleep Clinics in Ontario and Across Canada

A sleep clinic is one business wearing two tax hats, and those two hats sit on opposite sides of the HST regime. The diagnostic half runs through the health care provisions in Part II of Schedule V of the Excise Tax Act, where an exempt supply carries no HST and, far more expensively, no input tax credits on the rent, the scoring software or the equipment behind it. The therapy half is a supply of goods, and Part II of Schedule VI zero-rates specified medical devices, a number of them only on the written order of a practitioner — and zero-rated is not exempt, because a zero-rated supply collects no tax yet still carries input tax credits in full. We do not assume your studies or your devices fall on either side: the characterization is established supply by supply and device by device on your own facts. Then we build the ETA section 141.01 apportionment that the mixed operation actually requires, capitalise your rental fleet in Class 8 at 20% instead of expensing it, count your mask and cushion resupply inventory under ITA section 10, and reconcile every funded and third-party receivable to what was approved rather than what was billed — with AFFORDABLE flat fees.

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AFFORDABLE Sleep Clinic Tax Accountant

A sleep clinic gets one thing wrong before it gets anything else wrong, and everything expensive follows from it: it treats itself as a single business when the tax system sees two. You run a diagnostic service and you supply therapy equipment, and the Excise Tax Act handles those two activities through entirely different machinery. Diagnostic and professional services sit in the framework of Part II of Schedule V, where the consequence of an exempt supply is not that you save tax but that the HST on your clinic rent, your overnight HVAC, your scoring software and your shared administrative staff stops being recoverable. Devices, masks, humidifiers, tubing and filters are goods, and Part II of Schedule VI zero-rates specified medical devices, many of them only where a practitioner has issued a written order. Zero-rated and exempt sound the same at the till and behave in opposite ways on your return: both collect nothing, but only one gives the credits back. There is no general rule that places your studies or your devices on either side, and we assert none. We establish the characterization on your facts, supply by supply and device by device against the actual item and the actual documentation, and only then do we set a rate or claim a credit. At Gondaliya CPA, we specialize in mixed-supply apportionment, rental fleet accounting and funded receivable reconciliation for sleep clinics, providing AFFORDABLE flat-fee support that keeps you CRA-compliant and stops you paying more tax than you owe.

As a sleep clinics accountant, we work with in-lab polysomnography facilities, home sleep apnea testing providers, CPAP and resupply operations, and multi-bed clinics with interpreting physicians on an overhead arrangement across Ontario, with year-round support rather than a once-a-year scramble. We tell you which revenue streams carry credits, how much of your billed revenue is actually approved, and what your rental fleet is really worth after four years of capital cost allowance.

Let us handle the numbers so you can focus on the patients, the beds and the referrals.

Gondaliya CPA team - accounting and tax services for sleep clinics

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Accounting That Understands How a Sleep Clinic Actually Works

A diagnostic service and an equipment business live inside one corporation, share one lease and one payroll, and are taxed through two different parts of the Excise Tax Act. Your input tax has to be apportioned rather than simply claimed, the same machine produces three different answers depending on whether you sold it, rented it or lent it, and a meaningful share of what you billed was never approved at that amount. At Gondaliya CPA, we understand that reality and provide practical, industry-focused solutions across Ontario.

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Two Hats, Two Regimes

The diagnostic side runs through Part II of Schedule V, the device side through Part II of Schedule VI. We establish where each supply and each device sits on your own facts, never by assumption.

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Zero-Rated Is Not Exempt

Both collect no tax. Only one returns the credits. Where a supply is exempt there are no input tax credits on anything behind it, which is the costliest thing a clinic can get wrong.

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Apportionment Is the Job

Rent, utilities, software, vehicles and shared staff are allocated under ETA section 141.01 on a fair and reasonable basis used consistently all year, documented before a reviewer asks.

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Sell, Rent or Lend

A device sold is a sale. A device rented is a stream of supplies and a Class 8 capital asset earning while it depreciates. A trial unit is neither, and must never be relieved as sold.

Stay Compliant and Minimize Your Sleep Clinic Tax

For a sleep clinic, staying onside with CRA and recovering every credit you are actually entitled to are the same job. We keep every filing on schedule while identifying which revenue streams carry input tax credits, so nothing is missed and nothing invites a reassessment.

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Authorities, Credentials and Privacy

No single regulator sits over a sleep clinic as a business, but several reach into it. Health Canada administers the Food and Drugs Act and the Medical Devices Regulations over devices and over establishments that sell or import them, and what that means for your clinic is a question to settle with Health Canada rather than an answer to assume. The CPSO reaches physicians and out-of-hospital premises, the CRTO reaches registered respiratory therapists, and the Information and Privacy Commissioner of Ontario administers PHIPA over patient records on a timetable entirely separate from the six-year tax rule. We name no requirement, licence class or accreditation standard for you. We do make sure Canadian Sleep Society, CSRT, AASM and BRPT dues and examination fees land in the ledger as the real annual costs they are.

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CRA Obligations for Sleep Clinics

Staying compliant with CRA means more than one return a year. We manage GST34 returns with each supply characterized against Part II of Schedule V and each device reviewed item by item against Part II of Schedule VI before a rate is applied, input tax credits apportioned under ETA section 141.01, the $30,000 small supplier threshold tested against taxable supplies only, returned devices adjusted through ETA section 232 credit notes, rental fleet devices capitalised in Class 8 rather than expensed, resupply inventory valued under ITA section 10, overnight technologists and scorers tested against Form RC4110 with T4 and T4A slips filed, source deductions reconciled to the PD7A, and Ontario Employer Health Tax monitored past the $1,000,000 exemption.

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Year-End Deliverables for Sleep Clinics

At year-end, a clinic corporation needs a proper trial balance and financial statements that show the rental fleet separately from inventory held for resale, carry consumable inventory at a counted and valued figure, age funded and third-party receivables by payer rather than lumping them into one trade total, and split the Class 8, Class 12, Class 50, Class 13 and Class 14.1 pools properly, plus a T2 with GIFI that ties to your HST returns. A lender reads the receivable aging and the fleet net book value before it reads the revenue line. Our team prepares every deliverable on time.

Accounting & Tax Experts for Sleep Clinics

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Why Choose Our Accounting Services for Sleep Clinics?

1
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Tax Planning — Characterization & Pools

We establish where each supply and each device sits before a rate is set, split Class 8 diagnostic equipment from Class 50 scoring workstations, and protect the $500,000 Small Business Deduction.

2
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Consulting — Apportionment & Margin

Our bookkeeping builds the ETA section 141.01 allocation, tracks gross margin on the resupply annuity, and shows what a rented device earns against the capital cost allowance it consumes.

3
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CRA Representation — Credits & Staff

When CRA challenges an input tax credit claim, a device characterization or the overnight technologist line, we prepare the response and pursue relief on Form RC4288 where a prior error caused the penalties.

4
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Bookkeeping — Receivables & Sale

We reconcile funded and third-party receivables to what was approved, produce the statements your lender reads, and model the sale of the patient list and the resupply base years ahead.

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Sleep Clinic Tax and Accounting Services in Ontario

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Corporate Tax Filing (T2) for Sleep Clinics

Professional T2 preparation with the rental fleet in Class 8, scoring workstations in Class 50, resupply inventory valued under ITA section 10, and CRA compliance on every line.

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Bookkeeping & Accounting for Sleep Clinics

Books that separate diagnostic revenue from device sales, rentals and resupply, with funded and third-party receivables reconciled to what the payer actually approved.

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Payroll Services for Sleep Clinics

Overnight technologists, scorers and home-setup staff handled properly, with PD7A remittances, T4 and T4A slips filed on time and classification tested against Form RC4110.

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GST/HST Filing for Sleep Clinics

AFFORDABLE HST filing with every supply characterized first, each device reviewed item by item against Part II of Schedule VI, and credits apportioned under ETA section 141.01.

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Tax Planning for Sleep Clinics

Smart tax planning on bed build-outs and system purchases across Class 8, Class 50 and Class 13, the Small Business Deduction, and the eventual exit structure.

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Corporate Catch-Up Filing for Sleep Clinics

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

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CRA Audit Resolution for Sleep Clinics

Expert support on input tax credit allocation, device characterization and staff classification audits, handled with confidence from the first letter.

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CPA Financial Statements (Notice to Reader) for Sleep Clinics

CPA-compiled financial statements that lenders accept, showing the rental fleet separately from inventory and funded receivables aged by payer.

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Incorporation Services for Sleep Clinics

Full incorporation including NUANS, articles, share structure, and the section 85 rollover of your diagnostic equipment, rental fleet and patient list into the company.

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Catch-Up Bookkeeping Services for Sleep Clinics

Months or years of payer remittances, device invoices, resupply orders and bank deposits reconstructed and reconciled, so your revenue figure is finally accurate.

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US Corporation & LLC Tax Filing for Sleep Clinics

Cross-border filing where devices are imported, suppliers invoice in United States dollars, or owners and shareholders sit outside Canada, covering withholding and T1135.

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Voluntary Disclosure Program for Sleep Clinics

Come forward on credits claimed without an allocation, unfiled slips or unreconciled funded revenue before CRA calls, cancelling penalties through a Voluntary Disclosures Program application.

Accounting & Tax Services Tailored for Sleep Clinics

Real, practitioner-level CPA expertise for in-lab polysomnography facilities, home sleep apnea testing providers, CPAP and resupply operations, and multi-bed clinics with interpreting physicians across Ontario — built for a business that is taxed through two different parts of the Excise Tax Act at once.

  • We prepare your T2 with GIFI on Schedule 100 and Schedule 125, separating diagnostic study revenue, physician interpretation fees, device sales, device rentals and consumable resupply onto their correct lines so CRA’s matching reads your return properly.
  • We claim capital cost allowance on Schedule 8 with polysomnography systems, amplifiers, oximeters, patient beds and the rental fleet in Class 8 at 20%, scoring workstations and servers in Class 50 at 55%, and software in Class 12 at 100%.
  • We carry your mask, cushion, filter and tubing resupply stock as inventory valued under ITA section 10, so cost of goods sold reflects what left the shelf rather than what happened to be purchased that month.
  • We keep the rental fleet on the balance sheet as the Class 8 capital asset it is while it earns monthly rent, rather than expensing a machine on purchase and then reporting rental income against no corresponding asset.
  • We deduct the unfunded patient portion you will never collect under ITA paragraph 20(1)(p) once it is genuinely bad, instead of leaving a receivable on the books that overstates both your income and your borrowing base.
  • We build a chart of accounts that keeps the diagnostic side and the equipment side visibly apart, because your input tax apportionment, your small supplier test and your gross margin analysis all depend on that one separation existing.
  • We reconcile funded, insurer and patient portions file by file against the remittance records, because revenue booked at the amount billed rather than the amount approved is the most common cause of overstated income in this business.
  • We age every funded and third-party receivable by payer rather than lumping them into one trade total, so a portion that was never approved surfaces in the month it stalled instead of at year-end.
  • We count and value consumable inventory monthly, tracking shrinkage on masks and cushions, so the gross margin on your resupply annuity is a number you actually know rather than a figure you infer afterwards.
  • We capture device, consumable, software, service contract and utility invoices through Dext and reconcile monthly, keeping the six years of records ITA section 230 requires and making sure no recoverable input tax credit is quietly lost.
  • We test your overnight technologists, scoring technologists, home-setup technicians and front desk staff against the Form RC4110 factors, because a large contractor line behind a shift-based workforce is the first thing a payroll auditor pulls.
  • We run payroll with the overnight, weekend and statutory premiums your shift schedule actually generates, withholding income tax, CPP and EI and remitting on the PD7A by the 15th of the following month.
  • We register and maintain your WSIB account and reconcile insurable earnings to the payroll you actually ran, because coverage for an overnight workforce is not something to discover after an incident has already happened.
  • We file your T4 slips and T4 Summary by the last day of February, issue T4A slips to genuine contractors, and monitor Ontario payroll against the $1,000,000 Employer Health Tax exemption as the bed count grows.
  • Where an interpreting physician works under an associate or overhead arrangement, we examine whether the retained percentage is consideration for a taxable supply of administrative services rather than a simple division of professional income.
  • We characterize each supply against the health care provisions in Part II of Schedule V of the Excise Tax Act before any rate is set, and we reach no conclusion for a study, a consultation or an interpretation by assumption.
  • We review each device, mask, humidifier, filter and length of tubing item by item against Part II of Schedule VI, including the provisions that turn on a practitioner’s written order, rather than treating a category as settled.
  • Where a supply is exempt there are no input tax credits, so the tax on rent, utilities, scoring software and shared staff behind it is absorbed; where a supply is zero-rated, no tax is collected and the credits still come back.
  • We build the ETA section 141.01 apportionment the mixed operation requires, on a fair and reasonable method applied consistently through the year and documented in writing before a reviewer ever asks to see it.
  • We test the $30,000 small supplier threshold against taxable supplies only, because a clinic can sit below it for years on diagnostic revenue and cross it the month equipment sales begin without noticing.
  • We time system purchases, bed build-outs and fleet expansion against your fiscal year-end, weighing the 55% Class 50 rate on scoring workstations against the 20% Class 8 rate on diagnostic equipment and rental devices.
  • We model whether a given machine should be sold, rented or kept as a trial unit, because the three choices produce three different revenue patterns, three different asset positions and three different tax outcomes from one piece of hardware.
  • We set the salary-versus-dividend mix for the owner, 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 your active income under the $500,000 Small Business Deduction limit using ITA section 125, and watch the associated-corporation rules where the same owner also runs a second clinic or a separate equipment company.
  • 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 cash that would otherwise fail the active-business asset test at closing.
  • We reconstruct diagnostic revenue, device sales, rental streams and resupply income from payer remittances, device supplier invoices and bank deposits across your unfiled years, 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 capital pools across the missing years, moving rental fleet devices out of expense into Class 8 and scoring computers out of Class 8 into Class 50, then recalculate every year that followed.
  • We reconstruct the inventory position at each missing year-end under ITA section 10, because a clinic that never counted its mask and cushion stock has reported a cost of goods sold figure nobody can support.
  • 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 supply-by-supply characterization file, the device-by-device Schedule VI review and the ETA section 141.01 allocation method, because an unexplained full claim across a mixed clinic invites reassessment.
  • When CRA tests your revenue against deposits, we show the funded receivable reconciliation payer by payer, because the gap between what a clinic billed and what was approved is exactly what an auditor is looking for.
  • When CRA challenges the overnight technologist and scorer line, we produce the agreements, the schedules, the invoices and the Form RC4110 analysis for each role, because a shift-based contractor workforce draws attention quickly.
  • When CRA opens a full audit, we manage the file and answer the revenue, credit, inventory and payroll queries inside the deadlines, so a one-year review does not expand across the three prior years CRA can reopen.
  • We file the Notice of Objection within 90 days of a reassessment and pursue taxpayer relief on Form RC4288, cancelling penalties and interest that can top $15,000 where a prior accountant’s error caused them, protecting your Tax Court rights.
  • We prepare the CSRS 4200 compilation engagement financial statements a lender requires across two fiscal years for a bed build-out, a polysomnography system purchase, a rental fleet expansion or a clinic acquisition.
  • Your compiled statement of financial position shows the rental fleet as a Class 8 capital asset at net book value and the resale stock as inventory, because a lender treats a machine earning rent differently from one awaiting sale.
  • We present funded, insurer and patient receivables aged by payer rather than as one trade total, because a bank that cannot see which portions are approved and which are stalled will send the file back.
  • We build the statement of operations with diagnostic revenue, device sales, rental income and resupply 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 order or a lease decision on a new suite does not wait for a slow accountant.
  • We incorporate your clinic under the Ontario Business Corporations Act, giving you limited liability and roughly the 12.2% Ontario small-business rate on the first $500,000 of active income against 53.53% personally.
  • We complete the section 85 rollover on Form T2057, transferring your existing diagnostic equipment, rental fleet, resupply inventory and patient list into the corporation at elected amounts, deferring the gain a straight sale would trigger.
  • We set the opening Class 8, Class 12, Class 50, 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, HST and payroll accounts along with WSIB registration within the first 30 days, so the revenue and the overnight payroll land in the entity obliged to report them.
  • Whether a professional corporation regime applies to any part of your structure, and who may hold its shares, is a question for your regulator and your lawyer, and we coordinate the tax work around their answer.
  • We rebuild months or years of neglected books from payer remittance records, device supplier invoices, resupply orders and bank statements, so a clinic that grew past its bookkeeping finally gets a ledger that ties.
  • We separate the diagnostic side from the device side retroactively across the whole backlog, which is the single correction that makes an input tax credit apportionment possible at all for the years still open.
  • We rebuild the equipment schedule from purchase invoices and split it across Class 8, Class 50 and Class 12, which is almost always pooled incorrectly when we inherit a sleep clinic file from another firm.
  • We identify every device still sitting with a patient as a rental, a trial or a sale, because a fleet nobody tracked produces an asset register, an inventory count and a revenue figure that all disagree.
  • We recover input tax credits buried in unentered device, consumable, software and equipment invoices wherever the supply they relate to carries them, because two years of unentered purchases can hide five figures of credits.
  • Where devices and consumables are imported, we treat duty, brokerage, freight and foreign exchange as part of landed cost in your inventory figure, and we flag tariff classification as a question for a customs specialist.
  • We translate United States dollar supplier invoices and the foreign exchange gain or loss on settlement properly, because a clinic buying machines abroad and selling in Canadian dollars carries a margin exposure nobody budgeted for.
  • Where a non-resident owns shares in your company, 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 itself in that year.
  • Where a related non-resident supplies your devices, we name ITA section 247 and Forms T106 and T1134 as live obligations and assert no method or margin, because transfer pricing is settled with documentation rather than assumption.
  • We bring your corporation forward where input tax credits were claimed in full across a mixed clinic with no apportionment, correcting the net tax before a reviewer finds the same gap and assesses penalties and interest on top.
  • We disclose years of overnight technologist and scorer payments made with no T4A slips filed, because the per-slip penalties and the classification exposure both sit behind that single subcontract line on the return.
  • We correct funded and third-party revenue recorded at billed amounts across several years, because the cumulative overstatement is often larger than the tax saving any clinic owner thought they were getting from it.
  • We file your VDP submission on Form RC199 with a full reconstruction from payer remittances, supplier invoices and bank records, so a clinic that outgrew its bookkeeping is not left facing an arbitrary CRA assessment.
  • 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.

Sleep Clinic Tax & HST Apportionment Check

Six quick questions on your supply characterization, your input tax credit apportionment, your rental fleet, your resupply inventory, your funded receivables and whether it is time to incorporate. No fee shown.

1. Has each supply and each device been characterized before a rate was applied to it?

2. Do you have a documented ETA section 141.01 input tax credit allocation method?

3. Is your rental fleet capitalised in Class 8 rather than expensed on purchase?

4. Is your mask and cushion resupply stock counted and valued under ITA section 10?

5. Are funded and third-party receivables reconciled to what the payer approved?

6. Is your sleep clinic incorporated?

Free CPA Consultation for Sleep Clinics

Case Studies: Sleep Clinic Accounting & Tax

Toronto Four-Bed Sleep Clinic — Everything Treated as Exempt, Nothing Ever Asked

The problem: A Toronto clinic ran four beds and a growing CPAP and resupply counter out of the same lease. The prior accountant had decided the whole corporation was exempt health care and had therefore never claimed an input tax credit on anything, never reviewed a single device against Part II of Schedule VI of the Excise Tax Act, and never tested the $30,000 small supplier threshold against taxable supplies alone. There was no allocation method on file because nobody had accepted that there were two sides to allocate between.

What we did: We characterized each supply against Part II of Schedule V and reviewed each device, mask, humidifier and consumable item by item against Part II of Schedule VI on the clinic’s actual documentation, then built an ETA section 141.01 apportionment for rent, utilities, scoring software and shared staff and documented the basis in writing.

The result:

  • $47,900 of input tax credits recovered across two open years
  • Allocation method now applied every filing period
  • Threshold tested against taxable supplies, not total revenue

Mississauga CPAP and Rental Operation — A Fleet That Was Never an Asset

The problem: A Mississauga clinic rented therapy devices monthly and lent trial units for two-week assessments. Every machine was expensed in the month it was bought, so the corporation reported rental income against no corresponding asset, claimed no capital cost allowance on the fleet, and relieved trial units from stock as though they had been sold. Nobody could say how many devices were out with patients, which were rentals, which were trials and which had actually been purchased outright by the patient.

What we did: We built a device register from supplier invoices and patient files, capitalised the rental fleet in Class 8 at 20% from each in-service date, returned the trial and loaner units to the asset base, reconstructed the resupply inventory under ITA section 10, and restated the two open years on that basis.

The result:

  • $211,000 rental fleet brought onto the balance sheet
  • $29,400 of capital cost allowance recovered across two years
  • Trial units no longer relieved from stock as sales

Ottawa Sleep Clinic — Billed Was Not Approved, and Income Showed It

The problem: An Ottawa clinic recorded every funded, insurer and patient portion at the amount it had billed. Nothing was ever reconciled back to the remittance records, so portions that were reduced, reassigned to a different payer or never approved at all simply sat in receivables year after year. The owner was paying corporate tax on revenue that had never arrived, could not tell which payer was slow and which had declined, and was writing nothing off because nobody knew what was genuinely uncollectible.

What we did: We rebuilt the receivable file by payer from the remittance records, matched each portion to what was actually approved and paid, aged the balance by payer, wrote off the genuinely bad amounts under ITA paragraph 20(1)(p), and set a monthly reconciliation control so the gap can never reopen quietly.

The result:

  • $86,300 of never-approved revenue removed from income
  • $10,500 of corporate tax recovered on the restatement
  • Receivables now aged by payer and reconciled monthly

Our Simple Process

How We Work With Sleep 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, payer remittance records, device supplier invoices, the rental and trial device register, resupply purchase orders, equipment service contracts, physician overhead agreements, technologist schedules and agreements, and bank statements.

Step 2

First 30 Days (Cleanup & Setup)

Set up QuickBooks Online or Xero with Dext, separate the diagnostic and device sides in the chart of accounts, characterize every supply and device, build the ETA section 141.01 method, and run the RC4110 analysis.

Step 3

Monthly Close

Payer reconciliation and receivable aging, consumable inventory count, rental fleet register updated, GST34 with credits apportioned, PD7A remittance and WSIB reconciliation, and gross margin by revenue stream.

Step 4

Quarterly Planning Review

Salary and dividend mix, system and bed purchases timed against the year-end, sell-rent-or-lend decisions on new devices, physician overhead arrangements, and cash flow against equipment orders placed ahead of funding.

Step 5

Year-End Close & T2 Filing

Trial balance, financial statements with the rental fleet shown separately from inventory and receivables aged by payer, Class 8, 50, 12, 13 and 14.1 pools settled, T2 with GIFI, and CRA preparation.

Get Your Sleep Clinic Taxes Done Right Today

Transparent Pricing for Sleep Clinics

Affordable Pricing for Sleep 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 Sleep Clinic Accountant

Meet your lead sleep clinic accountant. As your diagnostic and equipment business 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 sleep clinics, diagnostic facilities and health care business owners across Ontario and Canada.

Serving Sleep Clinics Across Ontario

Our CPA team provides specialized accounting and tax solutions for sleep clinics, diagnostic facilities and therapy equipment operations throughout Ontario. We understand why a diagnostic service and a device supply are taxed through two different parts of the Excise Tax Act, why an exempt supply costs you the credits on everything behind it while a zero-rated one does not, why apportionment under ETA section 141.01 is the core compliance task rather than an afterthought, and what CRA looks at first when it opens a sleep clinic file.

Toronto (ON)

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

+1 (647) 212-9559

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Mississauga (ON)

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

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Brampton (ON)

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

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Scarborough (ON)

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

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Vaughan (ON)

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Oshawa (ON)

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Ottawa (ON)

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Etobicoke (ON)

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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)

Sleep Clinic Accounting & Tax FAQs

Should I incorporate my sleep clinic?
Incorporating gives you limited liability, which matters when you hold an equipment fleet, employ an overnight workforce and sign premises and service contracts, plus roughly a 12.2% Ontario combined rate on the first $500,000 of active income against a personal rate up to 53.53% when unincorporated. The decision turns on whether you earn more than you withdraw, because that surplus is what a corporation lets you defer. There is a second reason specific to this business: a diagnostic system, a rental fleet and a patient list are assets a corporation can hold, finance and eventually sell in a way a sole proprietor cannot. Whether a professional corporation regime applies to any part of your structure is a question for your regulator and your lawyer, and we coordinate the tax work around their answer. When incorporation makes sense, we handle the section 85 rollover on Form T2057.
Is a diagnostic sleep study subject to HST?
That has to be answered for your actual supply rather than for sleep studies in general. Part II of Schedule V of the Excise Tax Act sets out exemptions covering institutional health care services, services rendered by a medical practitioner and services rendered by listed practitioners licensed in the province, and since 2013 the exemption has been limited to supplies made for a qualifying health care purpose. Whether a given study, consultation or interpretation falls inside those provisions turns on who supplies it, what is supplied, to whom, and for what purpose. We do not assert that a sleep study is exempt, and we do not assert that it is taxable. We establish the characterization on your facts, document the basis in writing, and only then set the rate and file the return. We revisit it whenever you add a service that is structurally different from what came before, such as an employer-ordered or insurer-ordered assessment.
Are CPAP machines, masks and tubing zero-rated?
Part II of Schedule VI of the Excise Tax Act zero-rates specified medical devices, and a number of those provisions apply only where the device is supplied on the written order of a practitioner. That is the framework, and it is reviewed item by item against the actual device, the actual accessory and the actual documentation behind the supply. We will not tell you that a CPAP machine, a mask, a cushion, a humidifier chamber, a length of tubing or a filter is zero-rated, and we will not tell you it is not. What we will do is work through your product list with you against the provisions, record the conclusion and the reasoning for each item, and keep the written order evidence that any zero-rating depends on. The reason this is worth doing carefully rather than assuming is in the next answer: the difference between exempt and zero-rated is the difference between absorbing the tax on your costs and getting it back.
What is the difference between exempt and zero-rated, and why does it matter so much?
At the counter they look identical: in both cases you collect no tax from the patient. On your return they are opposites. A zero-rated supply is a taxable supply at a rate of 0%, so you charge nothing and you still claim input tax credits on everything you bought to make that supply. An exempt supply is outside the tax entirely, so you charge nothing and you claim nothing. On a sleep clinic that difference lands on a very large cost base: clinic rent on suites that sit empty by day, overnight HVAC and utilities, scoring software licences, service and calibration contracts, vehicles and shared administrative staff. A clinic that assumes it is all exempt may be absorbing tax it was entitled to recover. A clinic that assumes it is all zero-rated may be claiming credits it cannot support. Both mistakes cost money, in opposite directions, which is why the characterization comes before the claim.
How do I apportion input tax credits between the two sides of my clinic?
With a method, applied consistently, written down before anyone asks for it. Where a business makes both exempt supplies and taxable or zero-rated supplies, ETA section 141.01 requires input tax on shared costs to be allocated between them on a fair and reasonable basis used consistently throughout the year. In a sleep clinic that reaches almost everything: the lease, utilities, software, the service contracts, the home-setup vehicle, the front desk and the administrative staff. We build the method from something defensible about your actual operation rather than a number that happened to produce a convenient answer, document the reasoning, and apply it every filing period. The failure mode we see most often is a full claim across the whole clinic with nothing on file at all, which is exactly the fact pattern that turns a routine HST review into a reassessment with penalties and interest.
Does my sleep clinic have to register for HST?
The $30,000 small supplier threshold counts only your taxable supplies, and that single detail catches sleep clinics more than almost any other business. A clinic with substantial diagnostic revenue can sit under the threshold for years, because exempt supplies do not count toward it, and then cross it quietly in the month the equipment and resupply counter starts moving volume. Registration is not optional once you are over, and the obligation starts earlier than most owners expect rather than at the next year-end. There is also a planning angle in the other direction: voluntary registration can make sense where a clinic has a real taxable or zero-rated side, because registration is what makes the input tax credits on that side claimable at all. We monitor the taxable supply figure month by month so the decision is made deliberately rather than discovered in an audit.
How do I account for a device I rent out instead of selling?
A rented machine never leaves your balance sheet. It stays your capital asset in Class 8 at 20%, depreciating while it earns, and the monthly rent is a stream of supplies rather than one sale. That is a completely different set of entries from a device sold outright, which comes out of inventory and produces revenue once. The error we inherit most often is a fleet expensed in the month it was purchased, which leaves the corporation reporting rental income against no asset, claiming no capital cost allowance, and showing a borrowing base far smaller than reality. Correcting it recovers real deduction, and it has to be done while the years are still open. It also matters on the way out: a fleet depreciating at 20% for years will trigger recapture where disposition proceeds exceed undepreciated capital cost.
What about a trial or loaner device that is neither sold nor rented?
It must not be treated as sold, and that is more than a bookkeeping nicety. A unit lent for a two-week assessment is still yours: it belongs in your asset register, it is not revenue, and relieving it from inventory as though a sale occurred understates both your assets and your margin while overstating cost of goods sold. The practical problem is tracking rather than theory. A clinic that does not maintain a device register cannot say how many machines are out with patients, which are trials, which are rentals and which were bought outright, and the asset schedule, the inventory count and the revenue figure then disagree with each other. We build the register from supplier invoices and patient files, reconcile it monthly, and make the sell-rent-or-lend decision a deliberate one with its tax consequence known in advance.
What CCA class is a polysomnography system?
Polysomnography systems, EEG and EMG amplifiers, pulse oximeters, home sleep apnea test recorders, patient beds, suite furniture and clinic fittings generally go to Class 8 at 20%, and rental fleet devices sit there too. Scoring workstations, servers, review monitors and laptops belong in Class 50 at 55%. Sleep scoring and EMR software licences go to Class 12 at 100%, as does a medical instrument whose cost does not exceed $500. The clinic leasehold, including the suites, the soundproofing and the washrooms, goes to Class 13 over the lease term, a home-setup and delivery vehicle to Class 10 at 30%, and goodwill or an acquired patient list to Class 14.1 at 5%. The common error we inherit is everything pooled into Class 8, which understates the deduction on exactly the computer equipment that becomes obsolete first.
How do I reconcile funded and third-party equipment revenue?
File by file, against the remittance records, every month. Revenue on a single patient can arrive from a provincial plan, a provincial assistive devices or equipment funding program, a private insurer and the patient directly, often in different portions on the same file, each with its own approval, documentation and timing. We do not state any program’s rules, approved prices, contribution shares or eligibility criteria, because those belong to the program administrator and change. What we do insist on is the accounting discipline: each portion is a separate receivable, it is recorded at the amount actually approved rather than the amount billed, and it is aged by payer rather than lumped into one trade total. Unreconciled funded revenue is the single most common source of overstated income in this business, and the gap is usually discovered only when an auditor tests revenue against deposits.
Are my overnight technologists employees or contractors?
That is tested on the facts, not on the invoice or the job title. Form RC4110 sets out the factors CRA weighs: control over how and when the work is done, who supplies the equipment, whether the worker can subcontract or hire helpers, financial risk, and the chance of profit against the risk of loss. A technologist who works your posted overnight shifts, in your suites, on your polysomnography system, with no other clients, looks very different on those factors from a scorer who reads studies remotely for several facilities on her own software. We will not pre-judge any role for you, but we will run the analysis, document it, and tell you plainly where the exposure sits, because a shift-based workforce paid as contractors is one of the most reliable payroll audit triggers there is. WSIB coverage and T4 or T4A reporting follow from the answer.
What can a sleep clinic write off?
Clinic rent and utilities including overnight HVAC, overnight technologist and scorer wages with shift premiums, interpreting physician fees, device and consumable purchases, equipment service and calibration contracts, sleep scoring and EMR licences, courier and home-setup vehicle costs, linen and laundry, infection control and single-use supplies, professional liability and premises insurance, professional fees, and Canadian Sleep Society, CSRT, AASM and BRPT dues and examination fees. On capital, diagnostic systems and the rental fleet go to Class 8 at 20%, scoring computers to Class 50 at 55%, software to Class 12, the leasehold to Class 13 and acquired goodwill to Class 14.1, all on Schedule 8. An unfunded patient portion that is genuinely uncollectible is deductible under ITA paragraph 20(1)(p). Whether the HST on those inputs is recoverable depends on the characterization of the supplies they support.
How do I value my sleep clinic if I sell it?
A buyer prices four things: the referral base and patient list, the consumable resupply annuity, the diagnostic equipment and the rental fleet. The resupply base is usually worth more per dollar of revenue than the diagnostic side, because it recurs without a bed being occupied, and a clinic whose referrals depend on one physician relationship is discounted hard. The structure decides what you keep: a share sale can access the $1.25M Lifetime Capital Gains Exemption under ITA 110.6 where the shares qualify, with purification of retained cash and a two-year runway. An asset sale puts goodwill and the acquired patient list in Class 14.1 and triggers recapture where proceeds exceed undepreciated capital cost, which bites hardest on a fleet that has been depreciating at 20% for years. We model both routes well before you go to market.

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Sleep Clinic Accounting & Tax Done Right.

Every supply characterized against Part II of Schedule V of the Excise Tax Act and every device reviewed item by item against Part II of Schedule VI before a rate is set, with the input tax credit consequence explained either way, credits apportioned under ETA section 141.01 across the mixed operation, the $30,000 small supplier threshold tested against taxable supplies only, the rental fleet capitalised in Class 8 at 20% instead of expensed, trial and loaner units kept out of sales, resupply inventory valued under ITA section 10, and funded receivables reconciled to what was approved rather than what was billed. AFFORDABLE flat fees, no hourly billing. Licensed CPA Ontario. 1300+ five-star reviews. 30-Day Money-Back Guarantee.



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