How to find professional healthcare clients for your accounting firm

Doctors, dentists, pharmacists, veterinarians, optometrists: healthcare professionals are among the most sought-after clients for Canadian accounting firms. High and predictable revenues, recurring mandates, complex tax needs: everything is in place to build a profitable and stable portfolio. However, it's essential to position yourself clearly, speak the language of these clients, and generate a steady stream of inquiries. Here's how, with supporting data and methodology.

Why target healthcare professionals to grow your practice?

The pool is vast and well-documented. The French Institute for Health Information (ICIS) lists more than 96,000 active physicians in the Canada In 2023, the workforce had been growing steadily for the past ten years. This includes approximately 25,000 dentists and over 45,000 pharmacists, according to CIHI health workforce data. Each of these professionals requires an accountant, and most have needs that extend far beyond tax preparation.

Three characteristics make this niche particularly attractive for a firm:

• Stable and high incomes. According to CIHI's national physician database, average gross clinical payments per physician are $350,000 per year (2021-2022 data). The risk of non-payment is low, and fees are commensurate with the complexity of the case.
• Above-average loyalty. A healthcare professional rarely changes accountants once trust is established: the mandate becomes recurring, often over many years, which stabilizes the firm's turnover.
• A real need for expertise. Professional incorporation, tax planning, salary or dividend arbitration: these matters are poorly handled by a generalist, and that is exactly what justifies a commensurate pricing.

The three accounting challenges for healthcare professionals

Understanding these issues means knowing how to speak to the prospect from the very first call. Here are three areas where your expertise makes all the difference.

1. Professional Incorporation

Most provinces allow physicians, dentists, and pharmacists to practice through a corporation, subject to conditions set by their professional order (in Quebec, for example, physicians practicing in a corporation is governed by regulations of the Collège des médecins). Incorporation grants access to the small business tax rate, which is 9% federally on the first $500,000 of eligible revenue, according to the Canada Revenue Agency. Canada and allows for the deferral of personal income tax, leaving liquid assets within the company. This is often the entry point into the relationship: the accountant who advises on incorporation generally retains the subsequent mandate.

2. Tax planning for high income

With significant income come issues that general practitioners rarely encounter: managing excess cash within the practice, federal rules on passive investment income (the business limit begins to decrease beyond $50,000 in passive income, according to CRA rules), pension plans, corporate insurance, and preparing for the sale or transfer of the practice. A specialist addresses these issues year after year rather than simply filing tax returns.

3. The wage versus dividend trade-off

For an incorporated professional, the choice between salary and dividends affects total tax liability, CPP or QPP contributions, RRSP contribution room, and borrowing capacity. This decision should be reviewed annually based on the client's plans: purchasing a clinic, taking parental leave, reducing practice hours, or retiring. An accountant who understands this trade-off quickly becomes indispensable.

These services are billed accordingly. The Bankeo Accounting Fee Barometer (Bankeo data 2024-2026, based on over 15,000 requests received) places annual fees for a business client between $500 and $6,000 depending on the sector, with a median of approximately $2,000 per year. Incorporated healthcare professionals generally fall at the higher end of this range, and a full engagement (incorporation, tax planning, payroll, and corporate tax returns) can exceed this amount depending on the agreed-upon scope.

How to position your practice in the healthcare niche?

Specializing doesn't mean refusing other mandates. It means making your expertise in the field visible and credible, so that a doctor or dentist immediately recognizes you as the right person to talk to.

5-step roadmap

1. Define your niche. Create a dedicated "professional accounting" page on your website and feature it in your profiles. A specific message is more effective than a broad one.
2. Talk about problems, not services. Professional incorporation, passive income, salary or dividend: name the decisions your client is experiencing, not a generic list of benefits.
3. Build the evidence. Two or three anonymized case studies and some useful content on the taxation of medical practices establish the authority that influences the choice of a specialist.
4. Activate the referrers. Mortgage brokers specializing in healthcare professionals, financial advisors, healthcare lawyers: these networks refer incorporated clients throughout the year.
5. Forget about making contact. A short form, visible appointment slots and a quick response time: a healthcare professional has little time and often chooses the practice that responds first.

What pitfalls should be avoided?

• Promising a tax outcome. Announcing specific tax savings before reviewing the file exposes the firm to ethical breaches. The profession's advertising and solicitation rules apply: consult our analysis of the CPA code of ethics and client referrals in Canada .
• Underpricing to get in. An under-billed health insurance contract is difficult to renegotiate: the perceived value is fixed at the initial price.
• Ignoring professional standards is crucial. Every profession has its own rules of practice; a non-compliant structure can be costly for both clients and your reputation.
• Neglecting follow-up is a mistake. These clients pay for proactive service. A single missed tax reminder is enough to damage the relationship.

“An accountant who says ‘I do everything’ competes on price. An accountant who says ‘I know about incorporating a medical practice, tax planning for a healthcare professional, and salary vs. dividend trade-offs’ competes on expertise. And expertise is something you choose, not something you negotiate.” Arnaud Bertrand, CEO, Bankeo

Receiving requests from healthcare professionals, without soliciting.

Niche positioning yields results, but it takes months to generate a steady flow. A matchmaking platform accelerates this flow. With Bankeo Pro , you define your target sectors, including healthcare professionals. When a doctor, dentist, or pharmacist submits a request, Bankeo qualifies it (profession, incorporation status, need) and then forwards it to the practice whose profile matches, often within 48 hours. You receive qualified clients, without any prospecting.

The network now includes over 1,500 accountants and has received over 15,000 applications since 2023, with a 4.7/5 rating based on over 180 Google reviews. The matching process is detailed in the Bankeo Pro guide , and the partner firms' FAQs cover specific cases. To stay up-to-date on the program's progress, see the Bankeo news for accountants .

To broaden the discussion beyond the healthcare sector: our general guide to finding clients for an accounting firm , our analysis of the cost of acquiring an accounting client , and our article on the time firms waste prospecting . Another high-value niche for professional services: clients in the legal sector .

Key takeaway: the Canada With over 96,000 active physicians (CIHI, 2023), in addition to dentists and pharmacists, the pool is large and solvent. The three entry points to the mandate are professional incorporation, tax planning, and salary versus dividend arbitrage. Identify the niche, build the evidence, and leverage a stream of qualified leads rather than cold calling.

Frequently asked questions

Why target healthcare professionals rather than remaining a general practitioner? The pool is vast (more than 96,000 active doctors in the Canada (according to ICIS, 2023), revenues are stable and the need for expertise is real: incorporation, tax planning, compensation. These clients value expertise, negotiate less on price, and remain loyal, resulting in recurring mandates.

What is the most important accounting issue for a healthcare professional? Professional incorporation is often the entry point: it grants access to the small business tax rate (9% federally on the first $500,000, according to the IRS) and allows for tax deferral, but imposes obligations specific to each professional order. Next come multi-year tax planning and the trade-off between salary and dividends.

How much should you charge a healthcare professional client? Refer to the Bankeo Barometer : observed annual fees range from €500 to €6,000 depending on the sector, with a median of approximately €2,000 per year (Bankeo data 2024-2026). An incorporated healthcare professional typically falls at the higher end of this range, especially if the mandate covers incorporation, scheduling, and payroll.

How do you receive requests from healthcare professionals through Bankeo Pro? You define your target sectors, including healthcare. When a professional submits a request, Bankeo qualifies it (profession, incorporation, need) and then forwards it to you if your profile matches, often within 48 hours. You receive qualified clients, without any prospecting.

Should you turn away other clients to specialize in healthcare? No. Specializing means making your expertise in the sector visible and credible to attract this type of client, without giving up your other mandates. A niche is a positioning strategy, not an exclusive focus.

Sources

• Canadian Institute for Health Information (CIHI), Physicians in Canada , 2023 Workforce and 2021-2022 Clinical Payments.
• Canadian Institute for Health Information (CIHI), health workforce data (dentists, pharmacists).
• Revenue Agency of the | Canada Corporate tax rates , small business tax rates.
• CPA Canada , professional resources and ethics .
• College of Physicians of Quebec, framework for practice in society .

By Arnaud Bertrand, CEO, Bankeo. Bankeo Pro enables accounting firms to... Canada to define their target sectors, including healthcare professionals, and to attract qualified clients without prospecting. Discover the Bankeo Pro program for accountants .

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