1. Business overview

MediTallyBest is a niche accounting and advisory firm focused on medical and private healthcare practices across Canada.

The core of the business model:

  • Specialization in healthcare and private practice accounting

  • Recurring monthly subscription packages

  • Add-on services for more complex needs

  • Remote-first service delivery across provinces

2. Target customers

Primary segments:

  1. Solo and small medical practitioners

    • Family doctors, specialists, therapists, psychologists, counsellors, physiotherapists, chiropractors, etc.

    • Often newly incorporated or transitioning from employee to independent contractor.

  2. Small to mid-sized clinics

    • Multi-provider clinics, group practices, dental clinics, wellness centers.

    • Need structured bookkeeping, payroll, and tax planning for multiple practitioners.

  3. Established and growing practices with complex structures

    • Multiple corporations, holding companies, multiple locations or providers.

    • Require strategic advisory, advanced reporting, and long-term planning.

3. Value proposition

MediTallyBest offers:

  • Specialized expertise in healthcare accounting (billing models, medical expenses, equipment, regulatory landscape).

  • Predictable monthly pricing in CAD, aligned with the size and complexity of the practice.

  • Full financial visibility via regular reports and clear explanations.

  • Time savings for practitioners who want to focus on patient care rather than administration.

The promise:

“We handle your numbers and compliance so you can focus on your patients and grow your practice with confidence.”

4. Service packages & pricing (CAD)

Pricing is structured as subscription-based packages, billed monthly in CAD, with clear inclusions and the ability to upgrade.

4.1 Starter Package – for solo and part-time practices

Price: $295 CAD / month

Ideal for: Newly incorporated doctors or therapists, small part-time practices with relatively low transaction volume.

Includes:

  • Monthly bookkeeping (up to a predefined number of transactions)

  • Quarterly financial statements

  • Year-end corporate tax return (1 corporation)

  • Personal tax return for 1 practitioner

  • Basic email support (response within 2–3 business days)

4.2 Growth Package – for established single-provider and small clinics

Price: $495 CAD / month

Ideal for: Growing practices with higher transaction volumes, one or two corporations, and at least one staff member.

Includes:

  • Full monthly bookkeeping and bank/credit card reconciliations

  • Monthly financial statements and basic KPI overview

  • Corporate tax returns (up to 2 entities)

  • Personal tax returns for up to 2 practitioners

  • GST/HST registration and filings

  • Basic tax planning and optimization guidance

  • Priority email support and periodic check-ins

4.3 Premium Package – for multi-provider clinics and complex structures

Price: $795 CAD / month

Ideal for: Clinics with multiple practitioners, more complex structures (holding companies, multiple locations), and higher advisory needs.

Includes:

  • Comprehensive monthly bookkeeping and detailed reconciliations

  • Monthly financial statements, KPIs, and tailored reporting

  • Corporate tax, GST/HST, and payroll compliance

  • Strategic tax planning, compensation structuring (salary/dividends)

  • Quarterly advisory sessions (planning for growth, investments, or transitions)

  • Support around acquisitions, expansions, or restructuring

5. Add-on services (optional, extra CAD fees)

To complement the core packages, MediTallyBest can offer:

  • Payroll setup & processing (per employee / per pay period fee)

  • Cleanup / catch-up bookkeeping for previous months or years

  • Incorporation advisory and structure planning (one-time fee)

  • Custom dashboards & reporting for larger clinics

  • On-demand consultations (hourly advisory rate in CAD)

  • Support for financing applications (banks, lenders)

These add-ons allow the business to increase revenue per client while providing deeper value.

6. Revenue model

Revenue is primarily generated through:

  1. Recurring subscription fees

    • Monthly charges for Starter, Growth, and Premium packages.

    • High predictability and stable cash flow.

  2. One-time onboarding and cleanup fees

    • Initial setup of the accounting system.

    • Historical data cleanup for practices that are behind on bookkeeping.

  3. Add-on & advisory services

    • Payroll management, extra entities, complex planning, consulting hours.

  4. Seasonal revenue spikes

    • Personal and corporate tax season can generate additional revenue via one-time returns or upgrades.

Average client lifetime value is increased through:

  • High retention (accounting is a long-term need)

  • Scaling with client growth (clients move from Starter → Growth → Premium).

7. Cost structure

Main cost categories:

  • Professional staff and contractors

    • Accountants, bookkeepers, tax specialists.

  • Software and tools

    • Cloud accounting platforms, payroll systems, document management, e-signature tools.

  • Sales & marketing

    • Website, SEO, paid ads, partnerships with medical associations or practice consultants.

  • Overhead

    • Office (if any), insurance, professional memberships, compliance costs.

MediTallyBest can operate largely as a remote-first firm, keeping fixed overhead lower and allowing scalable growth.

8. Sales & marketing channels

Key acquisition channels in the business model:

  • Website & SEO

    • Landing pages optimized for keywords like “medical practice accounting Canada”, “doctor accountant Toronto”, etc.

  • Referrals

    • Referrals from existing clients, financial advisors, lawyers, and practice management consultants.

  • Partnerships

    • Collaborations with medical associations, healthcare networks, or clinic software providers.

  • Content marketing

    • Articles and guides about tax tips for doctors, incorporation for healthcare professionals, etc.

  • Webinars & events

    • Online sessions for medical professionals about finances, taxes, and practice profitability.

9. Client journey

  1. Discovery – Client finds MediTallyBest via website, referral, or partnership.

  2. Free consultation – 20–30 minute introductory call to understand their practice and needs.

  3. Proposal & package selection – Client receives a tailored proposal based on one of the three packages, plus any necessary add-ons.

  4. Onboarding & setup – Accounting systems are set up, previous data is cleaned, processes defined.

  5. Ongoing service – Monthly bookkeeping, reporting, compliance, and periodic advisory.

  6. Review & upsell – As the practice grows, client is offered upgrades to higher packages or additional services.

10. Growth & scalability

The business model is designed to scale by:

  • Standardizing processes and workflows for each package.

  • Using cloud tools to serve clients across multiple provinces.

  • Building a team of accountants and bookkeepers who can manage multiple client accounts.

  • Introducing higher-value advisory services for larger clinics (higher margin).