About Us | Proficient Palm — Healthcare Bookkeeping & Payroll Experts in Ontario

Who We Are

At Proficient Palm, we specialize in healthcare bookkeeping, payroll management, and financial compliance for Ontario clinics and medical practices. Founded by Anne-Marie Pile, who brings over 20 years of experience in healthcare finance and medical practice accounting, we understand the unique challenges your clinic faces. With a background at Ernst & Young and direct healthcare industry experience, Anne-Marie ensures your payroll, CRA filings, and WSIB compliance are managed accurately and confidentially.

Our Mission

To simplify medical practice bookkeeping and payroll services so healthcare providers can focus on delivering excellent patient care..

Our Values

• Integrity & Confidentiality — Protecting your sensitive data.

• Healthcare Expertise — Knowledge of Ontario’s CRA, WSIB, and EHT regulations.

• Trusted Partnership — Transparent, personalized service.

• Accuracy & Clarity — Precise financial reports tailored to clinics.

Meet Anne-Marie Pile

Anne-Marie combines corporate rigor from Ernst & Young with a passion for healthcare finance. She leads Proficient Palm with dedication to compliance, efficiency, and supporting clinics’ financial health.