Accounting & Tax
for
Medical Practitioners

Whether you’re a GP, specialist, dentist, physiotherapist, psychologist, or allied health professional, we handle your tax, bookkeeping, and practice reporting so you can focus on patients.

Entity
&
structure guidance

Advice on practice structures and income arrangements, aligned with compliance, risk exposure, and long-term planning.

Monthly
bookkeeping,
Annual financials

Structured monthly reporting and year-end financials that support informed decisions, not just compliance.

Provisional tax
planning & Income
tax submissions

Forward-looking tax planning with disciplined execution to manage liabilities and avoid last-minute pressure.

VAT registration
guidance &
submissions

Informed VAT guidance and ongoing compliance, with attention to correct classification and audit readiness.

Payroll setup &
monthly
processing

Payroll systems and ongoing oversight designed to meet statutory requirements and minimise compliance risk.

Who We Work With

Private practices

Owner-managed or incorporated practices requiring structured accounting, tax compliance, and clear financial oversight beyond basic bookkeeping.

Specialists with multiple income streams (rooms, locums, procedures)

Medical specialists earning across rooms, procedures, locums, and professional fees who need consolidated reporting and accurate tax treatment.

Practitioners wanting clean books for lending, investments, or growth

Doctors and specialists who require clean, well-presented financials to support bank lending, practice expansion, or personal investments.

Growth-Focused Medical Professionals

Practitioners scaling their practices who need proactive tax planning

FAQs

Should I operate as a sole proprietor, company, or partnership?

There is no single “best” structure for a medical practitioner. The appropriate structure depends on factors such as income level, risk exposure, growth plans, and how earnings are withdrawn from the practice. We assess these factors and advise on a structure that supports compliance, operational flexibility, and long-term tax efficiency.

A medical practice is required to register for VAT if its taxable turnover exceeds R1 million in any consecutive 12-month period.
Practices with taxable turnover exceeding R50,000 may also apply for voluntary VAT registration.

Voluntary registration can also help manage the transition as a practice grows, reducing administrative pressure and compliance disruption when mandatory registration thresholds are eventually reached.

We provide guidance to ensure VAT registration and treatment are handled correctly and in line with SARS requirements.

Medical practitioners may claim expenses that are incurred in producing practice income, provided they are properly substantiated. This generally includes practice overheads, staff costs, professional fees, and operating expenses, subject to SARS rules. We ensure expenses are correctly classified, documented, and defensible.

Yes. We assist medical practitioners who are behind on bookkeeping or moving from informal record-keeping. We review the current state of the accounts, identify compliance risks, and implement a structured catch-up process to bring records up to date efficiently and accurately.

Medical Practice Consultation

If you require assistance with accounting, tax compliance, or financial reporting for your medical practice, schedule a consultation with our team.

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