Accounting & Tax for Medical & Healthcare Professionals
Accounting & Tax for Medical & Healthcare Professionals
You trained to treat patients, not to wrestle with SARS. We help doctors, dentists, specialists, veterinarians and allied-health practitioners structure their practices for tax efficiency, stay HPCSA- and SARS-compliant, and keep more of what they earn.
Challenges we solve
- Choosing the right structure: sole proprietor, personal liability company (Inc.) or trust-owned practice
- An effective tax rate that climbs toward 45% as the practice grows
- Locum, associate and staff payments handled correctly
- Medical-aid and Netcash reconciliations that never quite balance
- Bookkeeping that falls behind a demanding clinical schedule
- Protecting personal and practice assets
How we help
Practice Structuring & Incorporation
We model sole proprietor vs personal liability company (Inc.) vs trust-owned structures and implement the most tax-efficient, compliant option for your practice.
Tax Planning
Proactive, compliant planning, including capping retained profits at the 27% corporate rate where appropriate, to reduce your overall tax within the law.
Bookkeeping & Practice Accounts
Clean monthly accounts, medical-aid and Netcash reconciliations, and decision-ready management reporting.
Payroll, VAT & Compliance
Payroll for staff and associates, VAT where applicable, and full SARS compliance so nothing slips.
Straight talk: Note: HPCSA rules mean practitioners retain personal liability for clinical work even when incorporated. Incorporation is about tax efficiency and asset protection, not escaping professional liability.
See the opportunity
Sole proprietor vs incorporated practice
Many practices are taxed personally at up to 45% when an incorporated structure could cap retained profit at 27%. Move the slider to see the indicative gap on 2026/27 SARS rates.
Taxed personally
Up to 45%
R0
Taxed in a company
Flat 27%
R0
Potential annual difference
R0
Get your real number: book a consultationIndicative estimate on 2026/27 SARS individual rates (primary rebate R17,820) and the 27% company rate. Excludes dividends tax on withdrawals, provisional timing and your circumstances. HPCSA personal liability for clinical work remains. Not tax advice.
Please note: this is an indicative comparison of personal tax on all profit with the company rate on profit retained in the practice. It excludes dividends tax on profit paid out, SDL and UIF, running costs and your other deductions. It is not tax advice, and the right structure depends on your own circumstances.
Specialist advice for Medical & Healthcare
Book a consultation with a Chartered Accountant who understands your profession.