Accountants for doctors and medical practices in South Africa, at 1% of business turnover
You trained to treat patients, not to chase medical aid remittances or SARS deadlines. One Percent Accounting keeps the books for doctors, dentists and allied health practices across South Africa: bookkeeping, medical aid reconciliations, SARS VAT, provisional tax, payroll and annual financial statements, all on Xero, for one monthly fee of 1% of your practice's business turnover.
Medical practice Accounting, Bookkeeping and Tax in one monthly fee
- Medical aid remittances (ERAs) and patient payments reconciled to your practice management system every month
- Bank feeds, supplier bills, consumables and equipment captured and reconciled on Xero
- SARS VAT201 returns, and registration once taxable supplies pass R2.3 million in 12 months (from 1 April 2026)
- SARS IRP6 provisional tax and annual ITR12 or ITR14 income tax returns
- Payroll for receptionists, nurses and practice managers, with SARS PAYE, UIF and SDL (EMP201 and EMP501), for up to 10 employees
- Annual financial statements for your bank, partners and SARS, plus CIPC annual returns where the practice is a company
- Advice on practice structure (sole practitioner, partnership or Inc. company) within the HPCSA rules
How we take over your practice's Accounting
Book a free online meeting
A 30-minute video call about your practice, your current accountant and what you need from us.
We move your books to Xero
We connect your bank feeds, import opening balances and set up rules for medical aid and patient payments.
Monthly reports, SARS handled
Each month you get a clear profit report, and your SARS VAT, PAYE and provisional tax are submitted on time.
What a month of Accounting looks like for your practice
Your practice runs as usual. Behind the scenes, this is what we do for you every month.
- Bank and card feeds reconciled in Xero
- Medical aid remittances and patient payments matched to your debtors
- Supplier bills, consumables and equipment captured
- Payroll run and the SARS EMP201 submitted by the 7th
- SARS VAT201 calculated and submitted, if your practice is VAT registered
- Monthly profit report sent to you, with any short payments flagged
What an accountant for your medical practice costs
One fee of 1% of your practice's monthly business turnover covers everything on this page, with a minimum of R79 a month excl. VAT. A practice with R150 000 monthly turnover pays R1 500 a month excl. VAT, and a quieter month costs less. There are no hourly bills for questions. See the full fee breakdown.
Accountants for doctors in Pretoria, Johannesburg, Cape Town and Durban
One Percent Accounting works fully online, so the service is the same wherever your practice is: Pretoria, Johannesburg, Cape Town, Durban or a smaller town. Your transactions come in through Xero bank feeds, your documents by email or upload, and meetings happen by video, so your practice never has to leave the rooms.
Accountants for doctors, dentists and allied health practices
We already keep the books for psychology, psychiatry and physiotherapy practices. The same monthly service fits GPs and family practices, medical specialists, dentists and orthodontists, physiotherapists and biokineticists, psychologists and psychiatrists, occupational and speech therapists, audiologists, optometrists and dietitians.
Locum doctors and newly qualified practitioners opening their first rooms get provisional tax, expense tracking and their SARS and CIPC registrations sorted in the first month.
Medical practice Accounting questions
How much does an accountant for doctors cost in South Africa?
With One Percent Accounting you pay 1% of your practice's monthly business turnover, minimum R79 a month excl. VAT. That covers bookkeeping, SARS VAT, provisional and income tax, payroll for up to 10 staff and annual financial statements.
Does a medical practice have to register for VAT with SARS?
Most private healthcare services are standard-rated. From 1 April 2026 a practice must register once its taxable supplies pass R2.3 million in 12 months, and may register voluntarily from R120 000.
Should my practice be a sole proprietor or an Inc. company?
It depends on your income, costs and partners, and the structure must fit the HPCSA ethical rules. We work out the tax on each option before you decide.
Can you reconcile my medical aid payments?
Yes. We match medical aid remittances (ERAs) and patient payments to your debtors every month, so underpaid and rejected claims are followed up quickly.
Do doctors pay provisional tax?
Yes, if you earn income other than a salary, such as practice profit or locum fees. SARS IRP6 returns are due by the end of August and the end of February.
I'm a locum doctor. Can you help?
Yes. We set up provisional tax, track your deductible expenses and file your ITR12, so there is no surprise bill from SARS.
Can you take over from my current accountant?
Yes. We request your records, move your books to Xero and handle the handover, usually within the first month.