Medical practice accountancy is its own discipline. GP fee-mix between GMS panel income and private fees, locum versus employed-doctor tax treatment, dental laboratory cost allocation, BIK on practice premises and vehicles, professional indemnity classification, retirement planning for self-employed consultants — none of it is well served by a generalist firm.
We act for Dublin-based GPs (sole and partnership), dental practices, consultant rooms and pharmacies. Our smallest client is a part-time locum filing a Form 11 each year; our largest is a multi-doctor partnership with full management accounting and CFO-level advisory.
Medical-specific issues we handle
GP fee-mix accounting
GMS panel income, capitation fees, STC (special type consultations), maternity and Heartwatch payments, private GP fees and out-of-hours rota income all carry different VAT, tax and PRSI implications. We map them correctly from day one and avoid the common error of treating capitation as deferred income.
Locum tax (and the employee/contractor question)
Whether your locum is taxed as a self-employed contractor or PAYE employee is a frequent dispute with Revenue. We work through the Code of Practice tests, draft compliant contracts and run the right payroll treatment — a 4-year retrospective PAYE assessment is the single biggest financial risk in many practices.
Dental practice nuances
Dental labs costs, NHS-comparable PRSI dental work, treatment-plan WIP, hygienist self-employment versus employment, and the Med 2 receipt regime for patients all need careful handling. We work with dentists in both single-practice and group settings.
Consultants and private practice
Hospital-employed consultants with significant private income face one of the highest marginal tax rates in the country. Structuring private practice as a limited company can dramatically improve after-tax retention, but the Mutual Holdings and ESHB rules are unforgiving. We model the math carefully before recommending incorporation.
Pension and retirement
Self-employed medical professionals can build very substantial retirement funds via PRSAs, executive pensions and SSAS structures. Annual age-related limits and the €2m Standard Fund Threshold both require active planning from 40 onwards.
Why medical clients choose us
Practice profiles we serve
- Solo and partnership GP practices
- Dental surgeries and dental laboratories
- Hospital consultants with private rooms
- Locum doctors and nurses (Form 11 specialists)
- Community and retail pharmacies
- Allied health (physio, osteopathy, optometry)
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