Payroll for doctors and medical practices in South Africa
Medical practices employ receptionists, nurses, practice managers and sessional locums — with medical aid, HPCSA fees and often practice-owned vehicles as fringe benefits.
Payroll Africa Editorial · SARS Payroll Compliance Team
The Payroll Africa editorial team is composed of registered tax practitioners, payroll administrators and BCEA specialists who maintain the SARS PAYE, UIF, SDL and ETI engines that power the platform. Every article is reviewed against the current SARS BRS and Basic Conditions of Employment Act before publication.
- SARS registered tax practitioners
- SAPA-affiliated payroll administrators
- BCEA and LRA compliance reviewers
Last updated 01 Oct 2026
Payroll challenges facing South African doctors and medical practices
Doctors and medical practices have payroll pain points that generic payroll software wasn't designed for. The most common:
- Sessional locum payments
- Medical aid fringe benefit
- Practice vehicle right-of-use
- HPCSA subscription reimbursements
How Payroll Africa fits doctors and medical practices
Every feature listed here is included on every Payroll Africa plan — no per-module add-ons.
- Sessional and per-day pay
- Medical aid tax credit auto-applied
- Fringe benefit calculations
- Xero / medical practice software integration
SARS compliance for doctors and medical practices
Whatever your industry, SARS treats payroll the same — accurate PAYE, UIF and SDL, EMP201 by the 7th, EMP501 bi-annually and IRP5 by 31 May. Payroll Africa produces every SARS artefact automatically from your monthly payroll run.
Pricing for doctors and medical practices
Payroll Africa is priced in simple headcount tiers — from R90/month for 2 employees to R401 for 10, R1,712 for 50 and R4,182 for 200. No setup fees, no annual contract.
Frequently asked questions
Related guides
Stop looking this up. Let payroll do it.
Payroll Africa applies Medical practice rules automatically every month — SARS PAYE, UIF and SDL, payslips, EMP201 and IRP5. From R90/month.
- No card required
- 30-day free trial
- Free migration from Sage, SimplePay, PaySpace or Excel
- Cancel anytime
Run Payroll Africa alongside your current system until you're happy to switch.