Accounting and tax support for
physiotherapists across Ireland

Less admin. More time for patients.

You spend your days helping people move better. The last thing you need is late nights spent sorting receipts, chasing insurer payments, or worrying about Revenue deadlines. Forti supports physiotherapists with bookkeeping, tax, and clear monthly reporting, so your finances stay organised, compliant, and calm. Ideal for self-employed physiotherapists and clinic owners who want clear numbers, correct VAT handling, and less admin stress.

The everyday physio headaches
we hear about most

Insurance admin overload

Invoicing and chasing reimbursements from insurers can eat into your day and drag out cash flow.

VAT on Products You Sell

Physiotherapy services are often VAT-exempt, but products you sell (like tape, foam rollers, or rehab bands) can be VAT-liable.

Overheads rising quietly

Rent, equipment, software, professional fees, utilities, and staff costs add up quickly. Without clear reporting, it is hard to see true monthly profit.

An accounting service built for
your practice

Physio practices do not run like typical small businesses. We tailor your bookkeeping and tax support around how you actually earn, bill, and deliver care.

Cleaner systems for billing and debtors

We help you set up simple tracking so you can see what is outstanding, follow up faster, and reduce admin time.

Correct VAT handling for mixed income

We keep your coding and records tidy when you sell products alongside VAT-exempt services, and support filings where required through our VAT returns.

Practice profitability clarity

Understand margins, overheads, and what is driving profit, so decisions on rent, staffing, and equipment are based on real numbers.

Tax planning for health professionals

We help you claim the right expenses, including professional memberships, indemnity insurance, CPD, clinical supplies, and practice costs.

Monthly management accounts

Clear reporting that shows income, costs, and cash flow so you can plan with confidence.

Cloud bookkeeping that stays tidy

We keep receipts, invoices and bank transactions properly captured and reconciled through online bookkeeping.

A practical guide to physio
finances in Ireland

You need more than basic bookkeeping. You need accounting that speaks the language of projects, fees, stages, and margins. Our approach is designed to give you clarity without adding admin to your week.

VAT and mixed income

Many physios are fine on the services side, but run into problems once product sales are added. We help you separate VAT-exempt clinical income from VAT-liable product sales, keep records clean, and file what is required. If you want a dedicated service, see VAT returns.

Expenses you might be missing

The right structure and record-keeping can reduce your tax bill and prevent last-minute panic. We help you claim legitimate professional expenses and keep supporting documentation organised.

Insurer payments and cash flow

If reimbursements are slow, your practice can feel busy but still tight on cash. We help you build a clear process to track invoices, payments, and outstanding balances so you can stop guessing.

When a limited company makes sense

If you are growing into a clinic with staff, bigger equipment spend, or multiple treatment rooms, it may be time to consider operating as a limited company accounting . Explore limited company accounting and company registration .

Payroll support when you hire

Once you bring in a receptionist, administrator, or additional clinicians, payroll has to be done correctly and on time. See payroll and HR services.

General accountant vs specialist
physiotherapy accounting

Physiotherapy practices have very specific accounting challenges. VAT on products, insurer payments, rising overheads, and the move from sole practitioner to clinic owner all require more than generic accounting. The difference is not just compliance. It is clarity, confidence, and having an accountant who understands how your practice actually operates.

General accounting

Treats physio like any other service business
Reviews numbers once a year
Limited understanding of VAT on product sales
No focus on insurer payments
Basic expense guidance
Reactive support
Slow responses

Forti – specialist physio accounting

Built around physio billing, insurers, and mixed income
Monthly management accounts
Clear handling of VAT-exempt services vs VAT-liable products
Systems to track insurers and outstanding balances
Health-professional-specific expense knowledge
Proactive, plain-English guidance
Enquiries acknowledged within 24 business hours

Pricing That Fits Your Physiotherapy Practice

Physiotherapists work in different ways. Some run solo clinics, others work across multiple locations, and many balance private patients with insurance or referral work. Income can vary week to week. The pricing below shows starting points — your final fee depends on how you work, the volume of patients you see, and the level of support you need.

Sole Trader

Limited company

Sole Trader

Limited company

Why Businesses Choose Forti

Clarity, reliability, expertise, and service without complexity. Everything is clearly priced, professionally handled, and fully supported.

Feature	Forti	Others
Transparent pricing		⚠️
Software included		⚠️
CRO compliance		⚠️
Dedicated accountant		⚠️

Who We Work With

We work with physiotherapists who want less admin and more clarity.

Sole practitioner physios

Mobile, clinic-based, or renting rooms.

Clinic owners

Managing staff, insurers, and rising overheads.

Multi-disciplinary practices

With mixed services and product sales.

What Our Clients Say

What other physiotherapists
are saying

The monthly reports changed how I look at the practice. I can finally see what is working, what is costing too much, and what we can invest in next.

A. Kavanagh

Clinic Owner, Dublin

Between patient appointments and insurer paperwork, I was constantly behind. Forti helped me get organised, stay on top of cash flow, and stop dreading tax time.

M. O’Rourke

Co-Westmeath

Selling rehab products alongside treatments made VAT feel risky. It is a relief having an accountant who understands mixed income in a physio practice.

S.Brennan

Practice Director, Galway

Frequently Asked Questions

Got more questions? That’s what we’re here for!

Are my physiotherapy services exempt from VAT?

In many cases, professional medical care services provided by a qualified practitioner are VAT-exempt. However, products you sell can be subject to VAT, and that is where practices often get caught out. We can help you manage this properly through VAT returns.

Can I claim my professional membership and CPD courses as expenses?

Often, yes, provided the expense is wholly and exclusively for business purposes and properly recorded. We help you claim what is allowable and keep the supporting records tidy.

What is the best way to manage payments from insurers?

The key is a system that tracks each invoice, each payment, and what is outstanding. We help you set up clean reporting so you can follow up faster and stay on top of debtors.

Should I buy clinic equipment personally or through my limited company?

It depends on your structure, cash flow, and tax position. We will advise you based on your situation. If you are already a company or considering it, see limited company accounting .

Get In Touch

Ready to spend less time on admin?

Whether you are a sole practitioner or running a growing clinic, we will help you stay compliant, understand your numbers, and make confident decisions. Book a free practice health check and we will tell you what is working, what is missing, and what to fix next .

Accounting and tax support for physiotherapists across Ireland