Practices have a peculiarity that many accounting programs handle poorly: part of the revenue is exempt from VAT, part is not.
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Exempt and taxable revenue side by side
Medical treatments in human medicine are exempt from tax under Article 21 of the VAT Act. If you also sell products or provide cosmetic services, those are taxable. Accounty keeps both revenue types separate so the delimitation is documented at all times.
Receivables with a long fuse
Invoices to insurers are rarely paid immediately. The receivables management shows open items by age and dunns in stages, without you keeping lists.
Group practice
If several doctors share space and infrastructure, costs must be split. With cost centres you assign rent, staff and equipment to the parties involved.
Staff with special rules
Practice assistants, apprentices, temps: payroll is included at no extra cost and settles irregular workloads correctly too.
What Accounty costs for medical and therapy practices
CHF 29 per month, VAT included. That covers every module — general ledger, receivables with QR-bill, payables, payroll with no employee limit, VAT returns, year-end closing, document inbox with AI recognition, bank reconciliation, cost centres, inventory, cash book, time tracking and CRM. Unlimited users. Cancel monthly.
With many providers, payroll costs extra or is capped by headcount. That is why Accounty usually works out cheaper for businesses with employees than the list price suggests. A comparison with other Swiss solutions is available. If you want to see ten providers side by side, the detailed market analysis is in the article Swiss accounting software compared, 2026.
Who is behind it
Accounty is a product of SEBONA Treuhand Böhner in Kloten. We manage client mandates ourselves and built the software because no existing solution convinced us. If you would rather hand over your bookkeeping than run it yourself: We can take that on too.
Are you a fiduciary managing several mandates? There are dedicated terms from CHF 9 per mandate.
Frequently asked questions
Do I have to file VAT as a doctor?
Usually not for medical treatments — they are exempt under Article 21 of the VAT Act. As soon as you provide taxable supplies, such as product sales or cosmetic procedures, liability can arise. That has to be checked case by case.
Can I invoice health insurers?
Accounty issues QR-bills to any recipient. It does not offer a direct link to tariff systems such as TARMED — for that you use your practice software and record the revenue in Accounty.
How do I handle private and insured patients?
Via separate income accounts or cost centres. That way the reports show where your revenue comes from.
Related industries
Matching guides
Hands-on guides from our blog: VAT return step by step, Chart of accounts for Swiss SMEs, Net tax rate or effective method and the Year-end closing checklist.
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