Bookkeeping & tax for doctors & medical practices

Medical practices typically run on service agreements where doctors collect patient fees and pay the practice a service fee. Getting these arrangements, the GST on service fees, and practitioner payments right is essential – and state revenue offices have increasingly looked at whether these arrangements attract payroll tax.

We help practice owners and individual doctors keep accurate records, understand their obligations and plan their tax.

Medical practices usually operate under service arrangements, where practitioners collect patient fees and pay the practice a service fee. Getting those arrangements right matters: medical services are generally GST-free, but the service fees charged by a practice to its doctors are generally taxable. Practitioner payments, Medicare and DVA income and hospital billing all need to reconcile accurately.

State revenue offices have increasingly examined whether some medical centre arrangements create payroll tax liabilities. Accurate records and clear agreements are essential, and specialist legal advice may be needed for your specific arrangements.

We look after practice bookkeeping, service fee calculations, staff payroll and BAS for practice owners, and prepare individual, company and trust tax returns for GPs, specialists, registrars and locums – so the practice and the practitioners are planned together.