Specialist accounting for medical and healthcare practices on the Gold Coast and in Tweed Heads.

Running a medical practice requires more than accurate tax returns. You need a medical accountant who understands practitioner arrangements, payroll tax, practice compliance, cash flow and the financial pressures of managing a busy healthcare business.

Our registered tax agents work with doctors, dental practices and allied health providers across the Gold Coast and Tweed Heads. We provide practical accounting advice that supports stronger decisions, clearer financial management and confidence in your ongoing obligations.

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Medical accountant reviewing practice finances with a doctor in a private consultation room

We work with medical and healthcare practices across the Gold Coast, Tweed Heads and Northern NSW. Our advice reflects the different tax, financial and compliance demands of each practitioner type and business model.

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  • General practices and medical centres: Support for practice income, practitioner payments, payroll tax exposure, staffing costs and cash flow.
  • Dental practices: Guidance on equipment purchases, team payroll, practice profitability, associate arrangements and growth.
  • Allied health providers: Accounting for sole practitioners and multidisciplinary clinics, including psychology, physiotherapy and occupational therapy.
  • Specialist practices: Support for private practice income, service agreements, practice structures and practitioner payment arrangements.
  • Psychology and mental health services: Practical accounting for practitioner-based clinics, contractor arrangements, payroll and ongoing compliance.
  • Pathology and imaging providers: Financial reporting, payroll, tax compliance and cash flow support for practices with higher operating and equipment costs.
  • NDIS providers: Accounting support for healthcare businesses operating within the NDIS. Providers with specific needs can access our dedicated NDIS accounting support, while residential and home care operators can access specialist aged care accounting.

Buying Into or Starting a Practice

Starting a medical practice or buying into an established business requires careful planning. We can help assess the proposed structure, registrations, service entity arrangements and first-year cash flow requirements.

For associates buying into a practice, we can review the financial information behind the opportunity and identify accounting or tax issues to consider before proceeding. Legal advice may also be required for ownership agreements, contracts and entity structures.

Medical and healthcare practices need an accountant who understands more than annual tax compliance. Our team combines sector knowledge, practical advice and local support for practitioner-based businesses.

  • Specialist healthcare accounting knowledge: We understand contractor arrangements, payroll tax, GST treatment, staffing, cash flow and practice growth.
  • Proactive support: We help address financial and compliance issues before they become urgent.
  • Clear, practical advice: We explain your obligations and options in plain English so you can make informed decisions.
  • Registered tax agents: Your tax and compliance work is supported by qualified professionals.
  • Local offices: We work with practices across the Gold Coast, Tweed Heads and Northern NSW.

You receive ongoing support focused on your practice, your obligations and the decisions ahead, not just the preparation of annual accounts.

Payroll Tax for Medical Practices: What Practice Owners Need to Know

Payments to contracted practitioners can create payroll tax obligations even when the practitioners are not employees. The contractor label does not determine the outcome on its own. The service agreement, payment flow and relevant contract rules must all be considered.

Payroll tax rules change and every practice is different. Any exemption, rebate or relief should be confirmed against your current circumstances.

Queensland exempts wages paid by eligible medical practices to contracted or employed GPs. The current requirements must still be checked against the practice and practitioner arrangements.

The Queensland GP exemption does not automatically extend to specialist or dental practitioners. Their agreements and payment arrangements require a separate assessment.

Payments to physiotherapists, psychologists and other allied health contractors may fall within the relevant contract rules, depending on how the practice operates.

New South Wales applies separate rules. Eligible medical centres may claim a rebate for qualifying GP contractor payments where the current bulk-billing requirements are met.

Our team can review practitioner agreements, service arrangements and payment flows to identify where exposure may exist. We can also review your payroll tax position and highlight records, reporting or arrangements that require attention.

Practices Across the Gold Coast and Tweed Heads Border

A practice operating in Queensland and New South Wales may need to consider two payroll tax regimes, with different rules, registration requirements and thresholds. With offices in Varsity Lakes and Tweed Heads, we can assess how each state’s rules may apply to your practitioners and payment arrangements.

Unsure whether contractor payments could create payroll tax exposure? Book a free consultation with our medical accounting team →.

How We Help Your Practice

Our medical accounting services cover your practice’s day-to-day compliance needs and the financial decisions that affect its performance.

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  • Tax returns and tax planning

    We prepare business and practitioner tax returns, review your tax position and provide tax planning for practice owners before key deadlines.

  • Payroll tax position reviews

    We assess practitioner agreements, payment arrangements and payroll records to identify potential exposure and support accurate reporting.

  • Bookkeeping and payroll

    Our practice bookkeeping support can include transaction processing, reconciliations, PAYG withholding, Single Touch Payroll and superannuation guarantee obligations.

  • Practice structuring and buy-ins

    We help practitioners consider the accounting and tax implications of setting up, buying into or restructuring a practice. Legal advice may also be required for ownership, service entity and practitioner agreements.

  • Business accounting and advisory

    Our business accounting support can improve reporting, cash flow visibility, budgeting and practice benchmarks, supporting better-informed decisions.

  • GST and medical income

    We help practices review which services may be GST-free and which income streams may be taxable. ATO guidance on medical services confirms that treatment depends on the service provided, including for some cosmetic and non-clinical work.

  • SMSF accounting and compliance

    We provide SMSF accounting, tax reporting and compliance support. This service does not include financial planning, investment or retirement advice.

FAQs

Payments to contractor doctors may be subject to payroll tax where the arrangement falls within the relevant contract provisions. Payroll tax is administered by state revenue offices, not the ATO. Queensland exempts qualifying GP wages, while eligible NSW medical centres may receive a rebate for qualifying GP contractor payments. Each practice should have its agreements and payment arrangements reviewed.

Many medical and health services are GST-free, but not every service or income stream qualifies. Certain cosmetic procedures, medico-legal services and non-clinical supplies may be taxable, depending on the circumstances. Practices should review their income mix rather than assuming all medical revenue is GST-free.

There is no single structure that is best for every medical or dental practice. The right arrangement depends on the practitioners, ownership plans, tax position, risk profile and growth plans. Options may involve companies, trusts or service entities. Accounting and tax advice should be coordinated with legal advice before establishing or changing a structure.

Yes. We work with allied health sole traders, multidisciplinary clinics and practitioner-based businesses across the Gold Coast and Tweed Heads, including psychology, physiotherapy and occupational therapy. NDIS providers can also access our dedicated NDIS accounting support for sector-specific accounting and compliance needs.

Yes. With offices in Varsity Lakes and Tweed Heads, we support practices operating under Queensland and New South Wales requirements. This is particularly relevant for payroll tax because each state applies its own rules, relief measures, registration requirements and thresholds.

We support cloud accounting systems that help manage bookkeeping, payroll, reconciliations and financial reporting. The most suitable setup depends on your practice size, payroll requirements and billing or practice-management systems. Our team can review your current process and recommend a practical setup for accurate, timely records.

Speak With a Medical Accountant Who Understands Your Practice

Book a Consultation

Book a free, no-obligation consultation with our medical accounting team to discuss your tax, payroll tax, bookkeeping, compliance or practice advisory needs.

Speak with our registered tax agents at our Varsity Lakes or Tweed Heads office, or use the consultation form to arrange a suitable time.

Varsity Lakes: 07 5502 1388 • Tweed Heads: 07 5599 5700