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Health & Professional · Brisbane

Accountants for Doctors & Medical Professionals

Registrars, contracted GPs, specialists with a service entity and practice owners with staff — different tax problems at each stage of a medical career.

CPA-qualifiedRegistered Tax & BAS AgentsFixed monthly fees

How should a doctor structure their income?

It depends on how you earn. Employed registrars and hospital staff are PAYG and planning centres on deductions, super and Division 293. Contracted GPs billing under a practice's facility agreement need the personal services income rules assessed carefully — and note recent state payroll tax rulings on medical practices. Practice owners with staff, equipment and premises can genuinely use company or trust structures, service entities and asset separation. Each stage has a different right answer.

  • Specialist support for doctors and medical practitioners
  • Fixed monthly packages from $220
  • BAS, payroll and year-end handled together
  • Benchmarked against ATO industry figures

What we watch

What matters most for doctors and medical practitioners.

Division 293 and super

Additional 15% on concessional contributions for income over the threshold — worth planning, not discovering at assessment.

PSI and service agreements

Whether your billing arrangement is a personal services business changes what your entity can and can't do.

Payroll tax on practices

State rulings have brought many contracted-practitioner arrangements within payroll tax. Agreements and payment flows need reviewing.

Asset protection

Practice operations, premises and investments held separately, so a claim against one doesn't reach the others.

Deductions

Doctors & Medical Professionals — what you can claim.

A working checklist we go through with every client in this sector. Substantiation requirements differ by item — we'll tell you which need records and which don't.

  • Medical indemnity insurance and AHPRA registration
  • College fees, CPD, conferences and courses
  • Medical equipment, instruments and devices
  • Journals, subscriptions and reference software
  • Work-related travel between hospitals and clinics
  • Scrubs, protective clothing and laundry
  • Home office for telehealth and admin
  • Deductible personal super contributions
  • Professional association memberships

Free 15-minute consultation

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FAQ

Doctors & Medical Professionals — questions we're asked most.

I'm a contracted GP — can I bill through a company?

You can, but whether it changes your tax outcome depends on the PSI rules and the substance of your arrangement with the practice. If the income is personal services income and you're not a personal services business, it's attributed to you regardless of the entity. Structures that ignore this create cost and risk without benefit.

What is Division 293 tax?

An extra 15% on concessional super contributions for individuals whose income plus contributions exceeds the threshold ($250,000). It doesn't make super a bad idea — the total rate is still well below the top marginal rate — but it changes the arithmetic of how much to contribute and whether other strategies come first.

Should I own my practice premises?

Often yes, but rarely in the trading entity. Holding premises in a separate entity or an SMSF (as business real property, leased back at market rent on arm's-length terms) can provide asset protection and long-term benefits. Land tax, stamp duty and financing all need modelling first.

How does payroll tax affect medical practices now?

Several state revenue offices have ruled that payments to contracted practitioners under typical facility agreements can constitute wages for payroll tax. The exposure depends on the agreement terms and how patient fees flow. Practices should have arrangements reviewed rather than assume historical treatment still holds.

Written & reviewed by

Tax Accountant Brisbane Team

CPA-qualified accountants & registered tax agents

Our Brisbane team has prepared thousands of individual, small-business and SMSF returns since 2015. Every guide on this site is written, fact-checked and updated against current ATO rulings and legislation.

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Accountants for doctors & medical professionals — let's talk.

Free 15-minute consultation, fixed monthly fee, and an accountant who already knows your sector.

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