Medical & Healthcare
Accountant for Doctors, GPs and Medical Practices in Sydney
GST-free income, practice structure, contractor doctors and superannuation — we understand the financial complexity of running a medical practice.
Medical professionals and healthcare practice owners face a unique set of accounting challenges that general accountants frequently mishandle. From GST-exempt income to contractor versus employee doctor structures, ANH Accounting provides specialist accounting for medical practices across Sydney.
Who we help in medical & healthcare
GP contractors and locums
Contractor arrangements, PSI rules, tax set-aside and the right structure for variable income.
Specialists with private rooms
Practice accounts, service entities, equipment finance and planning for high-income years.
Dentists and allied health
Practice start-ups, buying a practice, staff payroll and GST treatment for mixed supplies.
The accounting challenges medical & healthcare face
We have seen these issues repeatedly — and know exactly how to resolve them.
GST-free medical income
Basic medical services are input taxed or GST-free. Practice management fees, ancillary services and consumables may attract GST. Incorrect classification affects every BAS you lodge.
Contractor vs employee doctors
Whether a doctor is a contractor or employee determines PAYG withholding, super obligations, and liability exposure. Getting this wrong creates significant back-liability with the ATO.
High-income superannuation planning
Medical professionals are often high earners. Concessional and non-concessional contribution limits, Division 293 tax, and SMSF strategies all need careful planning each financial year.
Practice expenses and equipment
Medical equipment, practice fit-outs, and professional expenses involve complex depreciation and instant asset write-off rules. We ensure every legitimate deduction is captured.
Free 30-minute strategy session
Get clear advice for your medical & healthcare business
- A registered tax agent reviews your situation
- You leave with at least one practical next step
- No obligation, and we reply within 24 hours
What we do for medical & healthcare
- Practice bookkeeping (Xero)
- Payroll for doctors, nurses and admin staff
- BAS / IAS lodgment
- Business structure advice (company, trust, partnership)
- Superannuation & SMSF advice
- Annual tax returns
- Tax planning for high-income earners
- ATO correspondence
What you can expect
Correct GST treatment on every BAS
Contractor/employee structure documented and compliant
Maximum legitimate deductions captured annually
Super strategy aligned with high-income tax position
Why medical & healthcare choose ANH Accounting
Start with a free 30-minute session
We review your situation, identify savings opportunities, and outline exactly what we can do for your medical & healthcare business — no charge, no obligation.
After hours & weekend appointments available
Rated 5.0 on Google from 36 reviews
What clients say about working with ANH Accounting
Khaled was incredibly professional and prompt in assisting us with our ASIC paperwork. His efficiency and attention to detail made the process seamless. This is the kind of exceptional service everyone desires. Thank you, ANH Accounting, and a special thanks to Khaled!
I recently had the pleasure of working with ANH, and I can confidently say it was a fantastic experience! The quality of service was outstanding, with attention to detail and a commitment to excellence evident in every interaction. I appreciated their transparency throughout the process, making it easy to stay informed and involved.
Khaled was my accountant, very professional and gets the job done quickly. 5 Stars all day.
Common questions from medical & healthcare
Do you work with allied health providers?
Yes. We work with physiotherapists, psychologists, dentists, optometrists, and other allied health professionals. Each has specific GST and billing considerations we understand well.
Should a GP contractor operate through a company, trust or sole trader?
It depends on your income, your practice agreement and your risk. Most high-earning GP contractors benefit from a structure that separates liability and gives flexibility on how income is taxed, but the wrong structure can create personal services income problems. We compare your options with real numbers before you commit.
What can a doctor claim as a tax deduction?
Doctors can generally claim AHPRA registration, college fees, professional indemnity insurance, CPD and conferences, medical journals, instruments and work-related vehicle and phone costs, provided they relate to earning income and you hold records. Private use must be excluded. We prepare your claims and keep them defensible if the ATO asks.
How does a service entity arrangement work for medical practices?
A service entity owns the practice assets and staff and charges practitioners a service fee, so practitioners focus on patients while the entity runs the business. The arrangement must be at arm's length and properly documented. We set it up and keep it compliant.
How should a locum doctor treat super and tax withheld?
Locums are often engaged as contractors, which means no automatic tax withholding and no employer super. You may need to set aside tax, register for GST if you reach the threshold, and decide whether to make personal super contributions. We check your engagement terms and build a simple set-aside plan.
Is GST charged on medical services?
Many medical services are GST-free, but not all of them. Cosmetic, certain reports and some non-clinical services can be taxable, and practice charges to practitioners often include GST. We review your fee schedule line by line so BAS is correct.
Related accounting specialisations
General information only, last reviewed October 2026. Tax rules and thresholds change, so confirm your situation with ANH Accounting (Registered Tax Agent RN 26258346) before acting.
Ready to get your accounting handled properly?
Book a free 30-minute session with ANH Accounting. We'll review your current situation, find opportunities, and tell you exactly what we can do for your medical & healthcare business.
Registered Tax Agent RN 26258346 · IPA · IFA · CPA · CA · Xero Certified · Est. 2018