Medical practices have arrangements most businesses never deal with: service fees, practitioner agreements, recipient-created tax invoices and complex GST. We help doctors and practice owners get the structure, compliance and reporting right.
For medical centres and practice owners
- Service entity and practice structures
- Recipient-created tax invoices (RCTIs) and practitioner payment reconciliations
- NSW payroll tax: reviewing contractor arrangements with practitioners, an area of significant Revenue NSW attention
- GST: most medical services are GST-free, but service fees and some other supplies can be taxable
- Practice performance reports, including revenue per practitioner
- Payroll for reception, nursing and admin staff
For doctors and specialists
- Tax returns for employed and contracting doctors
- Personal services income (PSI) considerations
- Superannuation contribution planning
- Investment property and other investment income
Recommended for medical centres
Business Performance Partner or Strategic Advisory Partner, depending on the number of practitioners and staff. Individual doctors can choose tax returns with tax planning.
Frequently asked questions
Is GST charged on medical services?
Medical services that attract a Medicare benefit, or are otherwise appropriate treatment, are generally GST-free. Cosmetic procedures without a Medicare item are generally taxable.
Does a medical centre have to pay payroll tax on its doctors?
It depends on the arrangements. Contractor provisions can apply to some practitioner agreements, so it is worth having yours reviewed.
What is an RCTI?
A recipient-created tax invoice is issued by the business receiving the supply, rather than the supplier. It can be used when both parties agree in writing and the ATO requirements are met.
