Tax, Accounting & Advisory Services for Medical Centres
Helping medical centres manage tax, bookkeeping, payroll, Medicare billing, contractor compliance, and practice finances, so owners can focus on delivering exceptional patient care.
How we can help you
Medicare Revenue & Multi-Source Income
The Challenge: Medical centres receive revenue from multiple sources, including Medicare bulk billing, private patient fees, health funds, WorkCover and other third-party payers. Without accurate accounting and regular Medicare reconciliation, missed claims, rejected billings and payment discrepancies can reduce cash flow and make it difficult to understand the medical centre’s true financial performance.
The Santoro Grieco Solution: We implement accounting and reporting systems that help medical centres reconcile Medicare and patient revenue, identify outstanding or rejected claims, monitor service-fee income and maintain reliable financial records. This gives practice owners clearer visibility over revenue, cash flow and profitability.
Payroll Tax & Practitioner Arrangements
The Challenge: Medical centres commonly engage doctors and healthcare practitioners through contractor, service-fee or room-licence arrangements. However, payments to practitioners may still be subject to payroll tax depending on how the arrangements operate. In New South Wales, Revenue NSW specifically identifies practitioner engagement, contractor payments and medical-practice group structures as common areas of payroll-tax risk.
The Santoro Grieco Solution: We review practitioner payment arrangements, service-fee calculations, banking flows and payroll-tax reporting from an accounting and taxation perspective. Working alongside your legal advisers where required, we help medical centre owners strengthen their financial processes, understand potential obligations and maintain documentation supporting their arrangements.
Practice Profitability, Cash Flow & Growth
The Challenge: CRising wages, rent, technology, medical equipment and administration costs can place pressure on medical centre profitability. Without accurate management reporting, owners may find it difficult to measure practitioner performance, monitor overheads, manage cash flow or make informed decisions about expanding, renovating or acquiring another practice.
The Santoro Grieco Solution: We provide medical centres with tailored management reports, cash-flow forecasting, budgeting, tax planning and practice advisory services. Our reporting helps owners understand revenue, operating costs and practice profitability, supporting better decisions around staffing, equipment investment, service expansion and long-term growth.
Tax Deductions for Medical Centre Owners
Business Tax Deductions for Medical Centres
Medical Centre Rent & Property Costs: Potential deductions for commercial rent, property outgoings, electricity, water, cleaning, security and other occupancy costs incurred in operating a medical centre.
Staff Wages, Superannuation & Payroll Costs: Potential deductions for eligible wages, compulsory superannuation, recruitment, staff training and payroll administration costs. Medical centre owners should also consider their payroll tax, contractor and practitioner-payment obligations.
Medical Equipment & Practice Fit-Outs: Depreciation or other available deductions for eligible medical equipment, treatment tables, sterilisation equipment, office furniture, signage and medical centre fit-out costs. The timing of the deduction depends on the expense and the applicable tax rules.
Practice Management Software & Technology: Potential deductions for medical practice software, online booking platforms, computers, telephones, internet, cybersecurity, cloud storage and Medicare billing technology.
Insurance & Professional Fees: Potential deductions for eligible business insurance, medical centre indemnity cover, workers compensation, accounting fees, legal fees and business advisory services.
Medical Supplies, Cleaning & Clinical Waste: Potential deductions for medical consumables, protective equipment, infection-control products, cleaning supplies, linen services and clinical waste disposal used in operating the medical centre.
Marketing & Patient Communication: Potential deductions for eligible website expenses, search engine optimisation, online advertising, signage, patient communications and other marketing costs used to promote the medical centre.
Interest & Equipment Finance: Interest and eligible borrowing expenses relating to business loans, medical equipment finance, practice renovations and working capital may be deductible, subject to the purpose and structure of the finance.
Testimonials
Frequently Asked Questions
Still have questions? Take a look at the FAQ or reach out anytime.
-
A specialist medical centre accountant can assist with tax planning, bookkeeping, payroll, cash-flow forecasting, management reporting and business structuring. At Santoro Grieco, we help medical centre owners understand practice profitability, manage financial obligations and make informed decisions about staffing, equipment, practitioner arrangements and business growth.
-
Payments made to contractor doctors may be subject to payroll tax, depending on the agreements, payment flows and way the medical centre operates. In New South Wales, certain practitioner arrangements can be treated as relevant contracts, and payments under those contracts may be regarded as taxable wages. Each arrangement must be assessed according to its specific circumstances,
-
Regular Medicare billing reconciliation helps medical centre owners identify rejected claims, unpaid accounts, payment discrepancies and billings that require follow-up. Comparing clinical billing records with Medicare deposits and accounting transactions can improve revenue visibility, strengthen cash-flow management and reduce the risk of income being overlooked.
-
The appropriate medical centre business structure depends on factors such as ownership, practitioner arrangements, asset protection, tax obligations, succession planning and the intended distribution of profits. Possible structures may involve companies, trusts or separate service entities. Medical centre owners should obtain tailored accounting and legal advice before establishing or changing a practice structure.
-
Medical centre owners can improve financial performance by monitoring practitioner service fees, staffing costs, occupancy expenses, Medicare receipts, outstanding accounts and other operating costs. Regular management reporting, budgeting and cash-flow forecasting can help owners identify declining margins, control expenses and make better decisions about staffing, equipment and practice expansion.