Specialist Tax & Accounting for Geriatricians and Geriatric Medicine Practices
With over 20 years of experience supporting healthcare professionals, we help geriatricians navigate complex tax, accounting, and business matters. Whether you operate as a sole practitioner, work across hospitals and aged care facilities, or run a specialist practice, our advice is designed to maximise profitability, improve compliance, and support long-term financial security.
How we can help you
Complex Income Across Hospitals, Consulting Rooms & Aged Care
The Challenge: Geriatricians may earn income across public hospitals, private consulting rooms, aged care facilities and other healthcare arrangements. Managing billings, expenses and reporting across several income sources can make it difficult to maintain a clear view of practice performance and tax obligations.
The Santoro Grieco Solution: We establish streamlined accounting and bookkeeping systems that consolidate your medical income, allocate expenses correctly and provide meaningful financial reporting across each location and service arrangement.
Medical Practice Structures & Personal Services Income
The Challenge: Choosing an appropriate structure for a geriatrician practice requires careful consideration of personal services income, asset protection, taxation and long-term financial objectives. The Australian Taxation Office defines personal services income as income mainly earned from an individual’s personal efforts or skills, with special rules potentially affecting deductions and income attribution.
The Santoro Grieco Solution: We review your practice structure and service arrangements to help you understand the applicable tax rules, improve financial clarity and ensure the structure remains aligned with your professional and personal objectives.
Medicare, GST & Medical Billing Compliance
The Challenge: Although qualifying medical services can be GST-free, the treatment can depend on the nature of the service, the recipient of the supply and whether a Medicare benefit is payable. Services provided through third-party arrangements may require additional consideration.
The Santoro Grieco Solution: We help geriatricians review their medical billing arrangements, GST classifications and accounting processes so that different income streams are recorded consistently and compliance obligations are easier to manage.
Tax Deductions for Geriatricians
Specialist Tax Deductions for Geriatricians
Registration & Professional Memberships: Eligible costs may include AHPRA registration, specialist college fees, professional association memberships and other subscriptions directly related to working as a geriatrician.
Continuing Professional Development: Deductions may be available for eligible conferences, seminars, clinical training, medical journals and continuing professional development courses that maintain or improve skills used in geriatric medicine.
Medical Equipment & Technology: Eligible expenses may include diagnostic instruments, clinical equipment, computers, software, telehealth systems and other technology used to earn professional income. Higher-cost assets may need to be depreciated over time.
Travel Between Medical Workplaces: Geriatricians working across hospitals, consulting rooms, medical centres and residential aged care facilities may be able to claim eligible travel between separate workplaces. Ordinary travel between home and a regular workplace is generally private. [ato.gov.au]
Professional Indemnity Insurance: Premiums for professional indemnity insurance and other eligible work-related insurance policies may be deductible where they directly relate to earning professional income.
Home Office & Practice Administration: Eligible costs may include work-related telephone and internet use, stationery, accounting software and home-office expenses where records are maintained and the expenses relate directly to professional duties.
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Frequently Asked Questions
Still have questions? Take a look at the FAQ or reach out anytime.
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Geriatricians may be entitled to claim expenses directly related to earning their professional income. Depending on the circumstances, these may include AHPRA registration, specialist memberships, professional indemnity insurance, continuing professional development, medical equipment, accounting fees and eligible travel between workplaces. A deduction generally requires evidence that the expense was incurred and was sufficiently connected to the income earned. The Australian Taxation Office guide for doctors, specialists and medical professionals includes geriatricians and explains the relevant deduction and record-keeping principles.
To claim a work-related deduction, the expense must generally be paid by the practitioner without reimbursement, directly related to earning income and supported by appropriate records
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A specialist medical accountant can help a geriatrician manage income received from hospitals, private consulting rooms, medical centres and residential aged care facilities. Advice may cover tax planning, bookkeeping, GST, practice structures, personal services income and financial reporting. Working with an accountant who understands medical professionals can make it easier to identify risks and maintain clear records across different sources of income.
The appropriate advice will depend on the specialist’s employment arrangements, business structure and practice ownership.
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The appropriate structure may be a sole trader, company, trust or a combination of entities, depending on the geriatrician’s service arrangements and objectives. Relevant considerations include personal services income, asset protection, administrative costs, income attribution and plans to establish or expand a private practice. A structure should be reviewed before implementation because operating through a company or trust does not automatically permit professional income to be split or retained at a lower tax rate. The general anti-avoidance rules may still apply to arrangements involving the diversion, retention or splitting of personal services income.
An ENT practice should review each income stream and configure its accounting system to distinguish GST-free and taxable supplies accurately.
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Personal services income is income mainly earned from an individual’s personal efforts or skills. These rules may apply when a geriatian provides medical services as a contractor or earns professional income through a company, trust or partnership. When the rules apply, certain deductions may be restricted, including some payments to associates and specified home-related expenses. Each arrangement should be assessed using its contracts, income sources and working conditions.
Personal Services Income rules and professional restrictions may affect how income is taxed, so an ENT specialist should obtain tailored accounting and legal advice before establishing or changing a structure. Medical professionals operating through personal service entities need to consider how the Personal Services Income rules affect the assessment of income and available deductions.
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Eligible travel between separate workplaces may be deductible, such as travel from a hospital to a consulting room or residential aged care facility on the same day. However, ordinary travel between home and a regular workplace is generally private and not deductible. The treatment depends on the geriatrician’s employment or contracting arrangements, the purpose of the journey and where professional duties are performed.
For specialist practices, useful areas of financial management can include complex billing arrangements, equipment finance planning, theatre and consulting fees, forecasting and succession planning.

