Specialist Tax & Accounting for Anaesthetists in Australia

Navigating the complexities of multi-hospital billings, private practice structures, and ANZCA-specific deductions.

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How we can help you

Billing Complexity

The Challenge: You juggle RCTIs from multiple private hospitals, public health appointments, and ad-hoc surgical groups. Tracking GST and reconciling varied income streams is a full-time job.

The Santoro Grieco Solution: We automate your medical billing reconciliation and manage your BAS, ensuring every dollar is accounted for without you lifting a finger.

Service Trust Structures

The Challenge: High-earning anaesthetists are often over-taxed because they lack a robust structure. Asset protection is a secondary thought until it's too late.

The Santoro Grieco Solution: We implement "Service Entity" models and Discretionary Trusts that protect your personal wealth while legally minimising your tax brackets.

Payroll Tax Risk

The Challenge: Recent rulings (Thomas & Naaz) have shifted the goalposts. Many service fee arrangements are now being flagged for massive backdated payroll tax.

The Santoro Grieco Solution: We perform "Contract Health Checks" on your service agreements to ensure they meet 2026 compliance standards and minimise audit risk.

Specialist Tax Deductions for Anaesthetists

Unlike general tax agents, we know the "hidden" claims specific to your theatre work.

  • College & Board Fees: Full claims for ANZCA membership, AHPRA registration, and ASA subscriptions.

  • Professional Indemnity: 100% deductible premiums for MIPS, Avant, or MDA National.

  • Theatre Equipment: Immediate write-off or depreciation for Laryngoscopes, specialized ultrasound probes, and surgical loupes.

  • The "Multiple Worksite" Rule: We maximise your car claims for travel between separate hospitals (e.g., a morning list at Royal North Shore followed by an afternoon at Mater Hospital).

  • Advanced Training: Deductions for EMAC or ALS2 courses, and travel for international anaesthesia congresses.

Testimonials

  • The team are always helpful and happy to answer any questions or issues we have. I wouldn't go anywhere else for our accounting needs as these guys do it all and do it well.

    Vince S.

  • My name is Tony I am a director of two companies . I engaged Santoro & Co 15 years ago to manage my financial affairs , superannuation and tax reporting. I have been in business for more than 40 years and have experience with other accounting firms. Santoro & Co have been exceptional in their accounting practices . They are client focused , competent , efficient and very nice to to work with. I am very confident and more than happy to recommend Santoro & Co as an accounting practice .

    Tony S.

  • I have been with Santoro & Co for 20 years since then I was very happy with the services, tax returns and the professional advice when I need it. Thank to Mario ,the management and Simon for the assistance and for everything and I strongly recommend them for tax management .

    Mohsen G.

  • We moved to Santoro & Co some years ago to have them manage our personal tax and our SMSF. It turns out to have been a very wise decision. Santoro & Co have always managed our financial affairs in a timely and professional manner and we would have no hesitation in recommending them to others.

    David C.

  • Reliable, timely and professional service.

    Adriana G.

  • I have been a client of Santoro and Co for decades and have always found them to be consistently attentive to my questions and information that I require. In recent years when I have a private financial advisor, the transfer if information between them has been seamless. The accountant who looks after me, Simon Grieco, is a great example of the provider of the kind of service that I have come to rely on.

    Carmella L.

  • I would like to express my appreciation to Santoro & co for their team in providing us with an excellent level of service in the past eleven years. The staff at Santoro are always helpful to us especially, Mario & Simon Grieco. I would like to compliment all their staff for their professionalism and assisting us in a timely manner . I would not hesitate to recommend Santoro & Co to anyone who wants their accounts done professionally.

    Arsenios L.

  • My wife and I have been dealing with Simon and Santoro & Co for over 7 Years. We have always been impressed by the level of expertise,professionalism and efficiency in their response time. We have in the past and will always refer family and friends to Simon and Santoro & Co for their accounting needs.

    Stefano & Carla M.

  • Fast, reliable and honest service from the team at Santoro & Co

    Victoria S.

  • Very much valued Simon’s assistance and insight for personal tax matters. No question was too simple or difficult for him and he balances professionalism with having your best interests at heart. Would recommend Simon and the team at Santoro & Co.

    Luca C.

  • Santoro & Co have been fantastic with helping us set up our business structure and helping us with our yearly taxes. Simon has explained our tax obligations as we have started our own small business and transitioning from sole trader to a company. Communication was great, Simon responded very quickly and was available and happy to answer any of our questions. Highly recommend!

    Daniel & Linda L.

  • Simon is fantastic, always available to help us and answer any questions when needed! Extremely helpful and nothing is a problem. Highly recommend.

    Karly & Brad S.

  • I have been dealing with Simon from Santoro & Co for the past 5 years. Simon is very thorough, pro-active and all in all, great to deal with.

    Vince I.

  • Santoro & Co have been looking after my business and private accounting affairs for a number of years now. The staff in general are most polite and caring. Mario and Simon in particular have always been responsive to my requests and available to assist with all my accounting needs whether it be matters concerning my accounts, staff, tax and even assisting me with my lending needs. They care about their clients and provide guidance and advice when required. I would have no hesitation in recommending them.

    Rosa P.

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  • Simon Greico has been looking after our personal finances for many years now. He is efficient, reliable, and is always there to answer any questions we have with the utmost professionalism. We will continue to recommend Simon and Santoro & Co.

    Adriana & Frank P.

  • Simon and the Santoro & Co team have been invaluable in helping to set up and run our business’ accounting needs. We have absolute peace of mind knowing that our bookkeeping, payroll and taxation is taken care of by Simon and the team, which allows us to spend more time working on the business. We highly recommend the Santoro & Co team and their services.

    Domenic & Sara R

  • Simon has been looking after my personal and business taxes for the past 4 years. In this time, he has been extremely responsive, honest and thorough with every question I have asked and any document I’ve given him to review. I highly recommend Simon and his services.

    Sebastian P.

Frequently Asked Questions

Still have questions? Take a look at the FAQ or reach out anytime. If you’re feeling ready, go ahead and apply.

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  • es. While travel from home to your first hospital is generally non-deductible, travel between two separate workplaces (e.g., from a morning list at a public hospital to an afternoon private list) is 100% claimable. We recommend keeping a 12-week logbook to maximise your motor vehicle "cents per kilometre" or "actual cost" deduction..

  • Absolutely. Any expenses incurred to maintain or improve your current skills as an Anaesthetist—including ANZCA college fees, AHPRA registration, and international conferences—are deductible. This includes flights, accommodation, and a portion of meals if you are required to stay away from home overnight for professional development.

  • This is a critical area for 2026. The ATO and State Revenue offices are increasingly viewing service fee arrangements as "relevant contracts" for payroll tax. We perform a 'Contract Health Check' to ensure your billing is handled in your name and your service agreement is structured to minimise the risk of being deemed an employee for payroll tax purposes.

  • Yes. For equipment costing $300 or less (like certain stethoscopes or diagnostic tools), you can claim an immediate deduction. For high-value assets like portable ultrasound machines or monitors, we use "Capital Allowance" rules to depreciate the cost over the item's effective life, significantly reducing your taxable income over several years.

  • For high-earning anaesthetists (FANZCA), a hybrid structure is often best. A Family Trust allows you to distribute income to lower-tax-bracket family members, while a Bucket Company can "cap" your tax rate at 25% or 30% for any surplus income you wish to reinvest rather than draw as personal salary.