Specialist Medical Tax Accountants for Brisbane Practitioners
From navigating Queensland payroll tax rulings to optimising Division 293 and practice structures, Santoro Grieco provides expert accounting for GPs, specialists, and allied health professionals across Brisbane and QLD.
✓ Medical Accountants
✓ Tax Planning & Compliance
✓ Business Advisory
✓ Medicare Revenue Assurance
Navigating QRO Payroll Tax Compliance
The Queensland Revenue Office (QRO) has fundamentally shifted how medical centres must handle practitioner payments. We help Brisbane clinics review their service agreements, restructure patient revenue flows, and implement compliant systems to protect against payroll tax audits.
Core Services Tailored for Brisbane Medical Professionals
Division 293 Tax Optimisation: We help high-income specialists (like those at Royal Brisbane or Mater) manage their superannuation thresholds effectively.
Practice Structuring & Asset Protection: We expertly set up service trusts and company structures to safeguard personal assets and manage tax liabilities.
Medicare Billing Reconciliation: Our proprietary independent reconciliation service tracks every dollar from Best Practice into Xero.
Understanding PSI vs. PSB for Medical Practitioners
The ATO closely monitors how medical professionals structure their income. Understanding the difference between Personal Services Income (PSI) and operating a Personal Services Business (PSB) is critical for your tax compliance and asset protection.
What is PSI? If more than 50% of your income is generated from your personal efforts, skills, or expertise—which is common for many locums and contracted doctors—the ATO classifies this as Personal Services Income. When the PSI rules apply, it limits the tax deductions you can claim and prevents you from splitting that income with family members to lower your tax bracket.
What is a PSB? If your practice or contracting arrangement passes specific ATO tests (such as the Results Test, Unrelated Clients Test, or Employment Test), you may be classified as a Personal Services Business. Qualifying as a PSB means the strict PSI rules do not apply, giving you greater flexibility in claiming business deductions and managing your practice's revenue.
Whether you operate as a sole trader, through a service trust, or as a company, we will analyse your contracts and service agreements to establish your correct status, ensuring your practice is structured for maximum tax efficiency and protected from ATO audits.
Why Healthcare Professionals Choose Santoro Grieco
Decades of Medical-Specific Expertise
We don't just process tax returns. We navigate the complex payroll tax rulings, compliance frameworks, and business challenges unique to doctors and clinic owners.
Independent Medicare Revenue Assurance
Stop revenue leakage at the source. Our proprietary reconciliation process tracks every dollar from Best Practice into Xero, identifying claim rejections and billing issues before they impact your bottom line.
Built Exclusively for Healthcare
Our proven tax and structuring strategies are custom-built for the medical sector, actively supporting GPs, surgeons, psychiatrists, dentists, and multi-practitioner medical centres.
Strategic Structuring & Asset Protection
Move beyond basic compliance. We proactively manage your Division 293 thresholds and implement robust service trust structures to protect your personal assets and accelerate wealth creation.
Professions we serve
We provide specialist accounting, taxation and business advisory services tailored to healthcare professionals and medical practices.
How we can help you
Accounting & Tax
We deliver comprehensive, end-to-end accounting and strategic tax planning tailored specifically for medical professionals. Our team optimises your entity structures, manages complex Division 293 tax liabilities, ensures full PSI/PSB and QRO payroll tax compliance, and proactively minimises your tax obligations while safeguarding your personal assets.
Bookkeeping Services
Keep your practice financially organised and running smoothly with our specialised medical bookkeeping solutions. We handle daily transaction processing, seamless cloud integration (Xero, Best Practice, Praktika), automated Medicare billing reconciliation, payroll management, and real-time financial reporting to give you complete visibility into your clinic’s revenue flow.
Superannuation
Maximise your long-term wealth and retirement security with targeted superannuation strategy. From self-managed super fund (SMSF) setup and administration to navigating concessional contributions and high-income super caps, we ensure your wealth-building strategies work efficiently alongside your medical practice structure.
Ready to Optimise Your Medical Practice?
Don't let inefficient tax structures or QRO payroll tax risks drain your clinic's profitability. Partner with specialist medical accountants who understand the complexities of the healthcare industry.
Testimonials
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