Specialist Medical Accountants for Melbourne & Victoria

Managing a medical practice in Victoria comes with unique regulatory and tax challenges. From navigating the State Revenue Office (SRO) rulings on payroll tax for contractor doctors to optimizing your Medicare billing reconciliations, your practice requires more than a generalist accountant.

At Santoro Grieco, we specialize exclusively in medical tax accounting, practice structuring, and tax planning for doctors, specialists, and clinic owners across Melbourne and regional Victoria.

✓ Medical Accountants
✓ Tax Planning & Compliance
✓ Business Advisory
✓ Medicare Revenue Assurance

Navigating Victorian Payroll Tax for Medical Centres

Recent rulings by the SRO Victoria have fundamentally changed how medical practices must structure their agreements with contractor doctors. The risk of retrospective payroll tax audits has never been higher. We help Melbourne clinic owners review their operational structures, ensuring that your contractor agreements, facility fees, and patient payment flows are compliant and tax-effective.

Cloud-Based Advisory for Melbourne Practitioners

While our physical office is based in Sydney, our practice is entirely cloud-native, allowing us to seamlessly partner with medical professionals across Victoria. We integrate your practice management and accounting software to provide real-time financial clarity without you ever needing to travel for a meeting.

We provide end-to-end integration and support for the tools your clinic already uses:

  • Best Practice (Bp Premier) & Praktika: Seamlessly mapping your clinical software to your financial ledgers.

  • Xero: Automating your bookkeeping, payroll, and BAS compliance.

  • FYI Docs: Secure, cloud-based document workflows for your sensitive financial data.

Our Core Medical Accounting Services

Whether you are a sole trader, a newly minted specialist, or managing a multi-disciplinary clinic, we provide tailored financial strategies:

  • Personal Services Business (PSB) & PSI Rules: Clear guidance on navigating the Personal Services Income rules to ensure your medical income is structured optimally and compliantly.

  • Medicare Billing Reconciliations: Advanced reconciliation processes to ensure every dollar billed through Medicare is accurately captured and accounted for in your software.

  • Practice Structuring & Asset Protection: Establishing trusts, companies, and partnership structures that protect your personal assets and optimize your tax position.

  • Tax Planning & Wealth Strategy: Proactive strategies executed well before the end of the financial year.

Secure, Remote Consultations

Your time is best spent with your patients. We conduct all advisory meetings, tax planning sessions, and financial reviews via secure video conferencing through RingCentral, giving you premium financial advice from the convenience of your consulting room or home.

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 SRO Victoria 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 SRO Victoria 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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