Medical & Allied Health

Bookkeeping for Sydney medical and allied health practices

You heal people for a living. Your books should not be the thing that keeps you up at night.

Sound familiar?

If any of these describe your week, you are not alone — and you do not have to keep doing it yourself.

Medicare and private health rebates

Bulk billing, gap payments, private health fund rebates — each flows differently through your bank account. Coding them wrong distorts your revenue and your BAS.

Associate and employee split

Some practitioners are employees. Some are associates on a service agreement. The tax, super, and insurance treatment is completely different — and getting it wrong is expensive.

Practice management software does not equal accounting

Cliniko, Halaxy, or PracSoft handle appointments and billing. They do not reconcile your bank, lodge your BAS, or track your actual expenses.

What we handle for you

Every item below is done by our team and reviewed by your CPA. You do not touch any of it.

  • Practice management software to accounting reconciliation
  • Medicare, private health, and gap payment coding
  • Payroll for employed practitioners and admin staff
  • Associate payment processing and reporting
  • BAS preparation with health-specific GST treatment
  • Monthly practice performance report

The outcome

Your revenue is correctly categorised. Payroll and associate payments are compliant. BAS is accurate. And you have a monthly report that shows practice performance — not just bank balance.

We thought we were saving money doing it ourselves. Turns out we were costing ourselves thousands in mistakes.

Physiotherapist, Eastern Suburbs

Common questions from medical & allied healths

Are medical services GST-free?

Most medical services provided by registered health practitioners are GST-free under the GST Act. However, cosmetic procedures, some allied health services without a GP referral, and retail sales (supplements, products) are generally subject to GST. We ensure each revenue stream is coded correctly.

Should my associates be contractors or employees?

The ATO applies a multi-factor test. If you control their hours, provide the equipment, and they cannot delegate — they may be employees regardless of the contract. We review your arrangements and structure them to be compliant and commercially sensible.

How do I value my practice if I want to sell?

Practice valuation combines tangible assets (equipment, fit-out) with intangible value (patient goodwill, referral networks, recurring revenue). We use a combination of capitalised earnings and comparable transaction methods specific to health practices.

Need tax and advisory too?

Tax structuring, advisory, and strategic planning for your industry — from the same team.

Ready to talk?

15 minutes. No obligation. We assess whether our specialisations match your situation. If they don't, we'll tell you straight.