', 'auto'); ga('send', 'pageview');
Talk With Us
Peter Vickers Business Group logo
LET'S TALK
Search
JOIN
MENU

Accounting



Let's Talk

Insurance



Quick Quote

Superannuation & Investment



Let's Talk

Tax



Let's Talk

Home Blog Accounting and Tax for Doctors and Dentists | Peter Vickers Business Group

Accountants for Doctors & Dentists | Peter Vickers Chartered Accountants
By Peter Vickers Chartered Accountants | Doctors, Dentists, Medical Practice Owners |

Hidden Tax Risks Behind a Busy Medical Practice

16th September 2026

Your appointment book may look full. But are your practice structure, practitioner agreements and tax arrangements working as effectively as you are?

For doctors, dentists and healthcare practice owners, matters such as personal services income (PSI), service entity arrangements, payroll tax exposure, GST-free versus taxable services, Division 7A loans and equipment depreciation can significantly affect tax obligations, profitability and cash flow.

The right accounting advice can help identify these risks early—before they become expensive problems.

At Peter Vickers Business Group, we provide practical accounting, taxation and business support to help medical and dental practices better understand their finances, meet their obligations and make informed business decisions.

Accounting That Understands Healthcare Practices

Doctors and dentists often face financial considerations that differ from those of many other professionals. You may earn income from multiple locations, work as both an employee and contractor, operate through a practice structure, employ clinical and administrative staff, or invest heavily in specialist equipment.

The right accounting support can help you manage these complexities while allowing you to spend more time focusing on your patients.

How We Can Support Doctors and Dentists

Business Structure, Practitioner Arrangements and Tax Planning

Choosing an appropriate business structure can influence taxation, administration, asset exposure and future growth. We can review the financial and taxation implications of operating as a sole trader, partnership, company, trust or another structure, and work with your legal adviser where legal advice is required.

Healthcare professionals and practices may also need to consider personal services income rules, service entity arrangements and the commercial terms of practitioner agreements. These matters can affect how income is reported, which deductions may be available and how payments flow through the practice.

Where a private company is involved, payments or loans to shareholders or their associates may have Division 7A implications. We can help monitor these transactions and provide ongoing tax-planning support so you can prepare for upcoming obligations and reduce the risk of unexpected tax bills.

Tax Returns, Deductions and Equipment

Healthcare professionals may incur a wide range of work-related and business expenses, including professional registration, indemnity insurance, training, equipment, uniforms, travel between workplaces and practice operating costs.

We can help identify expenses that may be deductible, maintain the necessary records and prepare accurate individual and business tax returns based on your circumstances. For major equipment purchases, we can also help you understand the relevant depreciation or capital-allowance treatment and its effect on cash flow and tax planning.

BAS and GST Support

GST treatment is complicated for healthcare providers, particularly where a practice supplies a combination of medical, dental, cosmetic or other services. Some services may be GST-free while others may be taxable, depending on the nature of the service and the circumstances in which it is supplied.

We can assist with GST registration, transaction classification, bookkeeping and Business Activity Statement preparation to help ensure your reporting is accurate and submitted on time.

Bookkeeping and Practice Reporting

Reliable financial records give you a clearer picture of how your practice is performing. Our bookkeeping and reporting services can help you monitor:

Practice income and operating expenses

Outstanding patient and supplier accounts

Staff and contractor costs

Equipment and finance commitments

Cash flow and profitability

Performance across different services or practice locations

Regular reporting can help identify financial issues early and support better decisions about staffing, pricing, equipment and expansion.

Payroll, Superannuation and Practitioner Payments

Employing receptionists, nurses, hygienists, dental assistants and other team members brings payroll, PAYG withholding and superannuation responsibilities.

Payments made under practitioner arrangements may also create payroll tax considerations, even where practitioners are not engaged as employees. The agreements, the services provided and the way payments are collected and distributed can all be relevant.

We can assist with payroll processing and reporting, superannuation obligations, payroll tax administration and the financial information needed to review practitioner arrangements with your legal and professional advisers.

Cash-Flow Management

A busy appointment book does not always translate into strong cash flow. Equipment purchases, staffing costs, loan repayments and irregular tax obligations can place pressure on otherwise profitable practices.

We can help prepare budgets and cash-flow forecasts so you can plan for major expenses, tax payments and future investment with greater confidence.

Buying, Growing or Selling a Practice

Whether you are purchasing your first practice, bringing in another practitioner, opening an additional location or preparing to sell, sound financial information is essential.

Our team can assist with budgeting, financial analysis, due diligence support, business planning and understanding the tax implications associated with major practice decisions.

Support at Every Stage of Your Career

Our accounting services can assist:

Doctors and dentists working as employees or contractors

Sole practitioners

Medical and dental practice owners

Specialists earning income from multiple locations

Healthcare professionals purchasing their first practice

Established practices planning to expand

Practice owners preparing for succession or retirement

The support you require may change throughout your career. We can provide ongoing advice that evolves with your professional and business circumstances.

Spend More Time With Patients—and Less Time on Financial Administration

Good accounting is not simply about preparing an annual tax return. It should give you a clearer understanding of your financial position and help you make confident decisions about your career, practice and future.

Peter Vickers Business Group provides accounting, tax, bookkeeping, payroll and business advisory services tailored to the individual needs of professionals and business owners.

Speak With Our Team

Are you a doctor, dentist or healthcare practice owner looking for reliable accounting and tax support?

Contact Peter Vickers Business Group to arrange a consultation and discuss how we can assist you and your practice.

Book an appointment with our team today.

The information provided on this page is general in nature and does not constitute personal taxation, legal or financial advice. Advice should be obtained based on your individual circumstances.

Recent

TALK TO US FOR THE RIGHT ADVICE

Subscribe

Categories

SERVICES

SUBSCRIBE

Join our newsletter subscription

SYDNEY

Suite 2/345 Pacific Highway,
Lindfield, NSW 2070

T: 61 2 9496 2300
services@pva.com.au


Peter Vickers Insurance Brokers

Suite 2/345 Pacific Highway
Lindfield NSW 2070
T: 1300 784 011
enquiries@pvib.com.au

WINDSOR

Suite 3, 31 Brabyn Street
Windsor, NSW 2756
T: 61 2 4577 4455
windsoroffice@pva.com.au


Follow us on Social Media @pvbglindfield   

© Copyright 2021 VICKERS BUSINESS GROUP Pty Ltd | Our Privacy Policy | PVA - Terms and conditions

Follow us on Social Media @pvbglindfield    


Chartered Accountants:  Liability Limited by a Scheme under the Professional Standards Legislation - AFSL 229302  |  Peter Vickers & Associates Pty Ltd ACN 003466813 | Peter Vickers Insurance Brokers Pty Ltd AFSL 229302 ACL 229302 ACN 074 294 081
Peter Vickers Insurance Brokers is part of the Steadfast broker network.