Medical & Dental Accounting
At All Square Accountants, we genuinely understand the medical and dental industry, including where the real money and risk sit.
Our experience includes service entity arrangements, associate agreements, payroll tax obligations, and profit allocation rules for practitioner principals.
Drawing on this industry knowledge, we go beyond standard accounting. We take a proactive approach to managing your tax obligations, simplifying your bookkeeping and keeping your practice compliant with industry requirements.
Our job is to handle compliance properly and raise the issues that matter before they become expensive.
Get the Support You Need From an Experienced Accounting Team
Running a medical or dental practice comes with unique financial pressures, from managing associate and locum arrangements to understanding service trust structures, equipment costs and regulatory obligations.
Our accounting services are built around these realities, helping you track practice profitability, manage cash flow and stay on top of your numbers, so you can concentrate on your patients rather than your paperwork.
At All Square Accountants, we handle your compliance, accounting, taxation, bookkeeping and financial reporting needs. Since every practice is structured differently, we begin by reviewing your current setup to understand your financial and tax requirements before creating a fixed fee package.
Get in touch to learn more about our fixed fee packages.
Who We Work With
Doctor Specialists
Specialist doctors often earn income through a mix of consulting, hospital work, and private practice, which brings unique tax considerations like personal services income rules and locum arrangements. We help specialists structure their affairs effectively, manage BAS and tax obligations, and plan ahead for major expenses like practice setup or equipment. With experience across the medical field, we understand the financial realities of specialist practice and help you keep more of what you earn.
Medical Practices
Medical practices manage a mix of GP income, associate arrangements, service trusts, and staff payroll, all of which require careful financial management. We help practice owners track profitability, manage cash flow, and stay compliant with super, payroll, and trust obligations. Having worked with medical practices, we understand the operational and regulatory pressures you face, and structure your accounting so it supports the way your practice actually runs.
Dentistry Clinics
Dental clinics deal with significant equipment investment, associate dentist arrangements, and a strong focus on patient billing and cash flow. We help dental practice owners manage BAS, payroll, and trust distributions, while keeping an eye on practice profitability and growth opportunities. Our experience working with dentistry clinics means we understand the specific financial pressures of the industry and help you run a compliant, well-organised practice without the added admin burden.
Our Medical & Dental Accounting Services
Ahead of problems, not behind them
We believe compliance works best when it’s proactive, not reactive. That’s why our team stays close to your numbers throughout the year, flagging issues early and keeping you informed, so you always know exactly where your practice stands.
A structure that holds up
Many medical and dental practices operate through a mix of trading entities and service trusts. We help you set up and manage the right structure for your practice, ensuring income is distributed appropriately, service fees are commercially justified, and your arrangements meet ATO expectations year after year.
Documented right, every year
Loans between related entities and trust distributions are common in medical practices, and easy to get wrong. We manage your Division 7A compliance and trust resolutions each year, making sure distributions are documented correctly and loan accounts are repaid on time to avoid unexpected tax bills.
Every worker classified correctly
Between practice staff, associates, and contracted specialists, payroll obligations can be complex. We manage your superannuation guarantee, PAYG withholding, and payroll reporting, keeping your practice compliant and your team paid correctly and on time, every pay cycle. For Queensland practices, we also provide guidance on payroll tax obligations, including contractor arrangements and GP payroll tax exemptions.
What you keep depends on today
Corporate groups are buying practices, and what you keep from a sale depends on decisions made years before it. The small business CGT concessions can be worth more than everything else on this page combined, but eligibility turns on the net asset test, the active asset test and who holds what. A structure that was fine for running the practice can be the wrong one for selling it. If a sale is anywhere in the next five years, that conversation is worth having now.
Know what’s taxable, and what isn’t
Most medical and dental services are GST-free, but not all of them. Cosmetic procedures, medico-legal reports and some non-clinical income are taxable, and a practice with a mixed supply that hasn’t apportioned properly is carrying an error that compounds every quarter. We make sure your GST treatment is correct from the start, so small mistakes don’t turn into a big costly surprise.
Your annual review, handled
As your registered ASIC agent, we manage your company’s annual review, keep your details up to date, and handle all lodgements on your behalf. We take care of your ongoing ASIC compliance obligations and paperwork, so you can focus on running your practice with confidence.
Beyond this year’s return
Tax planning plays an important role in how a medical or dental practice manages its financial position. We help specialists and practice owners approach tax matters with greater clarity, from your PSI position to your profit allocation against the ATO’s PCG 2021/4 risk framework, while ensuring obligations are handled appropriately. We look ahead so you’re not just compliant this year, but positioned well for the years after it.
What Our Clients Say
Why do medical and dental practices need a specialised accountant?
Medical and dental practices often involve more complex financial arrangements than many other businesses, including service entities, associate agreements, trust structures, payroll obligations and practitioner income arrangements.
An accountant familiar with the industry can help identify risks, manage compliance requirements and provide advice that reflects how your practice actually operates.
Can you help with medical and dental practice structures?
Yes. We help medical and dental professionals review and manage their business structures, including companies, trusts and service entity arrangements.
We consider how your structure supports your current practice, tax obligations and future goals, including growth or a potential practice sale.
Do you help medical and dental practices with payroll tax obligations?
Yes. We assist medical and dental practices with payroll tax considerations, including reviewing contractor arrangements and understanding obligations that may apply in Queensland.
We help ensure your reporting is accurate and that potential issues are identified early.
Can All Square Accountants help if I am starting a new medical or dental practice?
Yes. We support practitioners at different stages, from establishing a new practice through to managing established businesses.
We can assist with structuring, bookkeeping, tax planning, compliance requirements and financial reporting to help set up strong foundations from the beginning.
How can an accountant help me prepare my medical or dental practice for growth or sale?
The decisions made while running your practice can have a significant impact on future opportunities.
We help review your structure, financial position and tax considerations early, allowing you to make informed decisions around expansion, bringing in partners or preparing for a future sale.
We’re proud of the practices we’ve helped build over the years, and even prouder of the long-term relationships we’ve formed along the way. When you work with All Square, you’re not just getting an accountant — you’re gaining a trusted partner who’s invested in your success.
Whether you’re a specialist just starting out or an established practice ready to scale, we’re here to support you every step of the way.
