Medical Practice Accounting for Practice Owners & Groups

Running a medical practice is a different business to being a practitioner. As the practice grows and you have more partners, more associates, more support staff, more sites - the accounting, tax and structuring questions change too. Clarke McEwan has specialised in accounting for medical and professional practices for close to 30 years, and we work closely with practice owners and principals in this area.

If you're running the business behind the practice, this is where we can help.

Practice Structuring & Growth

The right structure protects you, minimises tax, and makes future changes such as bringing in a partner, merging with another practice, opening a second site easier rather than harder. We advise on:

●      Trust and company structures for practice ownership, including unit trusts with corporate trustees

●      Multi-entity structures where premises, equipment and the operating practice sit in different vehicles

●      Structuring for practice mergers, acquisitions and multi-site consolidation

●      Australian medical groups with foreign ownership or a mix of both foreign and Australian ownership.

Tax & Compliance for Practice Businesses

Practice tax obligations go well beyond an annual tax return. We manage:

●      Small business CGT concessions including significant individual tests and related considerations

●      Trust distribution planning, including Section 100A, Division 7A and all ATO compliance considerations

●      Contractor versus employee classification for practitioners — an area of increasing ATO scrutiny, particularly following recent case law

●      PSI and PSB analysis for practitioners operating through their own structures

●      Access to a specialist network of medical bankers, brokers, lawyers and medical practice consultants.

Payroll, Super & Payday Super Compliance

From July 2026, Payday Super requires super guarantee to be paid alongside wages rather than quarterly — a material change to practice payroll processes. We help practices:

●      Transition payroll systems and cash flow planning for Payday Super

●      Manage super and wage obligations correctly across employed and contracted practitioners

●      Stay ahead of compliance deadlines and penalties tied to the new regime

Vehicles & Practice Assets

Practice and practitioner vehicles carry their own tax considerations, particularly with the FBT exemption for electric vehicles winding down (full exemption until 31 March 2027, partial exemption from April 2027). We advise on vehicle structuring, equipment finance and asset purchasing decisions for growing practices.

Succession & Practice Sales

Whether you're bringing in the next generation of partners or preparing to sell, succession needs planning well in advance. We advise on:

●      Exit and succession planning for practice principals

●      Structuring practice sale transactions to manage CGT outcomes

●      Purchase and Sale of Medical Practices and Groups

Why Clarke McEwan Chartered Accountants

●      Close to 30 years specialising in medical and professional practice accounting

●      CA, CPA and CTA qualified accountants

●      Offices in Maroochydore and Brisbane and assisting practices and clients Australia wide

●      We work with Medical Practice Owners and Groups — not just individual practitioners.

Ready to talk about your practice? Book a no obligation meeting in person or via zoom/teams with our experienced team today.