Working with medical practices can actually be an emotionally charged job, who would have thought? Most people picture accountants buried in spreadsheets and tax files. And yes, there are numbers, strategy, and compliance. But when you work with doctors and practice owners, you quickly learn that providing excellent accounting service isn't just technical; it requires strong emotional skills and a genuine care for people. Practice owners don't need only numbers; they need someone who can support them through pressure, change, uncertainty, and the fundamental human challenges that come with running a healthcare business. Accounting for Medical Practices Is Emotional Practice ownership is not simply a business decision; it's usually purpose-driven, deeply personal, and tied to serving a community. With that comes a tremendous sense of responsibility to patients, to staff, to family, and to fulfil their own care vision. When you consider the financial realities of healthcare, especially in General Practice, where bulk-billing pressures coexist with the need to remain financially viable, it becomes clear that supporting practice owners extends beyond technical accounting. It requires clarity, compassion, and a steady presence to help navigate decisions with confidence and care. Over the last month, I've been reminded that my role is as human as it is technical. When New Practice Owners Take the Leap Recently, I spent time with new practice owners who have just signed a major commercial lease, a commitment big enough to keep them awake at night. They are exceptional clinicians, but business ownership is a new venture for them. They don't yet feel fluent in financial concepts or tax structures. They are stepping out of their comfort zone and into an unfamiliar world filled with uncertainty and responsibility. In those moments, my work extends far beyond setting up systems and cash flow models. It is about keeping things on track without overwhelming them, offering apparent oversight, translating complex financial realities into language that feels understandable and empowering, and ensuring they never feel lost or out of control. My purpose is not just to manage the numbers but to build confidence, clarity, and calm. When a Practice Is Carrying the Community Then there are the conversations with practice owners who are doing everything they can to keep their doors open, supporting patients, leading their teams, and trying to remain financially viable in an environment where recruitment is difficult and funding models are stretched. In some areas, practices are genuinely at risk of closing simply because there aren't enough doctors, or because rebates and reimbursements don't align with the real costs of delivering high-quality care. The pressure is immense. These owners aren't just making business decisions; they feel the weight of their entire community relying on them. Sometimes they're exploring how to adapt. Sometimes they're trying to decide whether continuing in the same way is even sustainable. And sometimes they need space to acknowledge how heavy it all feels. My role isn't just reporting numbers; it's about listening, understanding, and helping navigate pathways that support both the practice and the people behind it. These are difficult decisions that affect more than just the bottom line. When Personal Life and professional life intersect I've also supported clients navigating separation and divorce, family tragedies, and personal transitions while still showing up every day for their patients. No training module prepares you for helping someone through both immense personal and business strain simultaneously. It requires accuracy and objectivity, yes, but also empathy and steadiness. Numbers are only one part of the picture; life continues behind the scenes, and sometimes that's where the real work lies. When Partnerships Shift Business partnerships are typically founded on trust and a shared vision, but like any relationship, they can become challenging. When partners no longer align, it's rarely just about finances, values, communication, burnout, or differing approaches to business ownership and patient care. Sometimes, life moves people in different directions. In those moments, I often walk a tightrope, aiming to keep the business steady while remaining objective and fair, being sensitive to the personal layers underneath, and guiding decisions without taking sides. Sometimes the outcome is renewed clarity and alignment. Sometimes, a respectful exit. Either way, the goal is to achieve dignity, stability, and preserve the practice and the people within it. Calling in my Emotional Intelligence I often wonder if I genuinely have the skill to navigate all of this. Then I reflect on my own journey building a business, navigating stress, and being a young single parent (before I met my incredibly supportive husband Stephen), and developing resilience the hard way. I understand responsibility, pressure, and uncertainty not as abstract concepts, but as lived experience. That perspective enables me to show up with empathy and calm, even when challenges feel overwhelming and decisions are complex. This Is the Work Accounting in the medical world is not just compliance and spreadsheets. It's listening. It's about translating complexity into confidence, supporting people through defining personal and professional moments, and holding space when emotion and leadership collide, because they often do. Doctors spend their days caring for others. I see my work as helping care for them and the practices they work so hard to build. Numbers matter. But people matter more. To Practice Owners If you're building or running a practice and it sometimes feels overwhelming, that doesn't mean you're doing it wrong. It means you care. It means you're committed and human. You don't need to navigate the financial and leadership realities of practice ownership alone. GrowthMD supports medical practice owners through every stage with clarity, structure, honest conversations, and genuine partnership. Thank you to all our clients for placing their trust in us.

The Australian Government’s $7.9 billion investment in Medicare marks the most significant policy shift for general practice in decades. Set to take effect on 1 November 2025, these changes will reshape the way practices operate, creating both opportunities and challenges. If you’re wondering how these new Medicare incentives apply to you, and if your practice should enrol, you’re not alone. Cubiko's Chris Smeed hosted this webinar, joined by Kelly Chard and RACGP Vice-President Dr Ramya Raman to work through the changes from 1 November. By watching the session, you’ll learn how to: Get an easy-to-understand breakdown of the new Medicare incentives. Learn practical steps to prepare your practice for success under the updated framework. Receive 1-hour CPD credit to stay compliant and grow professionally.

As a director of a medical practice or any company, it’s essential to understand your obligations, especially when it comes to ATO debt management. One of the most urgent issues I often see directors encounter is receiving a Director Penalty Notice (DPN). But what exactly is a DPN, and how does it impact you as a director? Let’s break it down. What Is a Director Penalty Notice? A Director Penalty Notice (DPN) is a notice issued by the Australian Tax Office (ATO) to directors, holding them personally liable for a company’s unpaid tax obligations. These obligations may include GST, PAYG withholding, or other amounts reported on Business Activity Statements (BAS). The ATO uses DPNs to collect outstanding tax liabilities from directors if it believes the company is unable to repay the debt on time. And the reality is, DPNs are becoming more common as the ATO ramps up its debt collection efforts. Why Are DPNs Becoming More Common? Over the past five years, the ATO’s debt book has nearly doubled, rising to over $90 billion AUD. With such an astronomical figure, the ATO has intensified its focus on compliance and debt collection. As a result, more directors are receiving DPNs, which create a parallel personal liability for the company’s debts. What Happens When You Receive a DPN? Let’s explore this through an example: Imagine you’re a director at a medical practice, along with three other doctor-directors. The company owes $100,000 to the ATO in unpaid GST and BAS liabilities. If the ATO determines that your company cannot meet its repayment obligations, it can issue a DPN to each director. Here’s the critical part: Each director becomes personally liable for the full $100,000 debt. The liability is not divided proportionally (e.g., $25,000 per director for four directors); instead, each director is individually on the hook for the entire $100,000. Once the debt is repaid, it is reduced proportionally across all DPNs issued; however, the ATO may still pursue each director for the full amount. How Can the ATO Recover the Debt? If you’ve received a DPN, the ATO may recover the debt in several ways, including: Garnishee Notices: These allow the ATO to access income from your personal employment or other sources Legal Action: The ATO can escalate recovery efforts, potentially resulting in court proceedings. What Should You Do If You Receive a DPN? Receiving a DPN is serious, far more than a simple “heads-up.” It’s a time-sensitive matter, as you only have 21 days to act before the liability becomes locked in. Here’s what you should do immediately if you receive a DPN: Contact Your Accountant: Seek professional advice from your accountant or a specialist immediately Communicate with the ATO: Work with your adviser to explore repayment options and negotiate terms Assess the Company’s Compliance: Review the company’s financial status and ensure tax obligations are up to date moving forward. How to Minimise the Risk of a DPN The best way to manage DPNs is to prevent them from happening in the first place. As a director, you must: Maintain good oversight of the companies you oversee Stay vigilant about tax compliance and ensure BAS, GST, and other liabilities are paid on time Work proactively with your accountant to address potential issues early. At GrowthMD, we specialise in helping medical practices and directors navigate their tax obligations with confidence. Our team understands the unique challenges directors face, and our goal is to help you avoid stressful situations like DPNs altogether. If you’re concerned about your liability as a director or have received a DPN notice, reach out to our team today. We’re here to provide expert advice and help you protect your financial well-being. Please don’t wait until it’s too late. Contact us today at GrowthMD to ensure you’re prepared for any challenges that may arise as a director.

During our  1-hour live session, we provided an overview of Cubiko Calculate , a simple  and accurate service fee platform,  followed by an in-depth Q&A session, and addressed some challenging medical questions. As promised, here’s the recording from the session. While we experienced a late start due to a recording oversight, the video captures all the insights and discussions shared. Calculate by Cubiko If you have any questions or are ready to get started with Cubiko Calculate, don’t miss out on the exclusive GrowthMD client discount of 20% off for the first six months. Feel free to contact Sean directly at sean.fincham@cubiko.com.au .

As an investment property owner, filing your tax return can feel overwhelming, especially with the complexities of deductions and compliance specific to your investment properties. To simplify the process, we’ve created a property investors tax return checklist to help you stay organised and ensure you maximise your eligible deductions, all while remaining fully compliant with tax regulations. The  GrowthMD team is always here to help you sort through the complexities and make the tax season less stressful, feel free to contact us anytime.

At least 50% of medical practices have some form of financial internal control issue. That is my experience, anyway, based on talking with hundreds of owners and PMs this year. AI and Medical Practices For example: One person controls the invoicing and bill payments One person rosters staff, approves timesheets and handles payroll  One person handles receipting and doctor income recs  It’s an easy problem to solve these days.  You can speak to your accountant or bookkeeper, or start with this AI prompt: "Create a one-page tick-box checklist for an Australian Medical Practices to minimise fraud/error. Cover Accounts Payable, Payroll, Bookkeeping, and Banking & Cash Handling. Include dual approval for payments, independent reviews (bank recs, supplier changes, payroll, reports), and clear role separation. Require individual logins, 2FA, and annual access reviews. For Banking & Cash Handling: no single person has full control, two staff count cash, cash is banked daily and reconciled to the PMS, EFTPOS links directly to PMS, and online banking is restricted by role (setup vs approval). Make it practical and ready for immediate use." Download the GrowthMD Fraud & Risk Checklist for Medical Practices:

When participating in GP registrar training programs, understanding the GST implications for program-related payments is crucial for ensuring compliance. We’ve created a factsheet to help your practice navigate the rules with ease. At GrowthMD, we understand the complexities of GST reporting in the healthcare sector. If your practice is involved in GP registrar training programs, or you’re looking for tailored advice on any other tax matters, our team is here to help. Download the GST Treatment of GP Registrar Training Program Payments Factsheet or contact us to ensure seamless and stress-free GST compliance.

At GrowthMD, we believe the future of accounting sits at the sweet spot between human expertise and cutting-edge technology. Last week brought this vision to life in two exciting ways: Kelly Chard’s Presentation to CAANZ Members Kelly had the opportunity to speak to Chartered Accountants ANZ members across Australia on the topic, “The Intersection of Technology and Accounting”. Her session delved into how firms like GrowthMD are utilising digital tools to deliver genuine strategic value, not just compliance. GrowthMD at Xerocon Our team also joined an inspiring lineup of innovators and advisors at Xerocon, where the theme, “Closer, Better, Bigger”, reminded us of technology's ability to: Bring us closer to clients through seamless collaboration Drive better outcomes by automating repetitive tasks Unlock bigger opportunities with data-driven insights that support long-term growth. What This Means for Your Practice For our medical industry clients, the benefits of our interest in technology are: Simplified financial management: Xero’s ecosystem continues to move toward automating the essentials, reconciliations, payroll, and invoicing, freeing up your team’s time Business clarity: Up-to-date reporting gives you visibility on cash flow, profitability, and performance.  We now use Fathom, Brieff, Xero and Cubiko (where available) to amplify our business advisory services Smarter decision-making: With real-time insights, we can spot trends, highlight risks, and model scenarios so you can make confident choices. Today’s Practice We have always believed that smart technology usage will make running your practice more efficient.  We also believe that your practice needs great humans, both at the practice level and the accounting level, to turn numbers into meaningful action. That’s why we’re continually investing in our teams’ capabilities, embracing safe and appropriate use of AI, and staying engaged with the conversations shaping the profession. Our ultimate goal? To help your practice grow stronger, smarter, and more sustainable while delivering the financial insights you need to focus on what matters most: your patients. Reach out to the GrowthMD team and let us show you how the perfect blend of people and technology can transform your financial management.

What It Means for Medical Practices. In August 2025, the NSW Court of Appeal delivered an essential decision in Chief Commissioner of State Revenue v Uber Australia Pty Ltd [2025] NSWCA 172, ruling that Uber was liable for payroll tax on payments made to its drivers. The Court concluded that drivers provided services to Uber under a contractual arrangement, and that the amounts paid to them were “for or in relation to the performance of work”. This meant the payments were caught by the “relevant contract” provisions of the Payroll Tax Act 2007 (NSW) and treated as wages. While the case centred on rideshare drivers, its logic has broader application. It reinforces a principle already seen in Thomas and Naaz: payroll tax can apply even where workers are independent contractors, if the structure resembles an employment-like arrangement in substance. Why does this matter for medical practices? Many medical practices operate under a service entity model, where: The doctor contracts with a service entity (sometimes in addition to directly with the patient), The service entity collects patient fees, A service or administration fee is deducted, and the balance is remitted to the doctor. There may be cases where this structure is appropriate, when well-thought-out and with sound legal and accounting advice. However, ill‑thought‑out arrangements, particularly where the service entity plays a central role in the delivery of patient care or controls how doctors provide their services, may attract attention under the same payroll tax rules applied in the Uber case. The Court found that Uber’s business model depended on the drivers’ work, and that the benefit Uber received, along with the contractual control, was enough to make it liable for payroll tax. For medical centres, similar risks can arise if the administrative entity is seen as receiving and benefiting from doctors’ services. What practices should do now? 1. Review your contracts Focus on whether the contracts reflect the genuine independence of practitioners or suggest control by the service entity. 2. Check your payment flow Are patient fees paid to the doctor directly? Or does the entity collect and distribute funds after deducting a fee? 3. Seek proactive advice Don’t wait for a payroll tax review. A quick check now could prevent costly surprises later. This decision doesn’t mean all contractor arrangements are problematic, only that structure matters. A well-designed model, clearly separating administrative services from clinical services, can reduce risk significantly. Key takeaway: The Uber decision is a reminder that substance overrides form. If your structure has evolved without advice or hasn’t been reviewed in light of recent rulings, now is a good time to take stock.

Kelly Chard is excited to be presenting at the Bp Premier Summit in Brisbane on 8 - 10 August. Bp Premier Summit When 8 - 10 AUGUST 2025 Where BRISBANE WHAT YOU'LL GAIN AT SUMMIT Get ready to be a part of something out of this world! Bp Premier Summit is where innovation meets inspiration, and we’re inviting you to join the excitement this August. Delegates will gain hands-on experience with Bp Premier, guided by the experts who know it best. You'll stay ahead of Medicare changes and industry shifts with sessions tailored for both clinical and management roles. Ask questions, get answers, and access exclusive insights from Bp leaders and integration partners. Additionally, connect with peers and explore practical ways to maximise the benefits of your software and team. We’re bringing together the brightest minds for three days of fun, learning, and collaboration. Hear from expert speakers on the latest Medicare updates, compliance requirements and business trends affecting general practice. Discover more innovative ways to manage HR, finance and clinical obligations using your existing software tools. These sessions provide real-world insights tailored to both GPs and Practice Managers navigating a changing healthcare environment. Share challenges, swap solutions, and spark new ideas with people who understand your world. With plenty of time for informal networking between sessions, plus two exclusive social events designed to foster connection, this is your chance to learn from peers across the industry. Speak one-on-one with integration partners and Bp Premier experts about how to unlock the full value of your software. You’ll leave with fresh insights and valuable connections that can directly benefit your practice.