Common tax and accounting issues for the health industry that we commonly solve at GrowthMD: Late lodgments and poor record keeping - there is no excuse for this, and it is so easy to overcome! Non-compliance with tax legislation - medical professionals and businesses have extra considerations that many accountants overlook Related party loan issues - save yourself the heartache (and tax cost) and seek this out sooner rather than later Missing or incorrect deductions - nothing is worse than missing out on deductions because of poor planning or education. GrowthMD is a medical specialist accounting firm dedicated to working with medical practices and practitioners. We would love to talk to you about helping you with your taxes and lodgments in the future.

This festive season, we did something different at GrowthMD for our valued clients. 'Making a difference' and 'Well-being' are two of our core values, so we asked you to select a worthy cause that we could donate to on your behalf. Because of you, 744 impacts have been paid forward, and 744 smiles have been created around the world. Make sure to spread smiles; if you missed our email last year, please click here to select your gift from us. If you know someone needing a specialist accounting firm and would benefit from working with us at GrowthMD, we would love you to send us their details. To thank you, we will make an extra giving to your preferred charity.

I was featured in the latest HealthCert podcast with its founder, Paul Elmslie, on Australia's complex payroll tax implications for Doctors. Paul and I discuss: Some background on payroll tax, how it is calculated and who pays it. Why payroll tax is currently a hot topic. How payroll tax is impacting general practices in Australia. Potential consequences if practices don't get their affairs in order around payroll tax.

I was recently interviewed by Meryl Johnston, host of The Lifestyle Accountant Show. The podcast helps today’s accounting firm leaders build successful businesses while living healthy, happy lives. In this episode, I talk about: Studying the CA program, working and bringing up three kids The pros and cons of listing a minimum fee on the website Why you should ask leads, ‘What would you love your accountant to do for you? How to avoid giving free advice during the discovery process Whether to send proposals via email or go through them on a call How to keep clients ‘warm’ if they are waiting 3-4 months to be onboarded The impact on workflow and capacity planning after implementing a waitlist

It's Christmas time, and you may be considering paying a Christmas bonus or providing a gift to your employees for their hard work this year. You may also have a celebratory party or event planned for your team. Here are a few tips to consider when planning and recording your Christmas festivities and giving. Paying a Christmas Bonus: Although paying a discretionary Christmas bonus does not seem like ordinary earnings, the ATO classes the bonus just like any other ordinary payment. This means that superannuation and PAYG withholding (tax) will apply to the bonus payment. With this in mind, we suggest being very clear when communicating the after-tax bonus amount with staff. For example, a $500 bonus promised to a staff member can quickly turn into $350 in the hand once taxation is applied. Also, remember to factor in the superannuation cost (11% in the 2024FY) to the business when working out the bonus amounts. Processing a Bonus in Xero: Like any other salary payment, Christmas bonuses must be processed through Single Touch Payroll. We suggest running an unscheduled pay run to process the employee bonuses. Remember to use a Bonuses and Commissions category pay item (or set one up in Xero Organisation Settings > Payroll Settings > Pay Items) to record the bonus on your employee's payslips. The bonus will be subject to PAYG withholding (tax) and superannuation. Gift Card or Gift: Gift cards and gifts are a popular choice at Christmas time and can be a more tax-effective way to thank your employees than a cash bonus. Occasional gift cards or gifts provided to employees that are under $300 in value are generally free from Fringe Benefits Tax (FBT) under an exemption called the "Minor and Infrequent Benefits Exemption". Minor non-entertainment benefits (such as gifts, hampers and gift cards unrelated to entertainment experiences) may also be eligible for a tax deduction and GST credit. Christmas Celebrations: Christmas parties are usually celebratory events involving food and or drinks and are considered an "entertainment" style event for FBT purposes. If you spend more than $300 per person providing the food, drink and entertainment for the party, you will likely have triggered FBT at 47% unless an additional exemption applies. To ensure you stay away from FBT, it is wise to keep the per-person cost to less than $300 per person and have it fall under the "Minor and Infrequent Benefit Exemption". Partners of employees receive their own $300 threshold. When recording the cost of the Christmas event in your accounting software, please record the transaction as GST-free. End of Year Checklist: Our friends at Cubiko have prepared some great year-end resources to keep you organised this holiday season. Check out this handy downloadable end-of-year checklist and practice closure poster. The checklist takes you through all the important practice considerations such as communicating closures to patients, checking that Drs who are away have no appointments booked and updating your online hours. We wish you a safe and happy Christmas holiday season!

It's Christmas time and you may be considering paying a Christmas bonus or providing a gift to your employees, for their hard work this year. Perhaps you may also have a celebratory party or event planned for your team. Here are a few tips to consider when planning and recording your Christmas festivities and giving. Paying a Christmas Bonus: Although paying a discretionary Christmas bonus does not seem like ordinary earnings, the ATO classes the bonus just like any other ordinary payment. This means that superannuation and PAYG withholding (tax) will apply to the bonus payment. With this in mind, we suggest being very clear when communicating the after-tax amount of the bonus with staff. For example, a $500 bonus promised to a staff member can quickly turn into $350 in the hand once taxation is applied. Also, remember to factor in the superannuation cost (11% in the 2024FY) to the business when working out the bonus amounts. Processing a Bonus in Xero: Christmas bonuses must be processed through Single Touch Payroll just like any other salary payment. We suggest running an unscheduled pay run to process the employee bonuses. Remember to use a Bonuses and Commissions category pay item (or set one up in Xero Organisation Settings > Payroll Settings > Pay Items) to record the bonus on your employee's payslips. The bonus will be subject to PAYG withholding (tax) and superannuation. Gift Card or Gift: Gift cards and gifts are a popular choice at Christmas time and can be a more tax-effective way to thank your employees than a cash bonus. Occasional gift cards or gifts provided to employees that are under $300 in value are generally free from Fringe Benefits Tax (FBT) under an exemption called the "Minor and Infrequent Benefits Exemption". Minor non-entertainment benefits (such as gifts, hampers and gift cards not related to entertainment experiences) may also be eligible for a tax deduction and GST credit. Christmas Celebrations: Christmas parties are usually celebratory events involving food and or drinks and are considered an "entertainment" style event for FBT purposes. If you spend more than $300 per person in providing the food, drink and entertainment for the party you will likely have triggered FBT at 47% unless an additional exemption applies. To ensure you stay away from FBT it is wise to keep the per-person cost is less than $300 per person and falls under the "Minor and Infrequent Benefit Exemption". Partners of employees receive their own $300 threshold. When recording the cost of the Christmas event in your accounting software please record the transaction as GST Free. We wish you a safe and happy Christmas holiday season!

We specialise in medical practices at GrowthMD, and people often ask me why they need a specialist accountant for their medical practice. Let me share the four reasons why medical practices need a specialist accountant. A snapshot of the four reasons why you should work with us. First, we know your business inside and out because we've been working with medical practices for years. Second, we'll keep you compliant with government regulations so you don't run into any problems down the road. Third, we understand all of the financial tools and technology that medical professionals like you use because we prioritise our staff on upskilling and staying up to date. And fourth is confidence - knowing that you have an expert working on your behalf who understands your business and how to help you grow it successfully over time. If your healthcare business could benefit from working with a medical practice specialist accountant, we are taking a limited number of new clients; please contact us. We would love to help you at GrowthMD. Regards Kelly Chard Founder | GrowthMD

Payroll tax continues to be a significant concern for health practice owners across Australia, with many practices unsure of the path forward and cautious about participating in amnesties. Our latest GrowthMD blog summarises key information on payroll tax in your state, a methodology for considering amnesty participation and discusses some proactive work we are doing with GrowthMD clients. We also have a dedicated Payroll Tax Resource Page to help you navigate this area. Latest Information by state Understanding that each Australian state has its own rules and thresholds around payroll tax is essential. The action you need to take will depend on the state/s in which your health practice operates. The table below summarises current information by state and the amnesty or concessions available in your state (note that amnesties and concessions are limited to GPs currently). *Updated 19th September 2023 QLD Provides Clarity - Patient fee flow and taxable wages On 19 September 2023, QLD released further information to clarify when certain payments to practitioners are considered deemed wages and taxable for payroll tax purposes. This is a welcome update for QLD practices as it provides certainty about operational changes that are being made or considered within medical centre businesses. The following table summarises the QLD interpretation: Our team are working with practices all over Australia, as well as leading technology and banking providers, to implement practical workflows to assist patient fee flow changes. QLD and SA Amnesty - Should your business participate? A strategic approach is essential for businesses contemplating the amnesty in Queensland or South Australia. Here's a methodology to guide your decision-making process: Assessing relevant contracts: Determine if your arrangements with GPs are likely to be classified as relevant contracts and if you are considered to be "paying GPs" under PTAQ000.6.2 or PTASA003. This helps establish whether you fall within the scope of the amnesty. Exploring exemptions: Investigate any exemptions that could apply to practitioners, such as those working fewer than 90 days per year. These exemptions might significantly impact your liability and, for some, mean that they fall under the taxable wages threshold in their state. Financial exposure calculation: Calculate your potential financial exposure in the case of an audit. This generally involves assessing the period from July 1, 2018, to June 30, 2023, factoring in compounding interest and potential penalties up to 75% of the calculated liability. Professional consultation: Once you have quantified your potential worst-case liability, seek advice from specialised accountants and lawyers who understand the intricacies of payroll tax risk for health practices. If your likelihood of passing a historical audit is low, combined with high worst-case liability, participating in the amnesty will likely be a preferred option. Future planning & amnesty consideration: Consider the feasibility of making operational changes within your practice to avoid making payments that fall under the payroll tax purview in the future. This could involve redefining how you engage with GPs, ensuring GPs receive their own patient fees directly or altering your business structure. Final decision - Consider not participating: If you operate your practice in a way that does not trigger payroll tax relating to practitioners in the future, you may wish to forgo amnesty participation. This may be preferred if your historical liability is low and/or you do not want to make any disclosures to the State Revenue Offices. Remember that not participating in the amnesty means you may be subjected to historical compliance activity. OR Final decision - Consider participating: You may wish to participate in the amnesty to protect against a historical audit and large worst-case liability. You may use the amnesty period to make changes in your business, or you may consider paying payroll tax at the end of the amnesty period should your business model require or allow this. Remember that participating in the amnesty now acknowledges that you are currently "making payments" to contracted GPs. If you change your business, you will not be liable for payroll tax about GPs post-amnesty. In that case, you must opt-out and explain why payroll tax is no longer applicable. Among our GrowthMD client base, we have advised practices to participate and not participate in the QLD Amnesty. Before a final decision is made, a business case detailing the risks, financial exposure and pros and cons of the amnesty should be made by a knowledgeable accountant or legal adviser for each individual practice. Not eligible, or not taking the Amnesty? What you can be doing now. GrowthMD is working with practices all over Australia to ensure their businesses are well-equipped to manage the payroll tax challenges. Our current work includes the following. Patient fee flow & service fee arrangements: Many practices are moving away from collecting on behalf of practitioners and are transitioning patient fees directly to practitioner bank accounts. We expect more and more practices to follow this path post-release of QLD's v2 ruling released on 19 September 2023. We are assisting in coordinating the implementation of automated systems to collect service fees and implementing new financial workflows and reconciliation tools in place. Forecasting for the future: Health practices recognise the need for future planning regarding payroll tax exposure. We have been engaged to prepare forecasts and projections that account for changing business models. This includes discussions around engagement models under Voluntary Patient Registration and other grant or bundled funding and running comparison scenarios of the cost of alternate models of doing business or practitioner engagement. By assessing these scenarios, practices can make informed decisions. Business entity restructuring: The structure of your business plays a crucial role in determining your financial obligations and how you do business. We are working with practices in restructuring to ensure structures are fit for purposes and able to engage with practitioners in the intended manner. Skilled legal partners & commercial agreements: Navigating the legal intricacies of agreements between health practices and practitioners requires specialised expertise. We are collaborating with professional legal advisors to help draft agreements that accurately reflect the arrangements between the practice and the practitioners. Simultaneously, these agreements provide essential commercial protections for the practice, safeguarding against potential disputes and uncertainties. Take action With most Australian states aligned with how the payroll tax legislation will be applied to medical practices and the promise of future compliance activity, now is the time to address the risk for your practice. We encourage all practices to seek medical-specific independent professional advice. GrowthMD is working for your practice. Our team of specialist Chartered Accountants work with medical practices and payroll tax risk daily. If your current accountant is not offering proactive guidance on this important issue, now is the time to change. We are taking a limited number of new clients; please contact us to express your interest.

We want to provide our clients with important updates as we approach the end of the financial year (EOFY). HECS Indexation and Planning Each year, on June 1st 2023, HECS-HELP debts are indexed to the Consumer Price Index (CPI). In recent years, the indexation of these balances has not been widely discussed due to the CPI remaining under 2%. 2023, the CPI debt increase is expected to be around 7%. The balance will significantly increase, although interest is not applied to HECS-HELP debts. This presents an opportunity for voluntary repayments of HECS-HELP debts. While there is no discount for early repayment, paying off the debt before the June 1st indexation will help avoid the 7% CPI increase. This option may be particularly appealing for individuals close to finalising their debt and anticipate making a compulsory repayment upon lodging their tax return. Our GrowthMD accountants can assist you with the information to facilitate a voluntary repayment. Asset Write-Offs Reducing Over the past couple of financial years, small business has benefited from temporary full expensing (with no deduction limit) and an increased instant asset write-off of up to $150,000. Starting from July 1st, 2023, these accelerated deductions will conclude. Depreciating assets valued above $20,000 must be written off for tax purposes over their useful lives. If you are considering purchasing a substantial piece of equipment or any other asset valued above $20,000 in the near future, taking action before June 30, 2023, will enable you to bring forward an immediate tax deduction associated with the asset. It is important to note that the assets must be received and in use (or ready for use) before June 30, 2023. Merely placing an order for the asset without receiving it will not qualify you for the increased earlier deduction. GrowthMD Bookkeeping Services We are delighted to announce an exciting development for the upcoming financial year. Jollys Chin has joined our team to oversee our GrowthMD bookkeeping service, supported by two junior bookkeepers. We have limited openings available for new medical practice bookkeeping clients starting from July 1st, 2023. Our bookkeeping services will use the most up-to-date software and systems to efficiently and accurately maintain your accounts. If you are interested, please get in touch with Kelly McCormick for further information. End-of-Year Tax Tips Webinar On June 1st, Kelly Chard will be a special guest for the June HotDoc Education Webinar. The webinar will cover "Tax Time Tips for Your Practice," including information on tax breaks for EOFY 2023, electric vehicle concessions, and end-of-year planning checklists to ensure you are well-prepared for June 30th. Please register for the webinar here. Superannuation Deductibility If applicable, superannuation contributions are deductible when received by the employee's superannuation fund or the ATO clearing house (if applicable). We recommend making superannuation contributions before June 23rd, 2023, to ensure the payments are considered a tax deduction in the 2023 financial year. Please reach out to our team for any further EOFY questions.

Kelly Chard from GrowthMD and Ben Ryan from Avant Law were recently featured on the Medicubes podcast, where they delved into the confusing world of payroll tax for medical practices. This two-part podcast covers a range of topics that can help you navigate the intricacies of payroll tax. Here's a sneak peek of what you can expect to learn: Understanding Payroll Tax: Are you curious about what payroll tax is and who's responsible for assessing it in Australia? Kelly and Ben break it down for you, providing a clear understanding of this important tax and its implications. Recent Cases and Appeal Activity: Stay up-to-date with the latest developments. Discover how recent cases and appeal activities impact medical practices regarding payroll tax. Banking and Business Structure Impact: Did you know your banking and business structure choices can influence your exposure to payroll tax? Practice Considerations for Fee Flow Changes: Changing how patient fees flow to doctors? The podcast explores practical considerations for medical practices, helping you navigate potential payroll tax implications when making such changes. Professional Advice for Your Practice: The importance of professional advice cannot be overstated. Get valuable insights on seeking and utilising professional guidance effectively for your medical practice's payroll tax matters. Listen Now