Medical & Healthcare Accounting
Doctors, specialists and allied health practitioners do not run their practices from behind a calculator – and their accountant should not expect them to. Apex Accounting Solutions works with GPs, surgeons, dentists, physios, psychologists and medical practice owners across Melbourne who need accounting support that fits around clinics, on-call shifts and patient care.
Our medical accountants understand the realities of service entity arrangements, mixed PSI/business income, practice partnership splits and the compliance load that comes with running a clinic. We handle the technical side so you can focus on patients, and we translate the numbers into plain English so you always know where the practice actually stands.
Our Services
Medical practices have their own rhythm — service entity arrangements, mixed personal services and business income, partnership distributions, and a compliance load that only gets heavier as you add associates or open a second site. Our medical accounting services are built to match that reality, not a generic small-business template.
We lodge your BAS, IAS and PAYG on time, every time — and apply the right GST treatment to medical services, mixed billings and consumables so the ATO stays off your back.
We design and maintain service entities, family trusts and company structures around your practice — including PSI rules, partner splits and protection from associate disputes.
We model cash flow around Medicare and health-fund payment cycles, locum costs, equipment leases and quiet seasons so the practice account never gets caught short.
Single Touch Payroll, super, contractor versus employee classification and smart structuring — all handled so you keep more of what your practice earns as it grows.
What It’s Like to Work With Apex
We have worked with hundreds of Melbourne practitioners and practices — from solo allied health professionals to multi-site GP and specialist groups. That experience turns into sharper advice, cleaner structuring and fewer ATO surprises.
Your dedicated Apex team member learns how your practice actually works — how you bill, how you split partner income, how you pay associates and locums — and structures your accounting around that, not the other way around.
Most of our medical clients move to a fixed monthly fee so they always know what their accountant is costing them. Pick up the phone, send an email, book a chat — it is all included, so advice never feels like it has a meter running.
Our Process
We start with a free consultation to understand your business, current setup, and what you need — from tax and bookkeeping to structure and compliance.
We review your financials, clean up anything needed, and set up the right systems and accounting platforms to keep everything accurate and compliant.
We manage your ongoing accounting, BAS, and tax, while providing proactive advice and support throughout the year as your business grows.
Testimonial
You can absolutely use a general accountant, but a specialist medical accountant will save you money and headaches. Medical practices have their own quirks — service entity rules, PSI, mixed billings, partner splits and professional indemnity treatment — and we have seen them all. That experience turns into better structuring, better tax outcomes and fewer surprises.
Yes. A large share of our medical clients are sole practitioners and small clinics. We will handle your tax return, BAS and bookkeeping at a fair fee, and give you the same strategic advice we give our larger practice groups so you can grow on your terms.
Absolutely. We set up your chart of accounts, tracking categories and invoicing templates so every consultation, procedure and supplier expense is captured against the right doctor, room or location. You get real numbers on real income — not just a lump of data at tax time.
We design service entity arrangements that hold up to ATO scrutiny — proper management agreements, commercially realistic charges, and clean treatment of associates and contractors. Where personal services income rules apply, we structure things correctly from day one so there are no nasty re-assessments later.
There is no single right answer, but the trigger points are usually around asset protection, bringing in a partner or associate, employing your first practice manager or nurse, or hitting an income level where a different structure saves meaningful tax. We will walk you through the numbers and the risks before you commit to anything.
Yes. We look after everyone from solo allied health clinicians through to multi-site GP and specialist groups running their own practices. As your practice grows, our involvement grows with you — more reporting, more planning, more strategic support.
Book a free consultation with our team today and discover how specialist medical accounting can keep your practice and your patient care growing.
