Health and Life - National Health Practice, Tax & Accounting Advisers

It is an honour to be published in the Medical Republic on this important issue.

Last night's federal budget had a clear one-line message for GPs: it rewards practice owners and part-owners running active businesses, and it punishes passive investors and salaried workers.
If you own or part-own a practice, distribute through a family trust, run a bucket company, hold investment property, or are planning to sell your practice in the next decade, this budget was about you.

Four structural changes to plan around:
30% minimum tax on discretionary trusts from 1 July 2028
50% CGT discount replaced with indexation plus a 30% floor from 1 July 2027
Negative gearing limited to new builds for established housing acquired after budget night
Bucket companies reset from 1 July 2028
Nothing is legislated yet and the substantive changes do not commence until 1 July 2027 at the earliest. That gives a 13-month planning window. Rollover relief is available from 1 July 2027 to 30 June 2030 to restructure discretionary trusts with no federal income tax or CGT consequences. Stamp duty on business assets is nominal in most states.

This is not the moment to assume family trusts are dead. They remain the strongest available shield for asset protection, family law exposure, and creditor risk. The income-splitting amplifier has been turned down. The structure itself has not lost its purpose.
For working GPs, becoming a practice owner or part-owner is in many cases the strongest single response to this budget.
Full analysis in Medical Republic: https://www.medicalrepublic.com.au/budget-start-thinking-about-becoming-a-practice-owner/125702

Hope you’ve all had a wonderful Christmas. Thank you to those who’ve shared feedback with me this year; it’s helped shape a practical playbook of ideas for managing your practice in the year ahead.​
Wishing you all the very best for 2026 and a year that may be challenging but truly breakthrough for many of you.​
(Admins, hope this is okay to post.)

Thank You to Our Clients, Staff and Readers: Here’s the 2026 GP and Healthcare Survival Guide You Helped Create - Evidence-based medical & allied health accounting & practice advisory Dear valued clients, staff and readers,​

Managed Care by Stealth Set Your Medical Fees the Right Way! - Evidence-based medical & allied health accounting & practice advisory In the public's interest, I write this article. I want to thank Lukasz Wyszynski from Hamilton Bailey Lawyers and Steven Polyichanin from Peak Commercial and

📢✨ University students, need an internship for your course credit?

At Health and Life, we offer 30-45 day placements where you’ll:
✅ Work on real industry projects (FamilyConnect.ai, Tenant Doctor™)

💻 Build hands-on skills in accounting, IT, business & marketing
🤝 Learn directly from our CEO & mentors
🎓 Gain experience that counts towards your degree
🌟 Past interns have won awards, landed jobs, and even presented to hundreds of employers!

👉 If your course requires an internship, make it one that sets you apart.

Apply now: www.healthandlife.com.au/internships
🎯 UniSA students: Don’t miss tomorrow’s Industry-Student Speed Networking Event (8am-11am, Sept 23rd)!
Meet us, connect with employers, and explore your future 🚀
📅 Register: www.unisa.edu.au/speednetworking
👀 Can’t make it? Don’t worry — applications are still open for internships & graduate roles in our Adelaide CBD team.


https://www.youtube.com/shorts/93OgIhAOJlQ

University students do you need to complete an internship for your course credit or a job? 📢 University students — do you need to complete an internship for your course credit?At Health and Life, we’ve partnered with universities to provide 30-day...

Health and Life - National Health Practice, Tax & Accounting Advisers
edtnosorpSh35fc7u401fi900h8m843acutuulcca9t5li5cci1ui
6
7c2
h
f0
·
Uber court ruling exposes GPs to massive tax bills, bulk-billing at risk
I was honoured to be interviewed in today national Australian news paper as a specialist medical accountant on the critical issue of compliance for medical practices and how to legally avoid paying payroll tax by ensuring your properly classifying your business.
I urged practice managers to always double-check their compliance positions:
For those unable to access the article, here are some of key quotes doctors have picked up on...
“They need to really get a second opinion because they could be falsely misclassifying themselves … and they could find themselves paying all this payroll tax and back taxes,” he said.
“It really is putting the medical and healthcare industry on notice that they need to look in their own back garden, because what the judges are saying is if you look like a duck and sound like a duck, and the evidence shows that, you’re going to be eligible for payroll tax.
“You’re opening yourselves up for a bit of a fight with the tax man that is avoidable purely due to a misunderstanding, which clearly a lot of lawyers and accountants in Australia have not been clear on themselves.”
With record numbers of GPs set to retire in the coming years, Mr Dahm said increasingly onerous tax obligations would push young doctors away from setting up their own clinics.
“We need to build structural capability and a succession plan for the next generation of doctors, and it’s not being handled properly now. If people think this is a cacophony of tax laws that are so complicated that they can’t be solved, then we’ve got a real problem,” he said.“
For more information on what tax audits and the Courts are looking for and how to avoid a payroll tax liability click HERE. Uber Billion-Dollar Tech Giant Crumbles Under Payroll Tax Decision —Why Medical and Healthcare Still Have an Escape Route: 7 key takeaways and tips https://www.healthandlife.com.au/uber-billion-dollar.../

https://www.theaustralian.com.au/health/medical/uber-court-ruling-exposes-gps-to-massive-tax-bills-bulkbilling-at-risk/news-story/f03f60d81556ac153728186b37e0aa42

The landmark tax decision that threatens a GP bulk-billing tax crisis The landmark tax decision that threatens a GP bulk-billing tax crisis

Uber court ruling exposes GPs to massive tax bills, bulk-billing at risk

I was honoured to be interviewed in today national Australian news paper as a specialist medical accountant on the critical issue of compliance for medical practices and how to legally avoid paying payroll tax by ensuring your properly classifying your business.

I urged practice managers to always double-check their compliance positions:

For those unable to access the article, here are some of key quotes doctors have picked up on...

“They need to really get a second opinion because they could be falsely misclassifying themselves … and they could find themselves paying all this payroll tax and back taxes,” he said.

“It really is putting the medical and healthcare industry on notice that they need to look in their own back garden, because what the judges are saying is if you look like a duck and sound like a duck, and the evidence shows that, you’re going to be eligible for payroll tax.
“You’re opening yourselves up for a bit of a fight with the tax man that is avoidable purely due to a misunderstanding, which clearly a lot of lawyers and accountants in Australia have not been clear on themselves.”

With record numbers of GPs set to retire in the coming years, Mr Dahm said increasingly onerous tax obligations would push young doctors away from setting up their own clinics.
“We need to build structural capability and a succession plan for the next generation of doctors, and it’s not being handled properly now. If people think this is a cacophony of tax laws that are so complicated that they can’t be solved, then we’ve got a real problem,” he said.“

For more information on what tax audits and the Courts are looking for and how to avoid a payroll tax liability click HERE. Uber Billion-Dollar Tech Giant Crumbles Under Payroll Tax Decision —Why Medical and Healthcare Still Have an Escape Route: 7 key takeaways and tips https://www.healthandlife.com.au/uber-billion-dollar-tech-giant-crumbles-under-payroll-tax-why-medical-and-healthcare-still-have-an-escape-route-7-key-takeaways-and-tips/

https://www.theaustralian.com.au/health/medical/uber-court-ruling-exposes-gps-to-massive-tax-bills-bulkbilling-at-risk/news-story/f03f60d81556ac153728186b37e0aa42

The landmark tax decision that threatens a GP bulk-billing tax crisis The landmark tax decision that threatens a GP bulk-billing tax crisis