News Articles
Health Industry
By Matthew Holden, Managing Partner
& Sarah Bartholomeusz from You Legal Pty Ltd
25 July 2023
Earlier in the month, we alerted our clients to an article from 27 September 2021 titled GP practice loses legal battle over $800,000 payroll tax bill acknowledging that this case had the potential to unravel the independent practitioner arrangements for engaging medical practitioners that are commonly used across the health industry.
The article provoked much discussion in the health community, amongst Practice Owners, Associate Doctors, Practice Managers, and advisors to the industry including lawyers, accountants and consultants.
As always, the devil will be in the detail, and we need to understand this detail to be fully informed before reacting and implementing any changes.
We have worked with a trusted legal expert for medical practices, Sarah Bartholomeusz from You Legal Pty Ltd
and together provide this update to give further background and clarification regarding the issues at hand.
Dr Thomas (runs three practices in Sydney) was found to owe the state almost $800,000 in retrospective payroll taxes as payments to doctors were deemed to be assessable for Payroll Tax as payments under a "Relevant Contract."
For the purposes of NSW Payroll Tax assessment, the key features of a "Relevant Contract" are:
Despite the doctor contractors holding themselves out as individual sole traders, their income was still deemed a relevant contract & how the money flowed to their accounts was subject to payroll tax.
Dr Thomas was 'billing, on behalf of his doctors, patient fees and charging a flat 30% service fee on everything the doctors had billed' (obviously this is not dissimilar to many general practices operating in Australia). The money flow seemed to be the key decider – money flowed into a single practice operating bank account then out of it to those sole trader doctors who work at the practice. i.e. The gross fees generated were paid into the practice's operating account and the practitioner was paid their net remuneration directly from that operating account.
Importantly in the context of this case, in accounting for this flow, the gross fees generated were recorded as practice income, and the payments to the practitioners as an expense. This flow constituted a "relevant contract" for payroll tax purposes.
Gross patient fees are collected by the practice on behalf of the practitioners and held in trust. From these funds, the practitioner's net income is paid directly to the practitioner and the service fee is paid to the practice.
While the practice will deposit patient fees into a trust account it manages, it is done this way out of administrative convenience and importantly, the practice should never have ultimate ownership of those patient fees. A reconciliation at regular, pre-determined intervals (weekly/fortnightly/monthly) should be performed which disburses the patient fees to the relevant doctor while the practice invoices and retains its service fee, as calculated by the service contract with the doctor.
In accounting for this flow, the practice income is limited to the Service Fees charged for the services rendered to the practitioner. There is no expense recorded for payments to the practitioner.
In addition to the impact this accounting process may have on payroll tax obligations, it also has implications for income tax and GST, therefore it is important that the processes are correctly established and followed.
What it means for you:
It would be prudent for medical practices that have not recently reviewed their independent contractor arrangements to undertake a thorough review to reduce the risk of an adverse Payroll Tax finding.
A review should cover the following areas to:
In addition, as we expect Payroll Tax audits to continue to occur, potentially more frequently in response to this matter, it would be prudent for practice owners to review any tax audit insurance cover they hold. Importantly, they should ensure any tax audit insurance provides cover for state taxes such as Payroll Tax. We are aware of some tax audit insurance policies which provide cover for federal taxes only, in which case they would not cover a payroll tax audit.
We encourage owners of medical practices to contact their accountant or legal advisor if you have any concerns about the contractual arrangement that you have in place for the engagement of medical practitioners. If you would like to learn more about what we do for the Medical & Allied Health Industry , please reach out and ask to speak with one of our professional advisors here .
Sarah Bartholomeusz | Principal
Sarah is the Founder of You Legal. With over 18 years' experience as a lawyer, she is passionate about protecting business leaders to allow them to focus on what matters to them most, making their impact in the world. With an extensive understanding of corporate and commercial issues, Sarah works with a range of clients. Want to chat? Book a call
here .
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Disclaimer
The information provided in this article does not constitute advice. The information is of a general nature only and does not take into account your individual financial situation. It should not be used, relied upon, or treated as a substitute for specific professional advice. We recommend that you contact Brentnalls SA before making any decision to discuss your particular requirements or circumstances.
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