30/07/2026
Medical practice owners: if your last advice on contractor payroll tax was “urgently review — there's significant uncertainty,” it's out of date. The landscape has moved, and most practices haven't caught up.
Here's where it actually stands. After Thomas & Naaz and Optical Superstore, revenue offices established that payments to contractor practitioners can be 'wages' for payroll tax — with assessments reaching back years. But since then, most states have introduced specific relief for GPs:
• QLD — payments to contracted/employed GPs exempt from 1 Dec 2024
• VIC — GP wages on fully bulk-billed work exempt from 1 Jul 2025 (relief for 2024-25 too)
• NSW — rebate/exemption tied to bulk billing, after an audit pause
• SA — exemption for bulk-billed consultations from 1 Jul 2024
The catch: this relief is largely GP- and bulk-billing-specific. The underlying risk still applies to non-GP specialists, to non-bulk-billed work, and it varies by state. So the right move isn't panic — it's a current review of both your arrangements and the relief available to you.
Three other things every practice should have right:
Quantum House Australia advises on structure, PSI, payroll tax (with the current state-by-state GP relief), GST and superannuation strategy. Where a matter needs legal input, our colleagues at Australian Tax Experts, tax advisers and lawyers, advise alongside us.
Run a practice? Let's make sure your advice reflects today's rules, not last year's. quantumhouse.com.au | 1300 809 697
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https://www.quantumhouse.com.au/accountant-for-medical-practice/