GPs & allied health

Accountant for Medical Practices in Sydney

Specialist accounting, bookkeeping, and tax services for GP practices, specialists, and allied health professionals. Over twenty-two years working with healthcare across Sydney.

Certified across the platforms that matter

Why Trinity

Three reasons our clients stay.

We’re a boutique accounting practice built on long-term client relationships, offering personalised tax, accounting, and advisory services to businesses and organisations across Sydney.

  • Longevity that compounds

    Twenty-three years in practice as of 2026. Same firm, same principal, same standards since 2003. Some clients have been with us almost the whole way. The work compounds, and so does the trust. Over four hundred SMSFs managed and thousands of tax returns lodged.

  • Everything under one roof

    Tax, books, advisory, SMSF, Xero. One team that knows your business. No handoffs between firms, no missed details between specialists, no questions you have to answer twice. Numbers flow cleanly from books to BAS to tax return because the same people are looking at all of them.

  • We pick up the phone

    We are old-fashioned about this. You get a name, a direct line, and someone who actually knows your file. We watch for trends, flag issues before they become fines, and call when something needs attention. Most clients hear from us between quarters, not just at lodgement time.

Why specialist accounting matters

Why your accountant for medical practices needs healthcare expertise

Medical practice finances run on multiple income streams, high practitioner incomes, and structures that need to balance tax efficiency with personal asset protection. Bulk-billed Medicare, DVA, private health insurance, and direct fees each reconcile differently. Without proper separation, profitability per stream stays invisible.

Add associate practitioner arrangements, service trust structures, and the constant compliance load of healthcare. The financial work behind a medical practice is well above small-business average, and the cost of getting it wrong rises with practitioner income.

A general accountant can miss significant deductions or fail to structure the practice for long-term tax efficiency and asset protection. Specialist medical accounting means understanding the income mix, the structures available, and the tax planning that suits high-income healthcare. Trinity has been doing this for over twenty years.

  • Income stream complexity

    Medicare, DVA, private health, and direct fees reconcile differently. Without separation, practice profitability stays invisible.
  • Service trust structures

    Service trust arrangements need careful design and documentation. Wrong structure costs tax and creates ATO exposure.
  • High-income tax planning

    Practitioners earning over the top tax bracket need specific planning around super, structures, and deduction timing.
  • Practice valuation gaps

    Practice value built over years gets handed away at sale because nobody planned the exit ahead of time.
Specialist accounting for one of the highest-income, most-regulated sectors in Australia.

What we do

Our services applied to your industry.

The same accounting and tax services we deliver firm-wide, shaped to the way your business actually runs.

  • Tax Services for Medical Practices

    Whether you're a sole practitioner, a partnership, or running a multi-doctor clinic, the right tax strategy and practice structure can save you thousands every year while protecting your personal assets. Tax planning and structuring — sole trader, partnership, company, or trust. GST and BAS lodgement including medical service exemptions. Payroll tax and superannuation compliance
    Learn more
  • Bookkeeping for Medical and Allied Health Professionals

    Patient billing, Medicare claims, insurance rebates, supplier accounts, and staff payroll create a complex web of transactions. Without accurate bookkeeping, revenue leaks and compliance risks grow quickly. Cloud-based bookkeeping on Xero — accessible from the practice or anywhere. Medicare and insurance claims management and reconciliation. Accounts payable and receivable management
    Learn more
  • Business Advisory for Medical Practice Growth

    Beyond compliance, we help healthcare professionals grow their practices with tailored business advisory services: Profit and loss analysis across service lines. Practice structuring for tax efficiency and asset protection. Cash flow planning for equipment upgrades and expansion
    Learn more
  • BAS and quarterly compliance

    BAS prepared, reconciled against your books, and lodged direct to the ATO. PAYG instalments managed alongside cash flow needs.
    Learn more
  • BAS and quarterly compliance

    BAS prepared, reconciled against your books, and lodged direct to the ATO. PAYG instalments managed alongside cash flow needs.
    Learn more

Why clients choose us

Specialist accounting built for medical practice.

Over twenty-two years of healthcare accounting expertise. Trinity provides the financial expertise medical practitioners need to maximise income, stay compliant, and protect personal assets accumulated over a career.

  • Healthcare income depth

    Twenty-two years working with the income mix, structures, and tax planning specific to medical and allied health.
  • Multi-stream reconciliation

    Medicare, DVA, private health, and direct fees reconciled separately. Profitability per stream visible in monthly reports.
  • Service trust expertise

    Service trust structures designed and documented. Tax-efficient, ATO-compliant, suited to your specific practice arrangement.
  • High-income tax planning

    Year-round planning for practitioners in the top tax bracket. Super, deductions, structures, and CGT all considered together.
  • Practice value protection

    Practice value built over years documented properly and exit-planned in advance. The sale price reflects what you actually built.
  • Personal asset protection

    Structures that protect personal assets accumulated over a career. The risk of practice claims kept where it belongs.

Accounting engagement

How we take on a medical practice as an accounting client.

The same accounting engagement process for every new medical practice. Predictable for you, scaled to the size and complexity of the business.

  • Medical Practice review

    We review your current financials, accounting setup, and operational structure. Gaps and opportunities are identified before any changes are recommended, and the engagement scope is agreed up front.

    • Three-year review of returns and effective tax rates
    • Current bookkeeping and reconciliation health-check
    • Medicare and private fee reconciliation reviewed
    • Onboarding meeting to agree priorities for the year ahead
  • System setup

    Xero configured for your medical practice. Chart of accounts built around how your business actually runs, integrations and tracking established, and reporting templates tailored to medical practice management.

    • Chart of accounts structured for your medical practice
    • service trust structure configured if applicable
    • Bank feeds, integrations, and recurring rules configured
    • Reporting dashboards for income stream profitability
  • Ongoing engagement

    Monthly financial reporting, quarterly tax planning, and annual review. You always know where the medical practice stands financially, what is changing, and what is coming up. We are accessible whenever a decision needs financial input.

    • Monthly profit and loss, balance sheet, and cash flow
    • Quarterly tax planning and BAS preparation
    • Annual review against benchmarks and goals
    • Direct line for advisory questions as they arise
📊 Free Tool

How does your business compare?

Use our free Industry Benchmark Tool to compare your business against FY2026 NSW benchmarks across 20+ industries. Get instant traffic-light results in 60 seconds — no signup required.

Use the Benchmark Tool →

Who we work with

Medical and allied health practices we work with.

If your situation fits one of these descriptions, we have done the work before.

  • GP practices and family medicine

    Solo GPs through to multi-doctor clinics. Income, payroll, and practice structures suited to general practice.
  • Specialists and consultants

    Specialist consultants with private rooms or rights of practice. High-income tax planning is the core of the engagement.
  • Allied health professionals

    Physiotherapists, psychologists, podiatrists, optometrists, audiologists. Clinic accounting tailored to allied health.
  • Multi-location and group practices

    Two or more clinics, multiple practitioners, consolidated reporting. Accounting that scales with practice size.
  • Practice owners planning exit

    Selling, retiring, or transitioning the practice in the next two to five years. Tax-efficient exit strategy starts well before sale.
  • Practitioners going independent

    Setting up new practices or moving to independent contracting. Foundation set up correctly from day one.

About Trinity Accounting

A small firm by design.

Trinity Accounting Practice opened in Beverly Hills in 2003. Ramy Hanna, a registered tax agent and Fellow of three Australian accounting institutes, has run it since. The firm has stayed deliberately small, deliberately local, and deliberately senior. The principal you talk to today is the principal who will be reviewing your return next October.

Most of our work comes from referrals. Most clients have been with us for years, some for decades. We think that says more about the work than any award would.

Dedicated team members in business attire smiling during a client consultation at the office.
The Institute of Public Accountants (IPA) logo featuring colorful overlapping shapes and the IPA acronym, representing a professional accounting organisation in Australia.ASIC Registered AgentLogo of Trinity Accounting Practice, an Australian accounting and tax advisory firm based in Beverly Hills, NSW, established in 2003.A green circular icon featuring a white checkmark and a stylized leaf, symbolizing reliable tax compliance and advisory services.Xero migration specialist logo featuring a blue geometric design and the text "Xero migration specialist" for accounting and bookkeeping services.Xero Gold Partner badge indicating Trinity Accounting Practice's status as a trusted Xero partner for accounting and bookkeeping services in Beverly Hills, NSW.
  • 0+
    Clients
  • 0+
    Small Businesses
  • $0M+
    Turnover Per entity
  • 0+
    Years in business

What our clients say

The reviews speak for themselves.

Sole traders, growing companies, and trustees who keep coming back. Here’s why.

5.0
Based on 100+ Reviews
See all reviews
  • Doesn't cut corners
    I'm so glad I found Ramy & Kim from Trinity Accounting. They have helped me and my business tremendously. They really care about their clients and don't cut corners. Very impressed with their knowledge and level of customer service.
  • Business and personal
    Trinity Accounting Practice is knowledgeable and professional for business and personal finances, providing clear advice.
  • Diligent and professional
    Trinity Accounting Practice is highly professional and diligent. I highly recommend them to anyone seeking any accounting advice.
  • The best, hands down
    Ramy is the best accountant in Sydney. He helped me solve my problems. He is the best. I really thank you Ramy for everything.
  • Medical practice expertise
    I have a medical practice. I met with many accountants before, but I found Ramy Hanna has a very well organised accounting practice and he is very knowledgeable and has great experience.
  • A real lifesaver
    Trinity Accounting has been a lifesaver for my construction business. Ramy's knowledge of BAS, GST, and tax is unmatched. Great service and support!

Common medical practice questions

What medical practices ask before engaging us.

The questions medical practices most often have before working with us. Same answers we give in person, just in writing.

Pricing depends on practice size, structure complexity, and the engagement scope. Solo practitioners typically start at a fixed monthly fee. Multi-practitioner and group practices are quoted as a package after the initial review.

It depends on your structure, income level, and personal asset protection needs. Service trusts can be tax-efficient but require careful design and documentation. We review your specific situation before recommending.

We configure your accounting system to track each revenue stream separately: bulk-billed Medicare, DVA, private health insurance, and direct patient fees. Reports show profitability per stream rather than total revenue only.

Yes. We prepare medical practice valuations for sale, succession, refinancing, or partnership transitions. We understand the factors that drive practice value and help you optimise them in the years before exit.

Yes. We support physiotherapists, psychologists, podiatrists, optometrists, audiologists, speech therapists, and other allied health practitioners alongside medical practices.

Tax planning is built into the engagement, not extra. Quarterly check-ins, pre-EOFY distribution decisions, and structure reviews come as part of the ongoing fee.

Still have a question? Contact us.

Get specialist accounting for your medical practice.

Book a free consultation. Twenty minutes, no obligation. We will tell you straight if we can help.