As a medical professional, the income you earn is deemed as Personal Services Income or ‘PSI’. PSI is defined as income derived by an individual as the result of their personal work or exertion. The individual may carry out these services as a sole trader or sometimes through a trust, partnership or company structure.
The tax treatment of income from personal exertion falls under the Personal Services Income (PSI) attribution regime. This legislation effectively treats individuals earning PSI as a quasi-employee. This involves looking through any structures, such as a medical company or trust, which may be in place to attribute the income generated back to the individual who earned that income.
For example, if Dr Chan is earning $400,000 in personal income from his work as a doctor after business expenses, this income must, under law, be included in Dr Chan’s personal income tax return in the year that it has been earned. He does NOT have the option to;
- leave significant amounts of income in a medical company to be taxed at the company tax rate, or
- split the income with other family members to reduce his tax.
If Dr Chan were to alienate some of this income away from himself, this would be considered tax avoidance and would incur substantial penalties from the Australian Tax Office (ATO).
When considering PSI, it must be clear that the type of income covered is only personally generated income. It does not include income generated by a medical practice from service fees or income from investments that may be held in another structure, such as a trust. The ATO have a particular focus on this activity, and as such, we explain some of the facts (and the fiction) of Personal Services Income.
I can split my income as a doctor because I have a company or trust
False.
The ATO will look through any structure to see how the income is derived. This is the key focus of the PSI legislation. If a medical practitioner derives income as a result of their personal work or exertion, this income is PSI and must be attributed to the individual performing the work.
It is sometimes mistakenly assumed that if you meet the requirements to be classified as what is called a Personal Services Business, you can split your income between yourself and your family members. This is not the case. Where personal exertion income is split inappropriately with associates, the ATO is likely to consider this tax avoidance and ignore any tax benefits obtained.
I work at several practices, so 80% of my income does not come from one source so that I can split my income.
False – this income is still derived as a result of their personal work or exertion as a medical practitioner. This income remains income generated from personal services and must be attributed to the individual performing the work.
The income I generate means I am a personal services business, so can I pay my spouse a wage and superannuation?
True – provided you are considered a personal services business (PSB).
If your spouse or an associate provides services to you that are necessary for the generation of your income and you remunerate them at a market rate, these payments will be a tax deduction to you. If no work is performed, no payments can be made to them.
You may choose to maximise any superannuation contributions on behalf of your spouse (working in your business) up to the concessional cap, even if the superannuation contribution exceeds the value of the work performed. The current concessional cap for the 2025 financial year is $30,000. This position is supported by Tax Determination 2005/29 and Ryan’s case.
I use a medical company because if provides me with asset protection from my patients
False – Sometimes, sole traders are encouraged to operate through a company to take advantage of the additional legal protection and limited liability offered under a corporate structure.
In our experience, these protections are not all that valuable to a professional, such as a medical practitioner, where any failure is likely to be at a professional level. In these cases, the limitation of liability offered by a company will not offer any protection to the person. Therefore, it is vital that medical practitioners maintain an appropriate level of professional indemnity insurance, regardless of the trading structure they have in place.
In relation to professional failings (such as medical malpractice) it will be largely irrelevant, from an asset protection perspective, if the medical practitioner is trading as a sole trader, or through a different entity such as a company.
For more information about what can be considered Personal Services Income or to know more about your income could be classified, contact your local William Buck advisor.
