For Australian general practice
Building a successful practice takes years of dedication, expertise and commitment. Every decision you have made has shaped the practice you have today.
Our Business Sustainability Intelligence Report gives you an independent view of how the business is performing, where the opportunities are, and what will strengthen the practice over the years ahead.
20 years in accounting and tax · 30 years running businesses · No patient data required · Australian owned
Before we go further
Not this month — over the next five years, with costs rising, indexation lagging and doctors harder to find.
And what did that cost across twelve months?
Not the turnover rate. The money — recruitment, cover, ramp-up, and the revenue that left with them.
Every line looks reasonable on its own. Which ones are not?
Not documents. Evidence that what is written down is actually happening.
Most practice owners cannot answer these — not through any failing, but because nobody produces the information.
What we are proposing
You built the practice, you know your patients, and the clinical decisions are yours. What has been missing is a professional working alongside you on the other half — the half that decides whether the practice can keep doing all of that in five years.
We prepare a Business Sustainability Intelligence Report: an independent, evidence-based assessment across five areas — profit and growth, patients and quality, people, premises and resources, and governance and community — and what would make the most difference next quarter.
Not a set of accounts. Not a tax return. Not a compliance product. A view of the business you cannot get anywhere else.
Every non-financial measure is converted into money. This is a business report prepared by an accountant, not an environmental report.
“The business behind great healthcare deserves the same attention as the healthcare itself. Your practice is more than a clinic — it is a business, an employer, a community asset, and the foundation that allows exceptional patient care to continue.”
What you receive
Issued when we start. Your sustainability policy, code of conduct, work health and safety, whistleblower, environmental statement, materiality register and accreditation evidence map. Written for your practice, not downloaded, and reviewed every year.
Performance against the previous quarter, the costs that moved, what changed, and what data is still outstanding. About twenty minutes of your practice manager's time.
The full picture after 30 June, with four quarters of trend, your position against comparable practices, next year's targets, and a one-page scorecard you can share.
How it reads
The shaded band is where comparable practices sit. The marker is this practice.
What the report finds
These are illustrative scenarios drawn from the analysis in our sample report. They are not real client engagements, and no figures from any real practice appear here. Where we do have clients, we do not publish their information — and we would not publish yours. Everything we receive is held in confidence under a written privacy and confidentiality agreement.
Case 1
The practice was full. Billings were up. And it had made a loss two years running that nobody could explain. The doctors paid the practice 33.5% of what they billed. Running the practice actually cost 35.8%. The practice had been subsidising the doctors for two years without knowing it.
$0a year
Case 2
A doctor moved interstate. His room had been empty four months. It was on the list as a recruitment problem, behind more urgent things. Nobody had worked out what an empty room costs.
$0already gone. $74,000 a year if it stays empty.
Case 3
Software was costing more than it should, but no single item looked expensive — and nobody had ever seen the full list on one page. When they did: duplicate tools, two free trials never cancelled, and licences still being paid for staff who had left.
$0a year, for a two-hour job.
Case 4 · A risk, not a saving
Thirteen of the practice's 76 policies hadn't been reviewed in over two years. Accreditation was due within the year. Assessors don't just check that a policy exists — they ask staff whether it's actually happening. A policy last reviewed three years ago answers that question badly.
No dollar figure. But it's the difference between a routine survey and a finding.
How it is made
Measured, from a source document. Management, from unaudited accounts. Stated, your own estimate. Or not available — and we say so rather than filling the gap.
Where one exists, it carries its source. Where it does not, the report prints “no comparison available”. A missing benchmark is more useful than a manufactured one.
A full page listing every gap and exactly what would close it. A report that hides what it does not know cannot be trusted on what it does.
Every number can be explained on request, and the working papers behind every figure are yours.
Where technology helps: reading documents, sorting data and drafting language. It never produces or adjusts a figure.
Who prepares it
That second part matters more than the first. Anyone can read a set of accounts. Knowing what it feels like to carry a payroll, to lose a good person, or to decide whether to raise a fee when you are not sure the market will take it — that is a different kind of understanding, and it shapes the recommendations in this report.
Every report is prepared and reviewed personally. If you have a question about any figure in it, you are asking the person who calculated it.
Anand Thakur
20 years as an accountant and tax consultant
30 years as a business owner
What we need
We never ask for patient records.
Nothing identifiable should ever leave your practice. Every report we request is aggregate or de-identified.
Time: about a day of your practice manager's time in the first quarter, twenty minutes after that. Around ninety minutes of yours in the first quarter — one call, one meeting on the findings, one to review the draft.
Works with Best Practice, MedicalDirector, Zedmed, HotDoc, AutoMed, Xero, MYOB and Employment Hero. You send exports. We never need access to your clinical system.
What it costs
$0 + GSTfor the year
Paid up front. Everything below, for twelve months.
Or $300 + GST per month on a 12-month agreement — $3,600 for the year.
The package runs to 30 June, so it aligns with your financial year. Minimum engagement is two quarters.
Policy templates only
About $950 a year
The documents. Nothing is measured, and nothing is specific to your practice.
A consultant to set it all up
$15,000 to $30,000, once
Policies, registers and a framework, built properly — then it sits still and ages.
SAI
$2,400 a year
The documents, kept current, plus the practice measured and compared every quarter.
The documents are the starting point. The measurement is what makes them worth having next year.
Genuine questions
No. We never request patient-identifiable information and none should ever be sent. Every report we ask for is aggregate or de-identified. If an export looks like it contains patient detail, do not send it — tell us and we will revise the request.
In Australia, on our systems, accessible only to the person preparing your report. It is not shared, not used to train anything, and not provided to any third party. You receive a written privacy and data handling statement before anything is sent.
No. We do not prepare accounts, lodge tax returns or tender for compliance work, and we say so in writing to your accountant. We ask them for information; we do not review their work. Many accountants ask for a copy of the finished report.
About ninety minutes of your time in the first quarter — one call, one meeting on the findings, one draft review. After that, one meeting a quarter. Your practice manager does the data: roughly a day the first time, twenty minutes thereafter.
It is recorded as not available, printed on the gaps page with what would be needed, and excluded from the score rather than estimated. If a measure genuinely does not apply to your practice, tell us and it stops counting against you.
It is a business report prepared by an accountant. Environmental measures are one of five areas and are reported in dollars — the electricity bill, the waste contract, the consumables. The forthcoming RACGP standards place more weight on environmental responsibility, and the report is built so the evidence is already there when you need it.
Not without our written consent, and that is in your interests as much as ours. The report is unaudited and prepared for internal use. If a third party needs something, that is a separate engagement and we will tell you what it would involve.
No. We prepare the report from your own records and tell you what they show. It is not an audit or a review, and no assurance is expressed. Every figure is traced to the document it came from, and those working papers are yours.
$2,400 plus GST for the year paid up front, or $300 plus GST a month on a twelve-month agreement. One price, everything included. There is no charge for the sample report or the first conversation.
This is not a report you buy once and file. The value is in the second year, and the third — when the trend is visible, the gaps are closed, and the practice can see itself clearly.
We want to be the people you call before you make a decision, not the people who send an invoice after it.
Free, ungated, and no obligation.
