Does this sound familiar?
What healthcare bookkeeping involves day to day
Running a practice is about more than providing care alone. Some services are exempt from VAT while others are not. Wtza obligations call for a notification, and sometimes a licence. Income arrives through health insurers, at rates you do not set yourself. Meanwhile, you simply want to know whether your practice is financially healthy. That is why we set up your bookkeeping around the way your practice actually works. We take reimbursement flows, your chosen legal structure, any partnerships and the obligations that apply to your organisation into account. This keeps your bookkeeping clear as your practice grows, your partnerships change or you add new services.
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Bookkeeping that matches your practice or institution
Clarity on when VAT does and does not apply
We handle the Wtza notification and annual accountability report
One point of contact, whatever the question
Deliverables
What you'll get
Clarity on VAT
We map out which services within your practice are exempt from VAT, so an inspection never comes as a surprise.
Complete peace of mind
Day-to-day bookkeeping, VAT returns and annual accounts are all taken care of, so you can focus on your practice.
Certainty and compliance
Annual accountability reporting and your health insurer's requirements call for bookkeeping that holds up. We take care of that.
Direct support
You work with one dedicated adviser who knows your practice and thinks along with you, even outside scheduled meetings.
Who needs a healthcare bookkeeper?
A GP practice with locum doctors faces different questions to a physiotherapy practice that has just taken on staff. A dental practice works with different margins to a mental health practice or a midwifery practice. Self-employed healthcare professionals face their own questions too, such as whether an assignment holds up as self-employment under the Dutch Wet DBA. What these practices have in common is the need for oversight, with clear figures, certainty about their VAT position and clarity on the Wtza. We support both start-up practices and established healthcare organisations, from choosing a legal structure through to valuation at the sale of a practice.
Results
No promises.
Proof.
Real entrepreneurs. Real results.
Discover how entrepreneurs like you
grew with structure as their foundation.
View all Results
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Tax-neutral contribution and holding structure. €210,000 in structural annual tax savings.
Belgian Cayman tax avoided. €280,000 in additional tax prevented with a watertight substance file.
Polish VAT claim withdrawn. €190,000 in assessment, penalties and interest averted.
€1,200,000 released by PayPal after fourteen weeks of court proceedings.
EUIPO opposition dismissed in full. Brand name retained intact after a competitor's attack.
Why a bookkeeper who understands healthcare makes the difference
Administrative pressure in healthcare is rising. Staff are scarce, practices are scaling up and Wtza requirements are becoming more detailed. At the same time, the way many bookkeepers work has changed little. At Suits Finance, our approach is built around how your practice is structured, not the other way round. You get up-to-date figures, reporting that actually means something and one dedicated point of contact who understands the context of your practice. That makes it easier to make sound decisions, even as your practice changes shape.
We also take reimbursement flows, staff costs, investments and tax obligations within healthcare into account. That way you see not only what has happened, but also where there is room to grow responsibly and make financially sound choices for the future.
FAQ
Questions?
We'll answer them.
When do I need a bookkeeper for my healthcare practice?
Every healthcare business benefits from a bookkeeper, simply to keep the books accurate and organised from the outset. In healthcare, specific points come on top of that, such as the combination of VAT-exempt and VAT-liable services, the notification or licensing requirement under the Wtza, and income from multiple health insurers. As you take on staff or start collaborating with other healthcare providers, expert guidance becomes even more important to keep control of your figures and stay compliant.
Can you also help with our practice's VAT position?
Yes, we map out which services within your practice are exempt from VAT and which are taxable. Think of renting out practice space, seconding staff or activities alongside your regular care provision. For many healthcare practices, this VAT position is not clear-cut, and a wrong assessment can lead to a tax assessment. We review your situation, document the choices made and make sure you can show exactly why certain services are or are not taxed if you are ever inspected.
Do you also support questions around self-employed contractors and the Wet DBA?
More and more practices and healthcare organisations are asking whether working with self-employed contractors holds up under the Wet DBA. We assess the working relationship, look at the degree of independence and authority, and advise on how the agreement should be set up. We also factor in the consequences for your bookkeeping and returns, so you are not faced with a later payroll tax assessment. That way, you know exactly where you stand from the outset.
What does switching to a bookkeeper who understands healthcare involve?
The switch starts with a no-obligation introductory meeting, in which we map out your current bookkeeping and way of working. We then take over any open files, your bookkeeping and any ongoing Wtza obligations step by step, so there is no gap in your records. You get one dedicated point of contact who guides the handover and keeps you updated on progress, so the switch runs smoothly alongside your day-to-day practice.
