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 want certainty that 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
Guidance on the Wtza and annual accountability reporting
One point of contact, whatever the question
Deliverables
What we take care of for your practice
Clarity on VAT
We map out which services within your practice are exempt from VAT, so an inspection never comes as a surprise.
Your bookkeeping in trusted hands
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.
One dedicated adviser
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. For each practice we look at what really matters, such as the balance between exempt and taxable revenue, financing a renovation or dividing profits between partners. Every healthcare entrepreneur receives advice that fits their own 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. We follow developments in the sector closely, so your bookkeeping keeps pace with new rules. 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 should you bring in Suits Finance as your healthcare bookkeeper?
The right moment usually comes earlier than healthcare entrepreneurs expect. When you start your own practice, the way your bookkeeping is set up forms the basis for everything that follows. Healthcare adds specific points on top of that, such as the combination of exempt and taxable services, the notification or licensing requirement under the Wtza and income from multiple health insurers. If you take on staff, start working with other care providers or consider taking over a practice, expert guidance becomes even more important. As your healthcare bookkeeper we make sure your figures are right and that you meet the rules that apply to your practice.
How does Suits Finance help with the VAT position of a healthcare practice?
As your healthcare bookkeeper 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.
Does Suits Finance support healthcare practices with 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. Especially in healthcare, where practices often work with locums and independent practitioners, a timely review prevents a great deal of uncertainty. That way, you know exactly where you stand from the outset.
What does switching to Suits Finance as your healthcare bookkeeper involve?
The switch starts with a no obligation introductory meeting, in which we map out your current bookkeeping and way of working. We also discuss what is coming up in the short term, such as a tax return, a notification under the Wtza or a meeting with the bank. We then take over your bookkeeping and any open files 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. The switch to Suits Finance runs smoothly alongside your day to day practice, and you know where you stand from the very first week.
