Sector

Healthcare Practices

Group practice structuring, the employed-versus-self-employed question, and EOPYY reconciliations.

What we see in this sector

Medical practices grow by adding people, and the way those people are engaged determines most of the tax position. The distinction between employed and genuinely self-employed is examined more closely here than in most sectors.

The second recurring issue is EOPYY. Reconciling what was claimed against what was paid is tedious, and precisely because it is tedious it is usually not done.

Clients in sector
43 practices and clinics
Largest group
14 practitioners across three sites
Typical engagement
Bookkeeping plus Payroll plus Tax
Sector lead
Sevasti Papamichail

Where it goes wrong

Group practice structuring

How the practice is owned determines how profits are taxed and what happens when a partner leaves. Both are worth deciding deliberately.

Employed versus self-employed

Assessed on the actual working arrangement, not the label on the contract. We tell you where the risk sits before anyone else asks.

EOPYY reconciliations

Claimed against received, monthly, with the differences chased while they are still traceable.

Equipment and depreciation

Capital allowances applied properly across a fleet of equipment with very different useful lives.

They rebuilt three years of our books in six weeks before our diligence and caught a transfer-pricing exposure our previous firm had missed twice.
Eleftheria KontoyianniAthens

Lines we usually run here

Working in Healthcare Practices?

Tell us what is on your desk. Thirty minutes, no fee, and a straight answer about whether we are the right firm.