'Medical specialist companies fail as a company'

Medical specialist companies (Msbs) are falling short in their entrepreneurship, concludes BDO Accountants & Adviseurs on Tuesday. For example, half of the companies do not file annual accounts. Some of the companies even run the risk of losing the status of entrepreneur.


Medical specialist companies (Msbs) are falling short in their entrepreneurship, concludes BDO Accountants & Adviseurs on Tuesday. For example, half of the companies do not file annual accounts. Some of the companies even run the risk of losing the status of entrepreneur.

The BDO Care group has been conducting research into the functioning of these new companies four years after the introduction of Msb's. An Msb is a collaboration form of multiple specialists. For example, if they form a company, they do not have to go to a hospital as an employee. They also benefit from certain entrepreneurial benefits.

'Little insight through annual reports'

BDO's research was done on the basis of available annual reports for 2016 and 2017, and a survey that was held in 2018. A total of 61 Msbs were examined.

Of them, only 38 filed an annual report at the Chamber of Commerce in 2016 and only 70 per cent of those companies were required. "That is not only an economic crime, but it also does not fit in a care world where transparency is crucial," says researcher Chris van den Haak.

However, the annual reports that were submitted are also inadequate. According to the report, they "often give no or limited insight into the profit and loss accounts".

Only three companies make clear how much revenue was realized, and how many allowances were paid to the medical specialists. These are large amounts: for the entire sector, according to BDO, the fees would amount to some 2 billion euros.

'Entrepreneur status is uncertain'

The research also shows that investments by Msbs are insufficient to be considered as a company. The tangible fixed assets, such as investments on the balance sheet, are at 5 percent for most Msbs.

That is not the case for a company, and according to the investigation, Msbs can lose their entrepreneurial status. "A final assessment of the entrepreneurial status has not yet been given by the tax authorities in many cases in the past four years, but that moment is fast approaching."

The researchers write that the Msb's collaborative model should be seen as an intermediate step in the adjustments to healthcare. "In our view, other ways of collaboration or really enterprising medics who participate in the hospital or start up independent treatment centers are the structure of the future", says Van den Haak.

REF: https://www.nu.nl/economie/5736774/medisch-specialistische-bedrijven-falen-als-onderneming.html

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