Spezialisierte Beratung für Einrichtungen mit hohen regulatorischen und wirtschaftlichen Anforderungen – von der Gründung bis zur Nachfolge.
Care facilities, senior services, and medical supply stores face unique challenges:
- complex regulatory requirements,
- labor-intensive structures, and
- industry-specific billing systems.
We have been advising companies in these sectors for many years —from startup through growth to succession—with a clear focus on reliable financial data, legally compliant processes, and improved corporate governance.
Why Choose PKF for Healthcare Organizations?
- Industry Specialization: Focus on nursing care, senior services, and medical supply stores
- Regulatory expertise: e .g., Nursing Care Accounting Regulation (PBV), health insurance requirements
- Comprehensive Consulting: Tax , Business Management, and Strategy
- Long-standing client relationships: deep understanding of operational challenges
- Specialized Topics: including sales tax on nursing care services and patient transport
Care & Senior Services
Care and senior services are characterized by stringent regulatory requirements, complex billing structures, and intensive staffing. We help you design your processes efficiently, reliably meet legal requirements, and manage your operations successfully from a business perspective.
Our areas of focus:
- Financial accounting and annual financial statements for care facilities
- Payroll processing for labor-intensive organizations
- Consulting on the Care Accounting Regulation (PBV)
- Application of industry-specific chart of accounts for social service organizations
- VAT classification of long-term care services and patient transportation
- Business and strategic consulting
Medical Supply Stores
Medical supply stores operate in a dynamic market environment characterized by strict requirements from health insurance companies, complex product structures, and increasing market consolidation.
We have been supporting medical supply stores for decades and understand the industry-specific requirements in great detail.
Our areas of focus:
- Financial accounting—ranging from supportive assistance to full-service solutions, including payment processing and accounts receivable management
- Payroll processing
- Consulting for business start-ups and expansion
- Business and strategic consulting
- Analysis of product groups and gross profit margins
- Support in dealing with health insurance providers
Typical Challenges Faced by Our Clients
- Lack of transparency regarding cost structures and cost-effectiveness.
- Uncertainties regarding the Long-Term Care Accounting Regulation (PBV) and sales tax.
- Rising personnel costs coupled with a shortage of skilled workers.
- Inadequate financial control and a lack of key performance indicators.
- Lack of preparation for succession or sale.
This is precisely where our specialized consulting services come in.
Our Services: Tax Consulting, Bookkeeping, and Management Accounting for Nursing Care and Medical Supply Stores
Financial Accounting & Annual Financial Statements for Long-Term Care Facilities and Medical Supply Stores
- Ongoing financial accounting.
- Annual financial statements and tax returns.
- Digital processes through to full-service solutions.
- Industry-specific analyses as a basis for management and financing.
Payroll processing for healthcare organizations
- Modern payroll processing.
- Mapping of labor-intensive structures and shift models.
- Consulting on variable compensation models.
- Integration of payroll, financial accounting, and management accounting.
Medical Supply Stores
Business Consulting & Management Control in the Healthcare Sector
- Key-figure-based corporate management.
- Liquidity planning and profitability analyses.
- Gross profit and product group analyses for medical supply stores.
- Decision-making support for management and shareholders.
Strategic consulting on startup, growth, and succession
- Establishment and expansion of nursing and healthcare facilities.
- Business development and structuring.
- Succession planning and business sales.
- Preparation for investors and market transactions.
Industry Exchange for Medical Supply Stores
At our Balingen location, we regularly host industry meetings for medical supply stores. Here, we discuss the following topics together with other industry specialists:
- current market trends
- the latest in medical device supply
- proposed legislation
- tax issues
- strategic topics
Please feel free tocontact us for more information.
Guides
Many medical supply stores and long-term care facilities face similar challenges: Data is available, structures have evolved, and regulatory requirements are complex—but the foundation for informed decisions is often lacking.
Our guides address precisely these issues. They show how key topics can be structured in a practical way, evaluated from a business perspective, and utilized strategically.
What specific provisions does the Long-Term Care Accounting Regulation (PBV) establish for my company?
The Long-Term Care Accounting Regulation (PBV) sets forth binding requirements for the accounting practices of long-term care facilities.
Specifically, this applies to:
- Structure of financial accounting
- Structure of the annual financial statements (balance sheet, income statement, notes)
- Mandatory cost and performance accounting
For managing directors, this means: The PBV directly determines the quality of your financial data and, consequently, your ability to manage the organization.
Why is PBV crucial for corporate management?
The PBV requires the implementation of a structured cost and performance accounting system.
When implemented correctly, it enables:
- Transparency regarding costs by service area
- reliable key performance indicators for management control
- better preparation for compensation negotiations
Companies that actively use the PBV manage their finances with significantly greater precision.
What tax risks do long-term care services face in practice?
Typical areas of risk include:
- incorrect distinction between VAT-exempt and taxable services
- unclear classification of additional services
- incorrect implementation of the PBV
- Insufficient documentation for tax audits
These issues often lead to back taxes and are typical areas of scrutiny during tax audits.
How should sales tax be properly classified for long-term care services?
Long-term care services may be tax-exempt under certain conditions—but not across the board.
The following factors are decisive:
- Type of service
- Financing (e.g., social insurance providers)
- Specific contract terms
An incorrect classification directly affects the tax burden and input tax deduction.
What role does payroll play in the profitability of long-term care providers?
Labor costs are the largest expense category in long-term care facilities.
Crucial for business owners:
- Transparency regarding actual personnel costs
- Mapping of shift models and absences
- Integration with performance data and financial management
Payroll processing is therefore a central component of corporate management.
When is specialized tax advice advisable for home care services?
As soon as a company grows or more complex structures emerge.
Typical triggers:
- increasing headcount
- Uncertainties regarding PBV or sales tax
- Preparation for tax audits
- Lack of transparency in financial management
Specialized tax consulting for home care services provides peace of mind and a better basis for decision-making.
What are the specific requirements for accounting at a medical supply store?
Medical supply stores need an accounting system that goes beyond traditional financial accounting.
Key requirements include:
- Mapping of health insurance billing
- Differentiation of product groups
- Transparent gross profit structure
- Effective accounts receivable management
The goal is an accounting system that enables financial control and corporate management.
Which key metrics are crucial for medical supply stores?
The following are particularly relevant for financial management:
- Gross profit per product group
- Labor cost ratio
- Inventory turnover
- Receivables turnover
- Contribution margins
These key figures must be directly derivable from the accounting records.
What business mistakes are commonly made in medical supply stores?
Typical weaknesses include:
- a lack of transparency regarding gross profit
- Inadequate controlling by product group
- a lack of integration between financial accounting and operations
- inadequate preparation for succession or sale
These factors directly impact profitability and enterprise value.
What is the best way to prepare a medical supply store for succession or sale?
The following are crucial:
- transparent and reliable financial figures
- clear revenue and cost structures
- comprehensible financial management
- a clear separation of business units
Well-prepared companies generally achieve better results in the sales process.
What role does a tax advisor play for medical supply stores?
A specialized tax advisor does more than just traditional bookkeeping:
- Establishing a robust accounting system
- Support with business management
- Preparing for succession or transactions
- Guidance on tax and regulatory issues
Industry knowledge is a key factor for success here.