Accounting Services for Healthcare in Boston
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Supporting medical practices and private clinics with accounts, tax, bookkeeping, payroll and financial management.
Professional preparation of your annual financial statements.
Accurate and timely filing of all required tax submissions.
Accurate and up-to-date records for your practice.
Efficient payroll management for your staff.
Planning your tax position efficiently while staying compliant.
Healthcare finances tend to be more layered than most accountants encounter in other sectors. These are the issues we see most often.
Specialised knowledge of NHS funding and healthcare business accounting.
Our team focuses on your financial needs and provides solutions tailored to your business.
We provide bespoke services to ensure your financial processes are accurate.
We deliver precise financial reports on time, giving you full compliance with HMRC.
Our services offer transparent, upfront pricing with no hidden costs.
We handle all your accounting and financial tasks efficiently.
We begin by getting to know your practice and your specific needs. This step ensures we have a clear picture of your challenges, goals, and the opportunities available to you.
Based on our initial discussion, we create a personalised plan designed specifically for you. Our aim is to keep your healthcare finances straightforward, with your numbers handled accurately and professionally by dedicated healthcare accountants.
From there, we take care of the ongoing work and keep you updated with clear, regular reports. We're always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
We use the latest technology to offer customised financial strategies. Thus, helping healthcare practices grow and thrive.
Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our expert accountants handle everything. Here’s how easy it is to get started with us:
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
It covers the accounting and tax work that healthcare income and healthcare businesses generate. For individuals that usually means Self Assessment returns combining NHS pay, private fees, locum income and other earnings, along with a review of allowable expenses. For practices, clinics and healthcare companies it typically means annual accounts, Corporation Tax, bookkeeping, payroll and VAT where applicable. The common thread is understanding how healthcare income is taxed and reported.
Yes. We support sole practitioners, locums and salaried clinicians who simply need their tax position handled properly, as well as partnerships, medical practices, clinics, pharmacies and healthcare companies with employees, multiple income streams and more complex reporting requirements. The scope of work is agreed around your circumstances, so support can be as focused or as comprehensive as you need.
Income from NHS employment is normally taxed through PAYE, while private fees, locum payments made outside payroll and similar earnings are usually reported through Self Assessment. Because these are handled differently, the return needs to bring both together accurately and account for tax already paid. Incorrectly assuming everything is covered by PAYE is a common cause of unexpected tax bills.
We can help you understand how pension growth interacts with your overall income and tax position, and we can factor pension contributions into wider tax planning. Pension calculations themselves are complex and depend on figures supplied by the pension scheme, so we work with the information available and highlight where specialist pension input is needed. Raising the issue early in the tax year gives you more options than dealing with it afterwards.
It depends on what is being supplied. Many medical and healthcare services are exempt from VAT, but other activities — such as cosmetic treatments, retail sales, dispensing and the sale of certain goods — are standard-rated or treated differently. Once taxable supplies exceed the registration threshold, registration is generally required, and businesses with a mix of exempt and taxable income may also need to manage partial exemption. We review your income streams to establish the correct treatment.
There is no single right answer. Sole trader status is straightforward but offers no separation between you and the business. Partnerships suit practices where clinicians share profits and costs. A limited company can be appropriate for some healthcare businesses and contractors, though it brings additional filing obligations, payroll responsibilities and, for contractors, off-payroll working considerations. We look at your income levels, contract terms, risk exposure and future plans before recommending a structure.
It is manageable, but it does affect how quickly accounts can be prepared and how much tax planning is possible. Missing receipts, uncategorised bank transactions and gaps in income records make it harder to claim the expenses you are entitled to and harder to spot issues before a deadline. If records need rebuilding, we can work through what exists and then set up a simpler bookkeeping routine going forward, often using digital tools that suit clinical workloads.
It begins with a conversation about your role, income sources, current structure and what you want from an accountant. We then review your existing records and returns to identify anything that needs attention, and agree a scope of work covering the services you need. From that point we take on the relevant filings and deadlines, and stay in touch through the year as your circumstances change. If you are moving from another accountant, we can manage the handover of information.
