Accounting Services for Healthcare in Horsham
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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 work rarely produces a single, tidy income stream. That complexity is where most accounting and tax difficulties begin, and where specialist support tends to make the biggest difference.
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.
The work covers the same core areas as any accountancy service — accounts, tax returns, bookkeeping, payroll and VAT — but applied to the ways healthcare income and costs behave. That means dealing with NHS pay and pension information alongside private fees, locum income, insurer payments and practice profits, understanding which clinical costs HMRC accepts as allowable, and knowing how VAT applies to medical care compared with cosmetic, retail or non-clinical services. The aim is accurate compliance combined with advice that reflects how you actually work.
It depends on the size and nature of that private income. If you receive fees that have not been taxed at source, or your untaxed income crosses HMRC's reporting threshold, you will usually need to register for Self Assessment and declare it. An accountant can confirm whether you need to file, make sure the right expenses are claimed against that income, and check that any interaction with your NHS pension position is handled correctly.
Yes. Locum work through a company involves company accounts, Corporation Tax, PAYE for any salary you take, dividend paperwork and often a review of your contract terms to confirm the working arrangements are being treated correctly for tax. We can prepare the company filings, advise on an efficient and compliant way to extract profit, and handle your personal Self Assessment so the personal and company positions line up. If you are considering incorporating, we can compare that with working as a sole trader.
Medical care provided by appropriately registered professionals is generally exempt from VAT, but cosmetic, aesthetic, retail and certain non-medical services are usually standard-rated. Where a business provides both, it may need to apportion income and account for VAT on the taxable element, and in some cases deal with partial exemption rules on the costs it incurs. This is an area where getting the treatment right from the start avoids awkward corrections later, so it is worth reviewing before you change your service mix.
Common examples include professional body and registration fees, professional indemnity insurance, CPD and training that maintains or updates existing skills, specialist equipment and instruments, medical reference materials, and business mileage for home visits and travel between sites. Personal clothing generally does not qualify, but specialist protective items may. We review your spending against HMRC's rules so that claims are reasonable, supported by records, and less likely to be questioned.
Yes. We can run payroll for partners, salaried clinicians, associates, reception and administrative teams, calculating deductions and dealing with pension contributions and the associated reporting. If your practice operates an NHS pension scheme arrangement for staff, we can account for the relevant deductions and produce the information you need to keep scheme records consistent with your payroll.
Accounting and tax work is well suited to being handled remotely. Documents, records and reports can be shared securely, and meetings can take place by phone or video at times that fit around clinics and rotas. Many healthcare clients prefer this, particularly locums and those who work across more than one site, because it removes the need to arrange travel during working hours. If you prefer to meet in person, that can be arranged.
Begin with an initial conversation about your circumstances. It helps to have an idea of how you are paid, whether you work as an employee, sole trader, partner or through a company, and any deadlines or filings currently outstanding. From there we can review your position, explain what support would suit you, and set out the steps to put it in place. If you have previous returns or bookkeeping records, sharing those early helps us give you a more useful assessment.
