Healthcare Accountants

Expert Accountancy for Healthcare Professionals

The healthcare sector is arguably one of the most vast and varied.
 
We’re proud to work with a variety of different organisations from GP surgeries through to aesthetic consultants.

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Services

What We Do

  • Accounts Preparation
  • Bookkeeping
  • VAT
  • Management Accounts
  • Payroll
  • Construction Industry Scheme
  • Cloud Accounting Advisory
  • Forecasting
  • Business Advisory
  • Tax Advisory & Tax Investigations
  • R&D and other Tax Reliefs
  • Business Growth & Finance Raising
what we do
healthcare card image

Dedication and support
in the healthcare sector

As our team has years of involvement supporting individuals and organisations with healthcare accounting, they’ve amassed a wealth of sector-sector experience that helps our healthcare accounting clients grow and succeed. 

Whether we’re offering payroll services, full business advisory, or other services in between, you’ll always have access to an experienced team member who’ll tailor our support to your specific expenses and needs. 

Expert Accountants

Our aim is to offer our clients a fresh approach to managing their finances. With 132 years of combined accounting experience, we can guarantee expert guidance tailored to your needs.

Personal Relationships

We don’t believe in a ‘one-size fits all’ approach. Instead, we aim to cultivate meaningful connections that enable us to provide tailored solutions that actually make a difference.

Competitive Prices

At Pulse, we offer competitive prices for high-quality services. Our pricing structure is designed to be transparent and straightforward, ensuring there are no unexpected or hidden costs.

Healthcare accounting services

Our most popular services amongst our healthcare clients include:

Accounting

Our accounting service for the healthcare sector delivers reliable solutions to streamline your financial processes. From managing patient revenue to preparing accurate financial statements, we help healthcare businesses stay compliant and maintain financial clarity.

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Tax Advisory

Healthcare businesses face unique tax challenges, and our expert tax advisory services provide tailored guidance to help you minimise liabilities and maximise savings. From VAT exemptions to expense deductions, we ensure your tax planning is healthcare-specific and efficient.

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Payroll

Pulse Accountants provides efficient payroll solutions tailored to the needs of the healthcare sector, including managing variable shift patterns, locum payments, and tax compliance. Our experts ensure your team is paid accurately and on time, so you can focus on delivering patient care.

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Business Advisory

Our business advisory service for the healthcare sector is designed to enhance growth and profitability. From improving cash flow to strategic planning, we offer tailored advice to help you optimise operations, manage finances, and invest in the future of your practice.

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VAT

Navigating VAT in the healthcare sector can be complex, especially with exemptions and partial recovery rules. Our expert team simplifies the process, ensuring compliance while optimising VAT recovery and streamlining reporting to secure your financial position.

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Tax Relief

Pulse Accountants can help healthcare businesses identify eligibility for tax reliefs, including capital allowances for medical equipment, R&D tax credits, and more. We’ll guide you through the process, ensuring you benefit from all available savings and reduce costs effectively.

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Credit Control

Effective credit control is critical for healthcare businesses to maintain cash flow and reduce late payments. Our customised solutions help you track receivables, manage payment terms, and improve patient and client relationships, ensuring your finances remain strong.

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Management Accounts

Healthcare businesses benefit from our tailored management accounts, offering insights into cash flow, profitability, and performance metrics. Our detailed reports help you track trends, compare budgets, and make data-driven decisions to enhance your practice’s success.

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Bookkeeping

Outsource your bookkeeping to Pulse Accountants and let us handle your healthcare-specific needs, from tracking revenue to reconciling accounts. Using modern technology, we ensure accuracy and efficiency, so you can focus on providing exceptional care.

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Tax Investigations

Our tax investigation insurance provides peace of mind in the event of an HMRC enquiry into your healthcare business. This service covers the professional fees involved in responding to investigations, whether routine or complex. It ensures that you’re supported throughout the process, helping to minimise disruption and manage the situation with confidence.

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Salary Sacrifice

Our salary sacrifice service helps businesses implement tax-efficient, healthcare employee benefits schemes. By exchanging part of an employee’s salary for non-cash benefits, both employers and staff can reduce National Insurance costs. We ensure each scheme is fully compliant with healthcare regulations and aligned with your business goals.

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90%

90% of businesses made payroll mistakes in year 22/23

70%

70% of small businesses are missing out on expert advice by not having an accountant

82%

82% of small businesses fail due to poor cash flow management

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Why Choose Pulse Accountants?

“Our mission is to revolutionise the way businesses manage their finances. We want to become a trusted partner to our clients by building relationships and helping their business thrive.

We want to share Pulse and create connections with businesses and potential clients alike. We are here to help you keep your finger on the Pulse of your accounts.”


Matthew McConnell
Founder and CEO
Pulse Accountants
About Us

1. What is healthcare accounting, and why is it important?

Healthcare accounting refers to the specialised financial management services tailored to the needs of healthcare professionals and businesses. It encompasses areas such as tax planning, payroll, financial reporting, and compliance with industry-specific regulations. Accurate healthcare accounting is vital because it helps businesses maintain financial clarity, meet legal obligations, and optimise tax efficiency. With the complexities of the healthcare sector, such as patient billing, insurance claims, and regulatory compliance, having a dedicated healthcare accountant ensures that your financial affairs are well-organised and compliant. This allows healthcare professionals to focus on delivering patient care while knowing their finances are being expertly managed.

 

2. What services do accountants for healthcare provide?

Accountants for healthcare offer a range of specialised services to meet the unique needs of medical professionals and healthcare businesses. These services typically include bookkeeping, tax planning and compliance, payroll management, financial reporting, and VAT services. In addition, they may offer industry-specific advice, such as managing NHS pensions, handling private practice income, and preparing for CQC audits. By working with a dedicated healthcare accountant, you gain access to expertise that ensures your financial records are accurate and up-to-date while helping you navigate complex regulations and make informed financial decisions.

 

3. Why do healthcare businesses need specialist accountants?

Healthcare businesses face unique financial and regulatory challenges that require specialist knowledge. Specialist accountants for healthcare understand the intricacies of medical practice finances, such as handling mixed-income streams, navigating NHS contracts, and managing healthcare-specific VAT rules. They also stay updated on regulatory changes and tax legislation affecting the healthcare sector. By working with a specialist accountant, healthcare businesses can ensure compliance, optimise their tax position, and receive tailored advice that supports long-term growth and stability. This specialist knowledge is crucial for reducing financial risk and enhancing operational efficiency.

 

4. How can healthcare accountants assist with tax planning?

Effective tax planning is essential for healthcare professionals to minimise their tax liability while remaining compliant. Healthcare accountants can identify tax-saving opportunities, such as claiming allowable expenses, utilising capital allowances, and structuring income efficiently. They also advise on the tax implications of operating as a sole trader versus a limited company. With their in-depth knowledge of healthcare-specific tax rules, these accountants can help you plan for significant events like practice mergers, retirement, or expanding your business. By implementing proactive tax strategies, healthcare accountants can optimise your tax position and ensure you meet all filing deadlines.

 

5. What are the key tax considerations for healthcare professionals?

Healthcare professionals must navigate several key tax considerations to remain compliant and financially efficient. These include managing income from different sources, such as NHS contracts and private practice work, and understanding how this affects their tax liability. Other critical areas include claiming business expenses, handling VAT if applicable, and planning for NHS pension contributions. Specialist healthcare accountants provide tailored advice to help you maximise tax relief, ensure accurate reporting, and avoid common pitfalls. With their guidance, healthcare professionals can effectively manage their tax obligations while focusing on patient care.

 

6. Can an accountant help with NHS pensions?

Yes, specialist healthcare accountants can provide invaluable assistance with NHS pensions. The NHS pension scheme is complex, with varying tiers, contribution limits, and tax implications. An experienced healthcare accountant can help you understand your pensionable earnings, manage annual and lifetime allowances, and provide strategies to mitigate potential tax charges. They also assist in calculating pension contributions and ensuring compliance with reporting requirements. By working with a specialist, healthcare professionals can optimise their pension planning and avoid costly errors that could impact their retirement benefits.

 

7. How do healthcare accountants support private practices?

Healthcare accountants play a critical role in supporting private practices by offering tailored financial services that address their unique needs. This includes managing patient billing systems, reconciling private and NHS income, and handling tax compliance. They also provide strategic advice on business structures, helping to maximise profitability and tax efficiency. Additionally, healthcare accountants assist with cash flow management, regulatory compliance, and financial planning for growth. By partnering with an experienced healthcare accountant, private practices can streamline their financial operations and make informed decisions for long-term success.

 

8. What records should healthcare professionals maintain for accounting?

Healthcare professionals must maintain accurate financial records to ensure compliance and facilitate efficient accounting. Essential records include income and expense invoices, patient billing statements, payroll records, bank statements, and VAT documentation (if applicable). It is also important to retain records related to NHS contracts, private practice income, and professional memberships. Specialist healthcare accountants can guide you on record-keeping best practices and ensure that your documentation meets legal and tax requirements. Maintaining detailed and organised records allows for accurate financial reporting and smoother compliance with HMRC regulations.

 

9. How often should healthcare businesses review their finances?

Regular financial reviews are essential for healthcare businesses to maintain financial health and identify areas for improvement. It is advisable to review your finances quarterly to track income, expenses, and cash flow. Annual reviews are also crucial for tax planning and compliance checks. Healthcare accountants can provide ongoing support by analysing financial performance, highlighting tax-saving opportunities, and offering strategic advice. Routine financial reviews allow healthcare professionals to stay on top of their obligations, plan for future growth, and make informed business decisions.

 

10. What are the common accounting challenges faced by healthcare businesses?

Healthcare businesses often face unique accounting challenges, including managing multiple income streams, navigating complex tax regulations, and ensuring compliance with industry standards. Other challenges include handling NHS pensions, maintaining accurate patient billing records, and managing VAT on medical supplies. Specialist healthcare accountants are equipped to address these challenges by providing tailored solutions and proactive advice. Their expertise helps healthcare businesses overcome financial complexities, reduce errors, and improve overall financial management.

 

11. Are there any risks of poor healthcare accounting?

Poor healthcare accounting poses significant risks, including financial inaccuracies, non-compliance with tax regulations, and potential legal penalties. Inadequate financial management can lead to missed deadlines, incorrect tax filings, and increased tax liabilities. Additionally, poor record-keeping may result in inaccurate financial reporting and cash flow issues. These risks can jeopardise the financial stability and reputation of healthcare businesses. Working with specialist healthcare accountants minimises these risks by ensuring accurate record-keeping, compliance with industry standards, and proactive financial planning.

 

12. How can accountants help avoid these risks?

Accountants for healthcare play a vital role in mitigating financial risks through expert guidance and proactive management. They ensure accurate record-keeping, timely tax filings, and compliance with relevant regulations. By providing tailored tax planning and strategic advice, they help minimise tax liabilities and avoid costly errors. Healthcare accountants also conduct regular financial reviews to identify potential risks and implement corrective measures. Their expertise enables healthcare professionals to navigate complex financial landscapes while safeguarding their business against regulatory and financial risks.

 

13. Why choose Pulse Accountants?

Pulse Accountants is a trusted partner for healthcare professionals seeking expert financial management. We offer specialised healthcare accounting services tailored to meet the unique needs of medical practices, private clinics, and healthcare businesses. Our team understands the complexities of the healthcare sector, from NHS pensions to private practice taxation. With a proactive and client-focused approach, we provide accurate financial reporting, tax planning, and compliance support. Choosing Pulse Accountants means gaining access to industry-specific expertise, personalised service, and reliable financial solutions that help your healthcare business thrive.

 

Frequently Asked Questions

  • Our experts specialise in the healthcare sector, offering tailored solutions such as revenue cycle management, cost containment strategies, and compliance with healthcare-specific regulations to ensure the financial health of your business.
  • We have extensive experience with healthcare accounting standards. Our team will ensure accurate financial reporting, compliance with regulatory requirements and implementation of best practices specific to the healthcare industry.
  • Absolutely. We specialise in healthcare billing and reimbursement optimisation. We'll analyse your revenue cycle, identify opportunities for improvement, implement efficient billing processes, and ensure timely reimbursement to maximise your revenue.
  • We provide comprehensive tax planning and compliance services tailored to the healthcare industry. This includes managing tax obligations, staying within regulations and saving you the hassle of dealing with it yourself.
  • We offer specialised financial planning and consulting services to support your expansion goals in the healthcare sector. From feasibility studies and financial projections to budgeting and financing assistance, our accounting service will provide you with the strategic guidance needed to successfully expand your healthcare business while navigating regulatory requirements.

Still got questions?