--- title: Healthcare Accounting | Accounted description: Accounting for healthcare businesses. --- [Skip to content](https://www.accountedltd.com/industries/healthcare-accounting#main-content) [![accounted copy(1)](https://www.accountedltd.com/hs-fs/hubfs/accounted%20copy(1).png?width=198&height=35&name=accounted%20copy(1).png "accounted copy(1)")](https://www.accountedltd.com/?hsLang=en) - Industries [Healthcare](https://www.accountedltd.com/industries/healthcare-accounting) [Beauty](https://www.accountedltd.com/industries/beauty-accounting?hsLang=en) [Professional Services](https://www.accountedltd.com/industries/professional-services-accounting?hsLang=en) [Startup Tech](https://www.accountedltd.com/industries/startup-tech-accounting?hsLang=en) [E-commerce](https://www.accountedltd.com/industries/ecommerce-accounting?hsLang=en) [Construction Trades](https://www.accountedltd.com/industries/construction-trades-accounting?hsLang=en) [Property](https://www.accountedltd.com/industries/property-accounting?hsLang=en) [Charity & CIC](https://www.accountedltd.com/industries/charity-cic-accounting?hsLang=en) - Services [Bookkeeping](https://www.accountedltd.com/services/bookkeeping?hsLang=en) [VAT Returns](https://www.accountedltd.com/services/vat-returns?hsLang=en) [Management Accounts](https://www.accountedltd.com/services/management-accounts?hsLang=en) [Payroll](https://www.accountedltd.com/services/payroll-services?hsLang=en) [Company Formation](https://www.accountedltd.com/services/company-formation?hsLang=en) [Annual Accounts](https://www.accountedltd.com/services/annual-accounts?hsLang=en) [Business Consulting](https://www.accountedltd.com/services/business-consulting?hsLang=en) [CFO Advisory](https://www.accountedltd.com/services/cfo-advisory?hsLang=en) [Self-Assessment Tax Returns](https://www.accountedltd.com/services/self-assessment-tax-returns?hsLang=en) - [About](https://www.accountedltd.com/about?hsLang=en) - [Contact](https://www.accountedltd.com/contact-us?hsLang=en) - Resources [Blog](https://www.accountedltd.com/blog?hsLang=en) - Academy [Account-ED Academy](https://www.accountedltd.com/academy?hsLang=en) [Account-ED Community](https://www.accountedltd.com/academy/community?hsLang=en) [Summer Internships](https://www.accountedltd.com/academy/summer-internships?hsLang=en) [Mentorship](https://www.accountedltd.com/academy/mentorship?hsLang=en) [Schools](https://www.accountedltd.com/academy/schools?hsLang=en) [Courses](https://www.accountedltd.com/academy/courses?hsLang=en) - [Book a Free Consultation](https://31oo85xkgla.typeform.com/to/EdwZPQAo) - [Client Login](https://manager.brightsg.com/signin) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. # Accounting for Healthcare Professionals   We handle VAT, mixed income and healthcare compliance so you can focus on your patients.  \\   - [Book Your Free Consultation](https://31oo85xkgla.typeform.com/to/EdwZPQAo) #### Our Partners - ![logo\_11](https://www.accountedltd.com/hs-fs/hubfs/logo_11.png?width=260&name=logo_11.png "logo_11") - ![logo\_10](https://www.accountedltd.com/hs-fs/hubfs/logo_10.png?width=260&name=logo_10.png "logo_10") - ![logo\_8](https://www.accountedltd.com/hs-fs/hubfs/logo_8.png?width=260&name=logo_8.png "logo_8") - ![logo\_7](https://www.accountedltd.com/hs-fs/hubfs/logo_7.png?width=260&name=logo_7.png "logo_7") - ![logo\_2 (2)](https://www.accountedltd.com/hs-fs/hubfs/logo_2%20(2).png?width=380&name=logo_2%20(2).png "logo_2 (2)") - ![logo\_9-1](https://www.accountedltd.com/hs-fs/hubfs/logo_9-1.png?width=320&name=logo_9-1.png "logo_9-1") - ![logo\_12-1](https://www.accountedltd.com/hs-fs/hubfs/logo_12-1.png?width=320&name=logo_12-1.png "logo_12-1") ## Why work with Accounted? We’re not just your accountants, we operate like part of your team. - Your own dedicated accountant - Monthly check-ins - Unlimited questions - Proactive support, not reactive - Total clarity on your numbers - Free consultation included ## Healthcare Finance Requires Specialist Knowledge   Is that Botox® treatment VAT exempt or taxable? How do you handle locum payments? What about mixing NHS, private, and aesthetic income streams?  Healthcare finances are complex: mixed income, late payments, staffing structures, and strict compliance pressures. We handle all of it for you. You get a dedicated healthcare accountant who understands your model, meets with you monthly, and supports you with clarity, compliance and confidence. **Free consultation included.** ## Specialist Accounting Support for Healthcare Professionals & Medical Practices ![book-open](https://www.accountedltd.com/hubfs/book-open.svg) ###### Specialist Healthcare Bookkeeping Expert bookkeeping and VAT advice tailored for healthcare professionals and aesthetic practitioners ![percent](https://www.accountedltd.com/hubfs/percent.svg) ###### VAT Guidance & Registration Clear guidance on VAT thresholds, partial exemption, and treatment-by-treatment categorisation ![users](https://www.accountedltd.com/hubfs/users.svg) ###### Clinical Payroll Management Complete payroll setup for nurses, aestheticians, admin staff, and multiple contractors ![database](https://www.accountedltd.com/hubfs/database.svg) ###### Dual Revenue Tracking Digital systems that track and separate medical and cosmetic revenue streams for accurate reporting ![trending-up](https://www.accountedltd.com/hubfs/trending-up.svg) ###### Tax Planning for Clinicians Financial forecasting and tax planning specifically for practice owners and self-employed clinicians ![briefcase](https://www.accountedltd.com/hubfs/briefcase.svg) ###### Structure Advisory Support transitioning from self-employment to limited company structures when appropriate ## What our customers are saying ![quote (1)](https://www.accountedltd.com/hubfs/quote%20(1).svg) Been with accounted for 4 years now and couldn't ask for better accountants. They are so professional, friendly and provide all services in a timely manner. Thank you for always going above and beyond! ![review](https://www.accountedltd.com/hs-fs/hubfs/unnamed.png?width=144&height=144&name=unnamed.png) Busola B. ![quote (1)](https://www.accountedltd.com/hubfs/quote%20(1).svg) Owning a business I have struggled with doing my own accounts. Accounted LTD have literally taken the burden off my shoulders and I will continue to use their services. ![unnamed (1)](https://www.accountedltd.com/hs-fs/hubfs/unnamed%20(1).png?width=120&height=120&name=unnamed%20(1).png) Imi Adedapo ![quote (1)](https://www.accountedltd.com/hubfs/quote%20(1).svg) My consultation with them was very insightful and clear - would 100% recommend to any SME, they are very professional!   ![unnamed (2)](https://www.accountedltd.com/hs-fs/hubfs/unnamed%20(2).png?width=144&height=144&name=unnamed%20(2).png) Grace Kamara ![quote (1)](https://www.accountedltd.com/hubfs/quote%20(1).svg) Accounted has helped me so much and has made my accounting back-end management much easier! Would 100% recommend to any SME that needs support.     ![Untitled design (37)](https://www.accountedltd.com/hs-fs/hubfs/Untitled%20design%20(37).png?width=500&height=500&name=Untitled%20design%20(37).png) Barbara A. ## Frequently Asked Questions What are you looking for? - ### Do aesthetic practitioners need to charge VAT? It depends on the treatment type. Purely cosmetic procedures are subject to VAT, whilst medical treatments for therapeutic purposes may be exempt. - ### Can you help determine which treatments are VAT exempt? Yes - we review each service you offer and provide clear guidance on correct VAT categorisation for HMRC compliance. - ### Do I need to pay VAT on Botox or fillers? In most cases, yes - unless a qualified medical practitioner administers them for therapeutic purposes. - ### Do I need to register my aesthetics clinic as a company? We'll review your income, liabilities, and growth plans to recommend the most tax-efficient structure. - ### Can I claim products used for treatments as expenses? Yes - any products directly used in client treatments are deductible business expenses. - ### How do I manage both medical and cosmetic income streams? We implement systems that track and separate each revenue source for accurate VAT reporting. - ### Can you handle payroll for my nurses, aestheticians, and admin staff? Yes - we offer complete payroll management with full HMRC compliance. - ### Can you support locum doctors and self-employed clinicians? Yes - we provide tax planning, quarterly returns, and CIS support where applicable. - ### Do you help with NHS pension reconciliations? Yes - we manage deductions, reconciliations, and submissions. - ### Can you prepare annual accounts and self-assessments? Yes - we handle full compliance and provide clear financial summaries for both clinics and individual practitioners. Can't find what you are looking for? [We would like to chat with you.](https://www.accountedltd.com/contact-us?hsLang=en) ## Related Services ### Bookkeeping Services Keep your finances organised with accurate, real-time bookkeeping. We record every transaction, reconcile your accounts weekly, and keep you HMRC-compliant so you can focus on running your business. [Read more](https://www.accountedltd.com/services/bookkeeping?hsLang=en) ### VAT Returns Stay compliant with HMRC’s Making Tax Digital rules. Our VAT specialists prepare, review, and submit your VAT returns accurately and on time — preventing costly penalties and overpayments. [Read more](https://www.accountedltd.com/services/vat-returns?hsLang=en) ### Payroll Services Simplify payroll and pay your team correctly, every time. We handle payslips, HMRC submissions, and pensions, ensuring compliance, accuracy, and complete peace of mind. [Read more](https://www.accountedltd.com/services/payroll-services?hsLang=en) ## Stop second-guessing your VAT obligations Healthcare professionals deal with some of the most complex VAT rules in any industry. One mistake can mean penalties, audits, or leaving money on the table. Get specialist accounting that understands medical and aesthetic businesses inside out. Book your free consultation today. 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