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Limited Company Accounts & Corporation Tax for Private Ambulance Services
Limited Company Accounts & Corporation Tax for private ambulance services. Director duties? We fix it: fixed fees, ICAEW-regulated specialists. Free quote.
What does limited company accounts & corporation tax for private ambulance services involve?
Our limited company accounts & corporation tax service for private ambulance services covers statutory accounts, cT600, director salary/dividend plan. It solves the problems we see most often — private ambulance services: Director duties, Companies House deadlines, extracting profit tax-efficiently — on a fixed monthly fee agreed in writing before any work starts.
Fixed fees, specialist healthcare accountants, and every HMRC and NHS Pensions deadline handled.
- Fixed monthly fee — no surprises
- Specialist in NHS pension and healthcare tax
- Onboarding within 48 hours
- ICAEW & ACCA regulated
- 5,000+ clients served by ACCOTAX
- Specialist healthcare accountants
Reviewed by Waqas Sagar ACA FCCA FMAAT, Founder of ACCOTAX, 18+ years' experience · Last reviewed: 8 October 2026 · Updated for the 2026/27 tax year
Medical.Accountants by ACCOTAX, ICAEW/ACCA-regulated chartered accountants, London, serving clients across the UK. Over 5,000 clients served.
Key takeaways
- Problems solved: Private ambulance services: Director duties, Companies House deadlines, extracting profit tax-efficiently.
- Included: Statutory accounts.
- Included: CT600.
- Included: director salary/dividend plan.
Which accountancy support fits your income?
Start with how you are paid. Different income sources can need different accounts, returns and expense checks.
| How you work | What we check | Support to explore |
|---|---|---|
| Employed or umbrella (PAYE) | Tax codes, eligible employment expenses and whether a tax return is needed. | Healthcare tax refund support |
| Genuinely self-employed | Business income and expenses, Self Assessment and MTD eligibility. | Healthcare Self Assessment service |
| Your own limited company | Company accounts, Corporation Tax, director income and off-payroll status where relevant. | Healthcare limited company accounts |
| Partnership | Practice accounts, allocated profit and each partner’s personal tax position. | Healthcare partnership accounts |
Sound familiar?
Problems we fix for healthcare businesses
- "I'm unsure which of our services are medical and which are cosmetic for VAT."
- "Are our clinicians employees, contractors or inside IR35?"
- "Fleet and equipment costs are eating our profit."
- "Invoice finance is managing our cash flow, not us."
- "We may qualify for R&D relief or SEIS/EIS."
- "Investors want proper management accounts."
What it's costing you
Leaving it unfixed is rarely free
- Overpaid tax
- Unclaimed expenses and wrong tax codes mean paying more than you owe, year after year.
- HMRC penalties and interest
- Late returns attract automatic penalties, plus interest on tax paid late.
- Lost evenings
- Hours spent on forms, invoices and spreadsheets after a long shift.
General examples — your position depends on your own figures.
How we solve it
What we actually do for you
VAT and status review
VAT treatment and clinician status checked together.
Capital allowances
Relief claimed on vehicles and equipment.
R&D claims
Claims prepared where your work qualifies.
Management accounts
Monthly numbers investors and lenders trust.
How we help
Statutory accounts
Part of our limited company accounts & corporation tax service for private ambulance services, delivered on a fixed fee.
CT600
Part of our limited company accounts & corporation tax service for private ambulance services, delivered on a fixed fee.
director salary/dividend plan
Part of our limited company accounts & corporation tax service for private ambulance services, delivered on a fixed fee.
confirmation statement
Part of our limited company accounts & corporation tax service for private ambulance services, delivered on a fixed fee.
Your questions answered
What accounts must a limited company file?
A limited company can suit private ambulance services with substantial private or outside-IR35 income that is not all needed to live on, because profit is taxed at corporation tax rates and can be paid out over time. It brings extra accounts, payroll and filing costs, and NHS employment income cannot move into it. We model sole trader against limited company on your real figures first.
Want us to check this for you? Get a free review →When are Companies House and HMRC deadlines?
Many private ambulance services must file a Self Assessment return: you need one if you have untaxed income such as private, locum or self-employed work. A high PAYE salary alone does not require Self Assessment for 2026/27; check HMRC's current criteria and any notice to file. The online filing and payment deadline is 31 January after the tax year ends. Under the non-MTD rules, late filing normally triggers an initial £100 penalty, with further penalties for longer delays. A different regime applies from the tax year you join MTD for Income Tax.
Want us to check this for you? Get a free review →What is a CT600?
A CT600 is the corporation tax return that limited companies must submit to HMRC annually. It reports your company's income, expenses, and tax liability. The filing deadline is 12 months after the end of the accounting period it covers. Medical.Accountants prepares these returns as part of our comprehensive company service.
Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →How much corporation tax will my company pay?
For eligible companies, the small profits rate is 19% and the main rate is 25%, with marginal relief between £50,000 and £250,000. These thresholds are reduced for short accounting periods and associated companies. Some companies are excluded from the small profits rate. We calculate the liability using taxable profits and your company’s circumstances.
Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →How should I pay myself from my company?
Company directors typically receive a combination of a tax-efficient salary and dividends. The dividend allowance is £500 for the tax year. The personal allowance of £12,570 is available but begins to taper away once income exceeds £100,000. We provide bespoke advice to ensure your remuneration strategy is compliant.
Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →What is a confirmation statement?
A confirmation statement is a document that verifies your company's legal details are up to date at Companies House. It must be filed at least every 12 months. It confirms information such as directors, shareholders, and the registered office address. Medical.Accountants manages these filings to ensure your company remains compliant.
Check the official guidance · www.gov.ukWant us to check this for you? Get a free review →What happens if accounts are filed late?
Late filing of accounts or tax returns results in automatic financial penalties. For individuals, an initial £100 penalty applies for missing the 31 January Self Assessment deadline. Companies House also imposes tiered fines for late statutory accounts. We monitor your deadlines closely to help you avoid these unnecessary costs.
Want us to check this for you? Get a free review →Can I do my own company accounts?
While you can legally prepare your own accounts, they must comply with complex UK accounting standards. Most medical professionals prefer to instruct specialist accountants to ensure accuracy and compliance. Medical.Accountants provides a remote service to handle these technical requirements for you. Our fees are agreed in writing beforehand.
Want us to check this for you? Get a free review →Are medical services VAT exempt in the UK?
Most health care by registered professionals is VAT exempt where the main purpose is protecting or restoring health, so many clinicians never register. VAT becomes relevant when you sell goods, provide cosmetic or medicolegal services, or exceed the registration threshold with taxable income. HMRC Notice 701/57 gives the official guidance.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Private Ambulance Services
Want us to check this for you? Get a free review →When must a healthcare business register for VAT?
Welfare services such as residential and domiciliary care are VAT exempt when supplied by a provider regulated by the relevant state regulator, such as CQC in England or Ofsted for children's homes. Unregulated elements, introductory agency fees and some supported living services can be standard-rated. HMRC Notice 701/2 explains the conditions.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Private Ambulance Services
Want us to check this for you? Get a free review →Which healthcare services are standard-rated for VAT?
Welfare services such as residential and domiciliary care are VAT exempt when supplied by a provider regulated by the relevant state regulator, such as CQC in England or Ofsted for children's homes. Unregulated elements, introductory agency fees and some supported living services can be standard-rated. HMRC Notice 701/2 explains the conditions.
Check the official guidance · www.gov.ukHelp with this question: VAT Registration & Returns for Private Ambulance Services
Want us to check this for you? Get a free review →How long does company formation take?
Companies House says online incorporation is usually completed within 24 hours, but checks or missing information can cause delays. Directors may need to verify their identity before applying. Incorporation does not complete all banking, tax or professional registrations. Confirm the structure, application requirements and expected timetable before committing to trading dates.
Want us to check this for you? Get a free review →What registrations are needed after incorporating?
Following incorporation, you must register for corporation tax and set up a PAYE scheme for any salaries. You may also need to register for VAT if your taxable turnover exceeds £90,000. Medical.Accountants handles these registrations on your behalf. We ensure your business is correctly set up with HMRC from the outset.
Want us to check this for you? Get a free review →Can I transfer my existing work into a company?
It is often possible to transfer a private practice or locum business into a limited company structure. This process requires careful planning regarding assets, contracts, and tax implications. Medical.Accountants can review your current setup to determine the most appropriate transition strategy. We provide clear guidance on the professional requirements involved.
Want us to check this for you? Get a free review →Quick quote
See what you could save — get a fixed fee in one working day
Three fields. No obligation. A specialist replies, not a sales team.
Packages for your working life
Accountancy packages for healthcare professionals
Self-employed income, a limited company, PAYE or a mixture: start with the support that matches how you actually work. We check your status and agree the scope and fee before starting.
Self-employed accountants for healthcare professionals packages
For genuine sole-trader income. We prepare your business accounts and Self Assessment, review allowable expenses and explain payments on account.
- Sole-trader accounts and personal tax return
- Allowable business expenses reviewed
- Tax reserve and payment deadline guidance
- MTD support scoped separately where required
Fixed fee quoted after a review
Discuss this packageLimited company accountants for healthcare professionals packages
For clinicians working through their own company. Choose Essential/Compliance, Core/Complete or Growth according to your accounts, bookkeeping and payroll needs.
- Statutory accounts and Corporation Tax return
- One director return for salary and dividends from the same company
- Confirmation statement support; filing fee extra
- Bookkeeping, VAT and payroll according to your chosen plan
Company packages from £45.83 + VAT / month
Compare company packagesPersonal tax return packages for healthcare professionals
For employed clinicians, partners and people with mixed income who need a return. We check whether Self Assessment is required and reconcile the relevant income, expenses and pension tax information.
- Self Assessment requirement checked
- PAYE and other income reconciled
- Eligible employment expenses reviewed
- Pension tax work agreed separately where needed
Fixed fee quoted after a review
Discuss this packageEmployment status is determined by the facts, not the package you choose. PAYE, umbrella and partnership arrangements may also apply. A limited company does not override IR35 or off-payroll rules, and not every employed clinician needs a tax return.
Overpaid tax?
Tax refund support for healthcare professionals
We review tax codes, eligible professional expenses and overpaid tax, then prepare a claim where you qualify. A refund is not guaranteed; HMRC decides the claim.
£249 + VAT
For refunds up to £5,000, our fee is £249 plus VAT. For refunds above £5,000, add 5% of only the amount above £5,000 to the £249 fee. VAT applies to the total professional fee.
Example: a £6,000 refund means £249 + £50 = £299 plus VAT.
Professional fee, excluding VAT
£249
This illustrates the fee only, not whether you qualify or how much HMRC will refund. We agree the claim scope and payment terms before work starts.
What's included
Limited company packages — compare what's included
Essential/Compliance
For locums, salaried GPs and dentists with a limited company
from £45.83 + VAT /month
- FRS 105 or FRS 102 1A statutory accounts
- Corporation tax return (CT600) and tax computation
- Confirmation statement preparation and filing support
- One director Self Assessment return
- Deadline reminders ahead of every filing date
Core/Complete
For private practice, consultants and associate dentists
from £62.50 + VAT /month
- Everything in Essential/Compliance
- Monthly bookkeeping and bank reconciliation
- Quarterly Making Tax Digital VAT returns
- Director payroll with RTI filing and pension submissions
- Quarterly review call on numbers and tax position
Growth
For clinics, dental practices and growing medical teams
from £75.00 + VAT /month
- Everything in Core/Complete
- Payroll for up to five employees
Prices exclude VAT. Making Tax Digital quarterly updates available as an add-on. Compare fees
Why clinicians trust us
Chartered accountants who know the NHS
- ACCOTAX has served over 5,000 clients.
- Regulated chartered accountants (ICAEW and ACCA).
- Founded by Waqas Sagar ACA FCCA FMAAT, with 18+ years' experience.
Reviewed by Waqas Sagar ACA FCCA FMAAT
Chartered accountant and founder of ACCOTAX. Last reviewed October 2026.
Get my fixed-fee quoteHow it works
- 01
Free call
A 15-minute chat about your income, structure and deadlines.
- 02
Onboarding in 48 hours
We set up your records, software and HMRC agent access.
- 03
We handle the rest
HMRC, NHS Pensions and every deadline, with reminders before each one.
Free resource
Get the healthcare business finance checklist free
Tell us where to send it and we'll email it to you.
Your questions, answered
- Do private ambulance services need limited company accounts & corporation tax?
- A limited company can suit private ambulance services with substantial private or outside-IR35 income that is not all needed to live on, because profit is taxed at corporation tax rates and can be paid out over time. It brings extra accounts, payroll and filing costs, and NHS employment income cannot move into it. We model sole trader against limited company on your real figures first.
- What does limited company accounts & corporation tax for private ambulance services include?
- A limited company can suit private ambulance services with substantial private or outside-IR35 income that is not all needed to live on, because profit is taxed at corporation tax rates and can be paid out over time. It brings extra accounts, payroll and filing costs, and NHS employment income cannot move into it. We model sole trader against limited company on your real figures first.
- How much does it cost for private ambulance services?
- Our packages for private ambulance services start at £45.83 + VAT a month, with Core at £62.50 and Growth at £75 + VAT. The right package depends on your income sources, whether you trade through a company and any payroll, VAT or pension work. We confirm the exact fee in writing before any work begins, so there are no surprise invoices.
- What are the deadlines for private ambulance services?
- Most health care by registered professionals is VAT exempt where the main purpose is protecting or restoring health, so many clinicians never register. VAT becomes relevant when you sell goods, provide cosmetic or medicolegal services, or exceed the registration threshold with taxable income. HMRC Notice 701/57 gives the official guidance.
- Can I switch to you mid-year?
- Switching takes minutes on your side. You sign our engagement letter, we contact your previous accountant for professional clearance and records, and we take over HMRC and Companies House authorisations. You can switch mid-year; we pick up from the last filed return.
Speak to a specialist today
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Book a free 15-min tax reviewRelated healthcare expertise
General information for the 2026/27 tax year, prepared from the official guidance linked below. It is not personalised tax or regulated financial advice. Rules and circumstances can change; confirm your position before acting.
Official sources referred to on this page: Companies House filing guidance; HMRC Corporation Tax (GOV.UK); HMRC dividend tax (GOV.UK); HMRC VAT Notice 701/57; HMRC Notice 706 partial exemption; HMRC VAT registration (GOV.UK); HMRC MTD for VAT.
Official guidance
- gov.uk/set-up-limited-company
- gov.uk/guidance/health-professionals-pharmaceutical-products-and-vat-notice-70157
- gov.uk/government/publications/rates-and-allowances-corporation-tax/rates-and-allowances-corporation-tax
- gov.uk/income-tax-rates/income-over-100000
- gov.uk/file-your-confirmation-statement-with-companies-house
- gov.uk/guidance/health-professionals-and-pharmaceutical-products-vat-notice-70157