Accountants for Private Hospitals, Clinics & Care Homes
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Management accounts by department, site or service line, ready for the board pack each month.
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Clear pricing agreed up front, so you get full expert service with no hidden extras.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our accountants handle everything. Switching partway through the year is straightforward, and we deal with your old accountant for you:
Tell us about your hospital and current accounting requirements.
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 financial work hospitals typically need throughout the year. That includes bookkeeping and record keeping, payroll for clinical and non-clinical staff, annual accounts preparation, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax returns and VAT where they apply to your organisation. Because hospital businesses vary so much, the exact mix depends on your structure, the number of sites you operate, how many people you employ and how your income streams are arranged. We agree the scope with you up front so you know what is being looked after.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and similar hospital businesses, including organisations running more than one site or a mix of services. Some are companies, some operate through different structures, and each brings its own accounting and tax considerations around income, staffing, equipment and premises. The common thread is that they all need accounts prepared with an understanding of how hospital operations work rather than a generic service that treats them like any other business.
Pricing is based on fixed, transparent packages rather than hourly billing that leaves you guessing. We look at the size and structure of your hospital or hospital business, the volume of transactions, the number of staff you pay, how many income streams you manage, and the level of support you need — whether that is core compliance, regular management accounts, or a more hands-on arrangement. Once that is clear, you receive a clear fee structure with no hidden extras, so you can budget for your accounting costs in the same way you budget for other operating expenses.
Yes. Payroll is one of the biggest and most complicated costs for most hospitals, particularly where you have clinical and non-clinical teams on different contracts, variable hours, shift patterns, overtime and enhancements. We can handle the payroll process end to end, including calculating pay, dealing with deductions, managing pension contributions and auto-enrolment duties, and producing the reporting that payroll generates. Keeping payroll accurate matters not just for staff morale but for your management accounts, because staffing is usually the largest single line in a hospital's cost base.
VAT treatment for hospitals is not a single answer. It depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances — some healthcare-related supplies may be exempt, while others can be standard-rated, and many hospital businesses have a mix of both. Where there is a combination of exempt and taxable income, partial exemption rules can come into play and affect how much input VAT you can recover. We review your particular arrangements and advise on how to record and report them properly, rather than assuming one blanket rule applies to everything you do.
Yes. Medical equipment and other capital expenditure can put significant strain on cash flow, especially when replacement or expansion is planned. We can help you build budgets and forecasts that account for large one-off costs, finance arrangements, leases and depreciation, alongside your regular commitments such as payroll, premises and supplier payments. Having that forward view makes it easier to plan purchases sensibly, understand the impact on your finances and avoid being caught short when a significant payment falls due.
Compliance is treated as an ongoing process rather than a scramble before a deadline. Your accounts are prepared to professional accounting standards, HMRC and Companies House deadlines are tracked throughout the year, and records are kept in a format that supports Making Tax Digital requirements. Corporation Tax returns and annual accounts are filed on time where they apply, and we flag changes in rules or reporting expectations that could affect your hospital or hospital group. That way you are not relying on memory or last-minute reminders to stay compliant.
Getting started is usually simpler than people expect. An initial conversation is enough for us to understand your hospital or hospital business, what you need and where you currently stand, with no obligation to proceed. If you decide to move forward, we can handle the handover with your existing accountant, obtain the records and information required, and make sure nothing slips in the meantime — including any deadlines already on the horizon. You can then move into a clear, ongoing arrangement without disrupting your reporting or your relationship with HMRC.
