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 typically covers the core work a hospital or hospital business needs throughout the year, including bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. We also look after statutory filing obligations and act as a point of contact for tax questions as they arise. The exact mix depends on your structure, size and how much of the day-to-day finance work you want handled for you.
We support private hospitals, independent hospitals, hospital operators and hospital groups, from smaller organisations with a focused range of services through to larger operations with multiple income streams and substantial staffing and equipment costs. Because their accounting needs vary so much depending on structure and activity, we treat each hospital organisation individually rather than assuming the same approach fits everyone.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The level of pricing reflects the scope of work involved, such as the number of payroll employees, the volume of transactions, whether VAT returns are needed and how much reporting and advisory support you want. We will talk through your requirements before any work begins so the arrangement is clear from the outset.
Yes. Hospital payroll is often one of the largest and most complex costs a hospital business carries, spanning clinical, administrative and support roles, variable hours, overtime and different contractual arrangements. We can manage the payroll process end to end, including payslips, real-time reporting to HMRC, pension obligations and the year-end requirements that follow, while making sure the payroll figures feed accurately into your management accounts and annual accounts.
VAT for hospitals is rarely a simple yes-or-no question. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different services and transactions can be treated differently. We review what your hospital actually provides and how it is structured, then advise on the VAT position that applies to you and how to keep records and returns accurate and consistent.
Yes. Medical equipment and other capital expenditure can involve significant outlay and raise questions about how costs should be recorded, financed, depreciated and treated for tax purposes. We help hospital businesses keep capital spending properly reflected in their accounts and reporting, and think through how major purchases affect cash flow and budgeting over the longer term.
Yes, switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the records and information needed, review your current position, and make sure your bookkeeping, payroll and reporting continue without interruption. Many hospital businesses use a change of accountant as a natural point to tidy up their records and get clearer reporting in place.
The first step is a conversation about your hospital or hospital business, what you need help with and where things currently stand. From there we outline the services that fit your circumstances, agree a fixed transparent package, and set up the records and reporting so the work can begin properly. If you are transferring from another accountant, we will guide you through that process as part of getting started.
