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.
The service can cover annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow support and financial reporting, along with Corporation Tax where applicable and VAT support where relevant. Because hospitals have staff costs, medical equipment, premises, suppliers, professional services and different income streams, the work is shaped around those realities rather than treated as a standard small business job. You get accurate records, clearer reporting and support with the tax and compliance points that matter to your hospital.
This support is aimed at private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need help with accounting, tax and financial reporting. It can suit different structures and sizes, from a single hospital business to a group with several income streams and cost centres. If you are unsure whether your organisation fits, we can talk through your setup and confirm the type of support that makes sense.
Pricing is usually based on the scope of work your hospital needs, so it reflects factors such as the number of staff, payroll complexity, income streams, transaction volume, VAT requirements and the level of reporting you want. We use fixed, transparent packages where possible, with no hidden fees, and we agree the scope before work begins. That way you know what is included and can plan for the cost with confidence.
We work within UK accounting and tax rules and follow professional standards, with confidentiality and accuracy at the centre of what we do. We do not make blanket claims about qualifications or accreditations, but we do take compliance seriously and will explain the basis of any tax or VAT treatment that applies to your hospital. If you need specific assurances, we can discuss those with you before you appoint us.
Hospitals often need support with payroll, staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments, cash flow, financial reporting and multiple income streams. Depending on the hospital or hospital business, Corporation Tax may apply, and VAT treatment can vary depending on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We help you keep those areas organised and make sure the numbers you rely on are accurate.
Yes, we can support VAT record-keeping and compliance where it is relevant to your hospital. VAT treatment is not the same for every hospital or every supply, because it depends on the nature of what is provided, the activities involved, the organisation's status and the specific circumstances. We can review your position and help you handle VAT in a way that fits your hospital's actual activities.
Getting started usually begins with a conversation about your hospital, how it is structured and what you need from your accounting support. We can then review your current accounting and tax position, agree the scope of work and help with a smooth transition if you are switching from another accountant. From there, we provide ongoing support that keeps your bookkeeping, payroll, reporting and tax obligations on track.
Yes, we can help with the transition if you are moving from another accountant. That typically involves reviewing your existing records, understanding your hospital's accounting and tax position, and agreeing how the handover will work so nothing important is missed. We aim to make the switch straightforward and keep your bookkeeping, payroll and reporting moving without unnecessary disruption.
