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 work covers the essentials that keep a hospital's finances accurate and up to date: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow planning, and Corporation Tax and VAT support where those apply. Beyond the compliance side, it means having someone who understands hospital cost structures such as staff, equipment, premises and suppliers, and who can explain what the figures mean for the decisions you are making.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services within a hospital setting. Each one has a different structure, income mix and cost base, so the accounting support is shaped around the specific organisation rather than applied from a template. If you are unsure whether your setup is a good fit, a straightforward conversation will usually settle it.
Payroll is one of the largest and most time-sensitive costs for most hospitals, particularly where staff work shifts, rotas change at short notice or the workforce spans clinical, administrative and support roles. We can manage the payroll process, handle PAYE and pension duties, and make sure the figures feeding into your management accounts and budgets are accurate and timely.
We work on fixed, transparent fees agreed in advance, so you know what you are paying for before any work begins. The fee reflects the size and complexity of your hospital, including the volume of transactions, the number of staff on payroll, how many income streams you have and the level of reporting you need. There are no hidden extras, and if your requirements change we will discuss any adjustment with you first.
VAT treatment for hospitals is not a simple yes or no. Whether a supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same hospital can be treated differently. We review your position, help you apply the rules correctly and make sure your VAT records and returns stand up to scrutiny.
Where a hospital operates through a limited company, Corporation Tax will usually apply, and the calculation depends on taxable profits after allowable deductions. Getting the treatment of equipment purchases, capital allowances, staff costs and other expenses right makes a real difference. We prepare the computations and returns, and help you plan ahead so there are no surprises when the liability falls due.
Medical equipment and other capital expenditure can require significant outlay before the returns show up in income, so forward planning matters. We help hospitals build budgets and forecasts that account for equipment purchases, premises costs, supplier terms and the timing of income, and we use management accounts to flag pressure points early rather than after the fact.
Yes, switching accountants is more straightforward than most people expect. Once you decide to move, we can liaise with your existing accountant, obtain the records and professional clearance needed, and pick things up from where they stand. If your accounts are behind or your bookkeeping needs tidying first, we can deal with that as part of getting you onto a clean footing.
