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.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses based in or operating across Northants. That includes organisations funded through patient fees, private medical insurers, contracted work or a mixture of income streams. Because each hospital is structured and funded differently, we look at your specific arrangements rather than applying a one-size-fits-all approach.
Support is tailored to your hospital, but typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, and tax and VAT support where it applies. We can also help with the detail behind your numbers, such as tracking staff costs, medical equipment spend, premises costs, supplier payments and income from different sources. The exact scope is agreed with you based on what your hospital actually needs.
We work on fixed, transparent packages so you know what you are paying for and there are no hidden fees. The cost depends on factors such as the size and structure of your hospital, the number of staff on payroll, how many transactions you process, the level of reporting you need and whether VAT or Corporation Tax support is involved. We will talk through your requirements and set out a clear picture of the fees before any work begins.
Yes. Hospital payroll often involves a mix of clinical and non-clinical roles, varied hours, shift patterns, overtime and a range of contract types, which makes accuracy and timeliness important. We can handle payroll processing, payslips, deductions and the related reporting so your team is paid correctly and your records stay up to date. This also helps keep your staff cost reporting reliable for budgeting and management accounts.
It depends on your organisation and circumstances. Corporation Tax may be relevant depending on how your hospital business is structured and how it generates income, and factors such as capital expenditure on medical equipment, premises costs and allowable expenses can all affect the position. VAT treatment also varies depending on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of assuming everything is exempt or everything is taxable. We look at your situation in detail and explain what applies to you.
Yes, and it is often one of the most valuable areas of support. Hospitals typically carry significant fixed costs such as payroll, premises, equipment and supplier commitments, while income can arrive on uneven billing cycles. We help build budgets, forecast cash flow and model the impact of equipment purchases or expansion plans, so you can plan ahead with a clearer view of what is coming in and going out.
It helps to have your bookkeeping records, bank and payment data, payroll information, supplier and income records, details of any equipment or capital purchases, and any relevant tax correspondence. If your records are incomplete or behind, that is not a barrier, as we can help bring them up to date first. Once we have what we need, we prepare accounts that reflect your hospital's activity and structure properly.
It starts with a conversation about your hospital or hospital business, how it is structured and what you need from an accountant. We then review your current accounting and tax position and set out how we can help, along with a clear indication of fees. If you are switching accountants, we can manage the handover from your existing adviser as part of getting things set up.
