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 core of the service covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning, financial reporting and tax support, including Corporation Tax where it applies and VAT support where relevant. Because hospitals vary so much in size and structure, we agree the scope with you up front so the service matches your operations, whether that means supporting a single-site private hospital or a hospital group with several entities. Where you need additional reporting, such as information for lenders, investors or internal management, that can be factored into the arrangement.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses delivering a range of inpatient, outpatient and diagnostic services. Our work is focused on hospitals rather than general healthcare providers, which means we are used to the cost structures and income patterns that come with running a hospital. We do not act for NHS Trusts, NHS Foundation Trusts or other public-sector organisations.
We prefer to agree a fixed, transparent fee before work begins, based on the scope and complexity of what you need rather than an open-ended hourly arrangement. Pricing reflects factors such as the number of entities, transaction volumes, payroll headcount, the level of management reporting required and whether VAT or Corporation Tax support is involved. There are no hidden fees, and we will always discuss any change in scope with you before it affects what you pay.
Yes. Hospital payroll is often one of the largest cost lines and typically involves a mix of clinical, administrative, facilities and support staff, sometimes with complex shift patterns, overtime and varying pay rates. We handle payroll processing, deductions, pension contributions and the associated reporting, and we can link this to your management accounts so staff costs are visible and controllable throughout the year rather than only becoming clear at year end.
VAT for hospitals is rarely a simple, uniform picture. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some income may be treated differently from other income, and costs can be affected accordingly. We review your income streams and expenditure in context and help you understand how VAT applies to your situation, rather than assuming a single rule covers everything.
Medical equipment, premises works and other capital projects can place significant demands on cash, particularly when payments go out well before the related income arrives. We help by maintaining accurate, current records, preparing management accounts that show where money is going, and building cash flow forecasts that take planned expenditure and known commitments into account. That makes it easier to time purchases, manage supplier payments and plan ahead with a clearer view of your position.
We prepare annual accounts and the supporting financial reporting for hospital businesses, and we deal with Corporation Tax where it applies to the entity in question. This includes making sure income and expenditure are treated correctly, that reliefs and allowances relevant to your circumstances are considered, and that filings are made on time. If your hospital operates through more than one company, we can coordinate the reporting across the group.
Switching is usually more straightforward than people expect. We ask for basic information about your hospital business, review your current accounting and tax position, and then liaise with your existing accountant to obtain the records and information we need. Once everything is in place, we agree the scope and level of ongoing support and take it from there, keeping disruption to your operations to a minimum.
