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 depends on what your hospital or hospital business needs, but the core usually covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support. Many hospitals also want help with Corporation Tax where it applies, wider tax support and VAT support where relevant, particularly where income comes from several different streams. We can handle as much or as little as you need, so the service fits the way your organisation already works.
We work with hospital businesses such as private hospitals, independent hospitals, hospital operators and hospital groups. Their accounting requirements differ depending on structure, size, services provided, staffing arrangements, premises, equipment costs and the mix of income they receive. Because of that, we take the time to understand your setup before recommending how your accounting and tax support should be put together.
We use fixed, transparent packages based on the work your hospital actually needs, so there are no hidden fees or vague hourly billing surprises. The scope depends on factors such as transaction volumes, the number of staff on payroll, reporting requirements and whether you need additional tax or VAT support. We will talk through the scope with you first and confirm the fee before any work begins.
Our work is carried out by accountants who follow recognised UK accounting standards and keep up to date with current HMRC requirements and reporting rules. We can talk you through our professional background, the standards we work to and how compliance is managed on an ongoing basis when you get in touch. If your hospital has particular reporting obligations or internal requirements, we can factor those into the service.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently. We review your position in detail and help you apply the rules correctly, rather than assuming everything is exempt or everything is taxable.
Yes. Payroll is one of the most significant costs for most hospitals, and it often involves a mix of full-time staff, part-time staff, bank or locum arrangements and varying shift patterns. We can manage the payroll process, handle the associated reporting and deductions, and make sure the numbers flow through correctly into your management accounts and annual accounts.
We can support hospital groups, operators and organisations with more than one location or several income streams, where the reporting and tax position becomes more involved. Management accounts can be structured so you can see how each part of the business is performing, while cash flow, budgeting and financial reporting pull everything together. Corporation Tax and VAT considerations are also reviewed in light of the wider group structure.
Getting started is straightforward. We begin with a conversation about your hospital, your current accounting arrangements and what you would like to improve, then review your existing records and requirements. If you are switching from another accountant, we can liaise with them directly to obtain the information we need, so the transition is handled with minimal disruption to your day-to-day operations.
