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 it commonly covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow support, financial reporting, and tax help such as Corporation Tax and VAT where relevant. For hospitals specifically, we also look at how staff costs, medical equipment, premises, supplier payments and different income streams are recorded and reported, so the figures genuinely reflect how the business is performing.
We work with hospitals and hospital businesses in Longridge, including private hospitals, independent hospitals, hospital operators and hospital groups. The right approach depends on your legal structure, the services you provide, how many sites you operate and how your income and costs are arranged. If you are unsure whether your organisation fits, it is worth a conversation to establish whether our hospital-focused accounting support is a good match.
We work on fixed, transparent packages rather than open-ended hourly billing wherever possible, so you know what you are paying for and there are no hidden fees. The exact scope depends on factors such as the number of sites, payroll size, transaction volumes, reporting requirements and the level of tax and VAT support needed. We will discuss your requirements and confirm the scope and cost in writing before any work begins.
Your accounts and tax work are prepared by people who deal with hospital and business accounting requirements regularly, and the work is reviewed before it goes anywhere. We keep up to date with UK accounting standards, Corporation Tax rules and VAT guidance, and we are happy to answer Companies House and HMRC correspondence on your behalf where that forms part of the agreed service. If your hospital has particular compliance obligations because of its structure or sector, we will flag them clearly.
There is no single answer, because VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies a hospital makes or receives may be treated differently from others, and mixed activity can complicate matters further. We review what your hospital actually does and explain how VAT is likely to apply, along with any records or reporting you need to keep in order.
Yes. Hospital payroll tends to be complex, with a mix of roles, shift patterns, overtime, enhancements and varying contract types, and it is usually one of the largest costs the business carries. We can run payroll on an ongoing basis, handle PAYE and pension-related reporting, and make sure the payroll figures feed into your management accounts so staffing costs are visible alongside the rest of your expenditure.
Yes. Hospitals often commit to significant capital expenditure on medical equipment, facilities and premises, and those decisions need to be planned against realistic cash flow projections rather than handled reactively. We can help build budgets and forecasts that reflect your income patterns and cost base, and explain how a major purchase may affect your accounts, tax position and available cash. That gives you a clearer basis for deciding when and how to invest.
Getting started is straightforward. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then set out how we would support you going forward. If you are switching from another accountant, that can normally be done at any point in the year, and we will handle the handover of records and professional clearance so the transition is smooth and nothing is missed.
