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 covers the accounting and tax work a hospital or hospital business typically needs, including bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow support, VAT support and Corporation Tax support where it applies to your structure. Because hospitals vary so much, the exact mix depends on your size, how you are set up and whether you operate a single site or several. We agree the scope with you up front so you know what is covered.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide clinical and support services. Their requirements differ considerably depending on their structure, activities, income streams, staffing, premises, medical equipment and supplier arrangements, so we shape the accounting support around those specifics rather than applying a one-size-fits-all approach.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for before the work begins. Pricing reflects the scope involved, such as the number of income streams, payroll volume, reporting frequency and the level of support you need. There are no hidden fees, and if your requirements change during the year we discuss any adjustment with you rather than surprising you with a bill.
We provide professional accounting and tax services and work within the relevant UK rules and regulations that apply to your circumstances. If you have specific compliance requirements, professional body expectations or reporting obligations, we can talk these through with you as part of the initial review so the work is set up correctly from the start.
Common areas include payroll for a varied workforce, capital expenditure on medical equipment and facilities, premises and facilities costs, supplier payments, cash flow timing and reporting across multiple income streams. Corporation Tax may apply depending on how the hospital business is structured, and VAT treatment is rarely as simple as people assume: it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We look at your position individually rather than applying blanket assumptions.
Yes. Payroll is often one of the largest costs in a hospital, so accurate, timely payroll processing matters, including the different pay arrangements you may have across clinical and support roles. Management accounts give you regular visibility over income and expenditure, and cash flow forecasting helps you plan for equipment purchases, facilities costs and quieter trading periods before they put pressure on the business.
Switching is usually more straightforward than people expect. We can review your current position, liaise with your existing accountant where needed and manage the handover of records, deadlines and filings so nothing is missed. If your accounts are already prepared, we pick up from that point; if there is catching up to do, we will tell you honestly what is involved before you commit.
Get in touch and tell us about your hospital or hospital business, including how it is structured, how you earn income and what you need help with. We will review your accounting and tax requirements, explain how we would support you and set out a fixed, transparent package. From there, we put the arrangement in place and take on the work, fitting around your existing systems and processes wherever possible.
