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 typical work includes bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. We also provide tax support, including Corporation Tax where it applies and VAT support where relevant. Many hospital clients want a mix of compliance work and management information they can use to make decisions, so we build the scope around your structure, income streams and operating costs.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running day-case, diagnostic or specialist treatment facilities. Their accounting requirements differ widely depending on how they are set up, the services they deliver, how many staff they employ, the premises and equipment they hold and how their income is generated. If you are unsure whether your organisation fits, it is worth a conversation, because the underlying accounting and tax questions are usually similar in shape even when the detail differs.
We prefer fixed, transparent packages rather than hourly billing, so you know what you are paying for and there are no hidden fees. The fee reflects the work involved, which in turn depends on factors such as the size of the hospital, the number of staff on payroll, the number of income streams, the volume of transactions and whether you need management accounts or just annual compliance. We will talk through your circumstances first and set out a clear scope and price before any work begins.
Yes. Payroll is one of the largest and most sensitive cost areas for any hospital, covering clinical staff, administrative teams, support roles and often a mix of full-time, part-time and variable-hours arrangements. We can manage payroll processing, payslips, deductions and the associated reporting, and we can help you understand how staffing costs affect your margins and cash flow across the year. Accurate payroll records also feed directly into your annual accounts and management reporting.
VAT treatment for hospitals is not a simple yes or no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams within the same hospital can be treated differently. Some supplies may be exempt while others are standard-rated or subject to another treatment entirely, and it is not safe to assume that NHS hospitals and private hospitals are treated identically. We review your activities and income streams so VAT is handled correctly rather than assumed.
Medical equipment and other capital expenditure can be significant for hospitals, and how these costs are recorded affects your accounts, your tax position and your cash flow planning. We look at what has been purchased, how it will be used and how it should be treated, then reflect it properly in your financial reporting. Where capital spending is planned, we can also help you think through the cash flow implications and how the investment fits into your wider budgets.
Yes, switching accountants is usually far less disruptive than hospitals expect. We will review your current accounting and tax position, agree what needs to be transferred and liaise with your existing accountant where necessary so the handover is clean and nothing important is missed. Once everything is in place, we pick up the ongoing bookkeeping, payroll, reporting and compliance work and keep you updated as the transition progresses.
The simplest route is to get in touch and tell us about your hospital or hospital business, including how it is structured, how it earns income and what accounting support you currently have in place. From there we will review your position, highlight anything that needs attention and explain how we would work with you going forward. You will have a clear picture of the scope and the fee before committing to anything.
