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 typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax and VAT where these apply to your organisation. We can take on the full finance function or focus on the areas where you need the most help, depending on whether you already have an internal team. The scope is agreed in advance so you know what is being handled and by whom.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a more specialised focus. Accounting requirements vary considerably across these organisations depending on their legal structure, the services they provide, their staffing levels, their premises and equipment, and the mix of income streams they rely on. We discuss your specific circumstances before recommending an approach, because a hospital group and a single-site independent hospital rarely need the same thing.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect before work begins. The price reflects the size and complexity of your hospital business — things like transaction volumes, payroll headcount, number of income streams and reporting requirements. There are no hidden fees, and if your requirements change, we review the arrangement with you rather than letting costs drift.
Yes. Payroll is one of the most significant costs in a hospital, and it often involves a range of contract types, shift patterns, overtime and varying rates of pay. We manage the payroll process, produce payslips, handle the necessary submissions and keep records tidy, so the numbers feeding into your accounts and management reporting stay accurate. If you already run payroll in-house, we can support and review it instead.
Corporation Tax applies to many hospital businesses depending on how they are structured and how profits are treated, and there are legitimate ways to plan for capital expenditure on medical equipment, premises improvements and similar costs. VAT is often more nuanced than people expect: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should never be assumed either way. We look at your particular situation and explain the position clearly.
That is one of the areas where good accounting support makes the most difference. Hospitals carry substantial ongoing commitments for staff, equipment, premises and suppliers, while income can fluctuate or arrive on different timescales depending on the funding route. We build budgets and cash flow forecasts around your actual cost base and income patterns, so you can plan capital expenditure and manage supplier payments without being caught short. Management accounts are then used to track performance against those plans.
Switching is usually more straightforward than people expect. We ask for the information needed to understand your current position, liaise with your existing accountant where necessary, and take over the bookkeeping, payroll and reporting in an organised way. There is no requirement to change how your hospital business operates — the aim is simply to make sure the financial side is accurate, timely and useful, with as little disruption as possible.
The first step is a conversation about your hospital or hospital business — how it is structured, what you need help with and what is currently working or causing friction. From there, we review your accounting and tax requirements and suggest a practical way forward, including the services that would be most useful and how they would be delivered on an ongoing basis. You can then decide whether to proceed, with no obligation at that stage.
