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.
The work covers the accounting and tax tasks a hospital needs to keep its finances accurate and compliant. In practice that means maintaining bookkeeping records, running payroll for clinical and non-clinical staff, preparing management accounts and annual accounts, producing financial reports, and supporting budgeting and cash flow planning. Where they apply, we also help with Corporation Tax, VAT and wider tax matters. Because hospitals typically carry significant staff costs, equipment and premises overheads, and several income streams, the emphasis is on keeping all of that visible and properly recorded rather than treating your accounts as a once-a-year exercise.
Our focus is on hospitals and hospital businesses, including private hospitals, independent hospitals, day-case and specialist hospital providers, hospital operators and hospital groups. The accounting needs of each can differ a great deal depending on whether the organisation is a limited company, a partnership or part of a larger group, and on the mix of services it delivers and how it is funded. We look at structure, activities, income streams, staffing, premises, equipment and operating costs before setting out how your accounts, payroll, tax and reporting should be handled.
Fees are based on fixed, transparent packages rather than hourly billing, so you know what to expect in advance. The amount quoted reflects the actual scope of work involved, such as how many staff are on payroll, how many transactions you process each month, whether you need management accounts, budgeting or VAT support, and how complex your reporting requirements are. There are no hidden fees or surprise invoices, and if your hospital's needs change we will discuss any adjustment openly before it takes effect.
Yes. Bookkeeping and payroll are two of the most demanding routine tasks for any hospital, largely because of the volume of transactions and the size of the workforce. We can keep your records organised and up to date, process payroll for your clinical and support teams, deal with the associated payroll obligations, and make sure the figures that flow into your management accounts and year-end accounts are reliable. This also gives you a clearer view of staff costs, which are usually one of the largest single expenses a hospital carries.
Most hospitals benefit enormously from them. Annual accounts tell you where you ended up, but management accounts and regular financial reporting tell you what is happening now, which matters when you are tracking income across different streams and managing costs such as staff, medical equipment, premises and suppliers. We can prepare reporting at a frequency that suits your organisation, along with budgeting and cash flow forecasting, so that decisions about investment, hiring or service changes are based on current numbers rather than hindsight. For limited companies, this work also feeds into Corporation Tax calculations and filings where they apply.
VAT treatment for hospitals is not a single, universal answer. It depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so some hospital-related supplies may be exempt while others are standard-rated, and different providers can be affected in different ways. Because of that, we review your particular position and activities rather than applying a blanket assumption. If you have a mix of income streams, it is well worth checking how each one is treated so that your returns and records are accurate from the outset.
Yes. Medical equipment and facilities investment are often among the largest financial commitments a hospital makes, and the accounting implications extend well beyond the purchase itself: how the cost is treated, how it affects your reported position, and how it interacts with cash flow and future budgeting. We can help you plan around significant expenditure, keep track of supplier payments and commitments, and build forecasts that show the impact of major purchases before you commit to them. That kind of forward visibility tends to make negotiations and planning considerably easier.
Switching is usually much simpler than hospital operators expect. We begin with an initial conversation about your organisation, its structure and what you need from an accounting partner, then review your current accounting and tax position, including how records are maintained and whether any reporting or compliance points need attention. From there we agree a clear scope of work and take over the ongoing support, liaising with your existing accountant where needed so the transition stays smooth. If you are unsure whether your hospital's circumstances fit, the easiest first step is simply to ask us.
