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.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses, whether they are newly established or long established. The right approach depends on your structure, the services you provide, the number of staff you employ, your premises and equipment arrangements, and how your income is generated. Because of that, we take the time to understand your organisation before recommending how we can help.
Most hospitals need a combination of bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, with tax and VAT support where those obligations apply. In practice, this means keeping records accurate and up to date, producing figures that are genuinely useful for decision-making, and making sure deadlines and compliance requirements are met. Where your hospital has particular needs — such as tracking equipment costs or monitoring multiple income streams — we build that into the reporting.
We work on fixed, transparent packages, so you know what you are paying for and there are no hidden fees or surprise invoices. The scope is agreed upfront based on the size and complexity of your hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and tax support you need. If your requirements change, the arrangement can be reviewed so it continues to reflect what you actually need.
We work in line with UK accounting standards and HMRC requirements, keeping your records, reporting and filings properly maintained and submitted on time. If you are unsure what applies to your hospital, we can talk through the obligations that are likely to be relevant based on your structure and activities. It is always better to address these matters early rather than waiting until a deadline is looming.
VAT treatment in the hospital sector is not straightforward, and it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances rather than a single blanket rule. Some supplies may be treated differently from others, and the position can vary between organisations. We can help you review how your activities are treated and make sure your VAT position is properly understood and correctly reported.
Yes. Payroll is one of the largest costs for most hospitals, covering clinical teams, administrative staff, 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, so your staff are paid accurately and your obligations are met. Having payroll handled properly also makes your management accounts far more reliable.
Medical equipment and facilities are significant investments, so it helps to plan for them rather than absorb them as a surprise. We can help you track capital expenditure, understand how purchases affect your cash position and budget for replacement or upgrade cycles. This links closely to cash flow forecasting, which gives you a clearer picture of what is affordable and when.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your current accounting and tax arrangements to see what is working well and what could be improved. If you are moving from another accountant, we can handle the handover process and communicate with them on your behalf, so the transition is as smooth as possible and nothing falls through the gaps.
