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.
Most hospital engagements cover bookkeeping and record-keeping, VAT and tax support where relevant, payroll for clinical and non-clinical staff, annual accounts and statutory filings, management accounts and financial reporting, plus budgeting and cash flow forecasting. We also help with areas that are particular to hospitals, such as tracking staff costs across departments, monitoring equipment and capital expenditure, and understanding how different income streams affect the overall financial position. The exact mix depends on your structure, size and in-house resources, and we are happy to work alongside an existing finance team rather than replacing it.
Our hospital accounting support is designed for private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital businesses such as day-case centres, diagnostic and treatment facilities and rehabilitation hospitals. It also suits hospital organisations that are growing, restructuring, adding new services or bringing accounting and payroll in-house or back under external management. If you are unsure whether your organisation fits, a short conversation about how you are structured and how you earn income is usually enough to work that out.
We work on fixed, transparent fees wherever possible, so you know what you are paying for before the work begins rather than receiving an unexpected bill later. Fees are based on the scope and complexity of your requirements, including transaction volumes, staff numbers, the number of income streams, VAT and tax considerations, and whether you need payroll, management accounts or year-end reporting. There are no hidden charges, and if your circumstances change we discuss any adjustment with you first.
Our work is carried out around UK accounting, tax and payroll requirements, and we can talk you through the professional qualifications and regulatory memberships that apply to your engagement when we speak. Rather than making broad claims, we prefer to set out clearly how compliance work such as annual accounts, Corporation Tax returns and VAT reporting will be handled, who will look after it and what deadlines apply. If you have an existing accountant, we can also review what has been done historically to confirm nothing has been missed.
Corporation Tax applies where a hospital trades through a limited company, and capital allowances can be relevant to qualifying medical equipment and premises expenditure, so getting the treatment right matters over the long term. VAT is often more nuanced than people expect: the correct position depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so there is no single rule that covers every hospital service. We look at your particular arrangements, including how supplies are structured and charged, and advise accordingly. NHS hospitals and private hospitals do not automatically share the same accounting or tax treatment either, so assumptions are best avoided.
Yes. Hospital payroll is rarely straightforward, with a mix of full-time, part-time, bank and locum arrangements, shift patterns, overtime and enhancements, all of which need to be processed accurately and on time. We handle payroll processing, payslips, PAYE and pension-related reporting so staff are paid correctly and HMRC deadlines are met. We can also help make sure payroll figures flow through consistently into your management accounts and annual reporting, so staffing costs are visible rather than scattered across separate records.
Cash flow is one of the biggest pressures for hospitals, because staffing, premises, utilities, insurance and supplier costs tend to be regular and substantial while income can arrive unevenly across different services and contracts. We build forecasts and budgets that reflect your actual cost base, including equipment plans and facilities commitments, so you can see the impact of decisions before you commit to them. Management accounts produced on a regular basis then let you track performance against those plans and adjust early if something changes.
It begins with a conversation about your hospital or hospital business: how it is structured, what it does, how it earns income and what you need from an accountant. From there we review your current accounting and tax position, confirm the scope of work and agree a fixed fee, then agree a practical handover if you are moving from another accountant. We can handle the transition with your previous adviser directly, including requesting records and confirming professional clearance, so the change is as smooth as possible.
