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.
Support typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, plus Corporation Tax support where applicable and VAT support where relevant. Because hospitals have different structures, income streams and cost profiles, the exact mix is agreed with you rather than applied from a fixed template. A hospital group with multiple sites and several income streams will usually need a different level of reporting from a single-site independent hospital.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day-case and surgical facilities. The common thread is that the organisation needs accurate accounting records, reliable payroll, clear financial reporting and sensible tax support. We do not treat all hospitals as having identical accounting or tax needs, because the right approach depends on how each business is set up and what it actually does.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what to expect and there are no hidden fees. The fee reflects the scope of the work, which can depend on the size of the hospital, its structure, the number of staff on payroll, how many income streams it has, and how much reporting and support you need. We agree the scope in advance and are happy to talk through what sits inside and outside the agreed package.
Our work is carried out in line with UK accounting standards and HMRC requirements, and we keep up to date with the rules that affect hospital businesses, including reporting obligations, payroll legislation and tax deadlines. Compliance is built into how we work rather than treated as an afterthought, so filings and payments are prepared and submitted on time. If you would like clarity on how we manage specific compliance matters for your hospital, we can talk that through before you appoint us.
Corporation Tax is relevant where the hospital business operates through a limited company, and the rates and reliefs that apply depend on the circumstances. VAT is often the area where assumptions cause the most problems, because the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific facts. We look at your situation in detail rather than applying a blanket rule that everything is exempt or everything is taxable.
Yes. Medical equipment and facilities investment often involves significant one-off costs that can strain cash flow even when the hospital is trading well. We can help you plan for that expenditure, understand how it affects your accounts and tax position, and build forecasts that show the impact on cash over time. Budgeting and management accounts are particularly useful here, because they let you see pressure points before they become problems.
We do. Bookkeeping keeps your records accurate and up to date, payroll handles the complexity that comes with hospital staffing arrangements, and management accounts give you a clearer picture of performance across income streams and cost categories. Many hospital businesses find that regular management information is far more useful than waiting for annual accounts, because it supports decisions about staffing, equipment, suppliers and pricing throughout the year.
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 and what needs attention. If you are switching, we can liaise with your existing accountant and handle the handover of records so the transition is smooth and nothing gets missed. From there, we agree the scope of support and put a clear plan in place.
