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 service is built around the financial work hospitals need most: bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and wider tax and VAT support where relevant. In practice, most hospital businesses want a combination of these rather than everything at once, so the scope is agreed up front and reviewed as the organisation grows or its circumstances change. The reporting is designed to be genuinely useful for running the hospital, not just something to file and forget.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses involved in running or supporting hospital facilities. Their needs differ significantly depending on whether they are a single site or a multi-site group, how they are structured, the services they provide and how their income is generated. We do not assume that any two hospital organisations should be treated the same way, and we do not act for NHS Trusts or other public-sector bodies.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what the service covers and what it costs before anything begins. The price reflects the scope of work required — for example, the volume of transactions, the number of payroll employees, whether management accounts are needed and how complex the VAT position is. There are no hidden fees, and if your requirements change, the arrangement is reviewed openly rather than quietly adjusted.
The work is carried out by qualified accounting professionals and handled in line with current UK accounting and tax rules and industry regulations. Compliance matters particularly for hospitals, where accounts, payroll records and tax filings may need to stand up to scrutiny from lenders, investors, regulators or other stakeholders. Where a specific piece of work requires additional expertise, we will be clear about that rather than overstate what is being provided.
Payroll is usually the largest and most complex cost, especially where staffing includes a mix of full-time, part-time, bank and agency arrangements. After that comes medical equipment and capital expenditure, premises and facilities costs, supplier and professional services payments, and the challenge of managing cash flow when income arrives on different cycles. Corporation Tax applies where the organisation is a limited company, while VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — so it needs to be looked at case by case rather than assumed.
Yes. VAT for hospitals is rarely straightforward, because the treatment of a supply depends on what exactly is being provided, the activities involved, the status of the organisation and the surrounding circumstances. Some supplies may fall outside the scope of VAT, others may be exempt and others may be standard-rated, and the mix can change as services develop. We review the position properly, help with registration and returns where needed, and keep the treatment under review as the hospital's activities evolve.
Equipment purchases are often among the biggest outlays a hospital makes, and they can have a significant effect on cash flow, profitability and tax. We help plan for capital expenditure in advance, consider how purchases are funded and how they should be treated in the accounts, and make sure the timing of major spending is reflected in budgeting and cash flow forecasting. That way, decisions about equipment are made with a clear view of the financial consequences rather than in isolation.
Getting started is simple. We begin with a conversation about the hospital or hospital business, what is already in place and what you need from an accountant, then review the current accounting and tax position. If you would like to move across, we can handle the handover with your existing accountant, including requesting the relevant records, so the transition is smooth and nothing is missed. From there, support continues on an ongoing basis at a level that suits you.
