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.
Our work for hospitals typically covers bookkeeping and financial record keeping, annual accounts, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, and VAT support where relevant. We also help with the areas that tend to matter most in a hospital setting, such as tracking staff costs, accounting for medical equipment and capital expenditure, monitoring premises and facilities costs, and keeping supplier payments and multiple income streams properly recorded. The exact mix is agreed with you, based on your structure and what you already handle in-house.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that operate alongside them. Their accounting needs differ depending on how the organisation is structured, the treatments and services it provides, how income is generated, and the size of its workforce, premises and equipment base. If you are unsure whether your organisation fits, it is worth a conversation — we will tell you honestly whether we are the right fit.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and why. The fee reflects the scope and complexity of your hospital's affairs — the volume of transactions, the number of staff on payroll, the number of income streams, the level of equipment and capital expenditure, and the extent of reporting and tax support you need. There are no hidden fees or surprise invoices, and if your requirements change as the hospital grows, we review the arrangement with you rather than quietly adjusting the cost.
Hospitals often face a combination of a large, largely fixed cost base and income that arrives from several different sources, which makes cash flow management and accurate reporting especially important. Staff costs, medical equipment purchases and depreciation, premises and facilities overheads, and supplier and professional services payments all need careful treatment in the accounts. On the tax side, Corporation Tax applies to many hospital businesses where they are run through a limited company, and VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so it is worth reviewing rather than assuming.
VAT for hospitals is not a straightforward area, because the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt while others are standard-rated or treated differently, and the same organisation can have a mix of both. We review how your hospital's activities are structured, look at what is being supplied and to whom, and help you apply the correct treatment and keep the supporting records in order.
Yes. Payroll is often one of the biggest administrative and cost pressures for a hospital, particularly where you have a mix of full-time, part-time and flexible staff across clinical and non-clinical roles. We can handle the payroll process, calculations and reporting obligations, and make sure staff costs are reflected accurately in your management accounts so you can see how they affect your overall position. Where relevant, this links into budgeting work so you can plan for recruitment and rota changes with better visibility.
Medical equipment and other capital items need to be recorded correctly, with the right approach to capitalisation, depreciation and the effect on your reported results over time. This matters both for the accuracy of your annual accounts and for the decisions you make about replacing, upgrading or expanding equipment. We help you keep those records in order and factor the cost of planned purchases into your budgeting and cash flow forecasting, so major expenditure does not catch you out.
Getting started is usually a short, informal conversation about your hospital or hospital business, what you currently have in place, and what you would like to improve. If you are moving from another accountant, we can talk you through what information we need and how the handover works in practice, and we will deal with the practical steps so you are not chasing paperwork. From there we agree the scope of support, confirm the arrangement, and put a plan in place for the work ahead.
