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.
It covers the core areas hospital businesses need: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow, plus Corporation Tax for limited companies and wider tax and VAT support where it applies. Alongside the compliance work, we help make sense of staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and different income streams, so your records and reports reflect how the hospital actually runs.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including organisations that run more than one site or service line. Their accounting requirements differ depending on legal structure, activities, income streams, staffing models, premises and equipment, so the starting point is always understanding the organisation rather than applying a standard template. If you are unsure whether your setup fits, it is worth having a conversation about it.
Pricing is based on the scope of work your hospital actually needs — the volume of transactions, payroll headcount, number of income streams and the level of reporting and support required. We use fixed, transparent packages wherever possible so you know what you are paying for, with no hidden fees or unexpected extras appearing later. As your hospital grows or your requirements change, the scope can be reviewed and adjusted.
Yes. Hospital payroll often involves shift patterns, variable hours, overtime, bank or agency workers, different pay frequencies and pension auto-enrolment, all of which need to be processed accurately and on time. We handle PAYE, deductions, payslips, pension contributions and the related reporting so staff are paid correctly and HMRC requirements are met, and we can produce payroll reports that feed straight into your management accounts.
VAT for hospitals is rarely a simple yes or no. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same hospital can be treated differently. Rather than assuming everything is exempt or everything is taxable, we review what you actually provide and charge for, then explain how VAT is likely to apply and what records you need to keep.
If your hospital operates through a limited company, it will normally fall within the scope of Corporation Tax, and we prepare and file the relevant returns, work out what is due and make sure reliefs and allowances are used properly — including capital allowances on qualifying medical equipment and other assets where relevant. Where the hospital is run through a different structure, such as a partnership or as a sole trader, the tax position is different and we advise on that basis. We also help with planning so tax bills do not come as a surprise.
Yes, and for most hospitals this is where accounting support adds the most value day to day. Management accounts give you a regular view of income and costs, while budgeting and cash flow forecasting help you plan for payroll, supplier payments, equipment purchases and quieter trading periods. With hospitals carrying significant fixed costs, having a clear forward view makes it easier to manage commitments and make decisions with confidence.
It starts with a conversation about your hospital, how it is structured and what you need from your accounts and tax support. If you are switching accountants, we can manage the handover with your current adviser, obtain the records and information we need and make sure nothing falls through the gap. From there, we agree the scope of work and the reporting you will receive, then get on with it.
