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.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running facilities such as day-case or diagnostic sites. The common thread is that these are hospital organisations with a mix of income streams, significant staffing and equipment costs, and a need for accounting that reflects how they operate. Because structures and activities differ so much, we always start by understanding the specific hospital business in front of us rather than assuming a standard setup.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, plus Corporation Tax support where it applies and VAT support where relevant. For hospital businesses, we also help make sense of the costs that dominate the numbers, such as clinical and support staff wages, medical equipment, premises, facilities, supplier payments and professional services. The mix is tailored to your hospital, so you get the level of support you need without paying for work you do not.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee depends on the scope of work involved, which means things like the number of sites, the size of your payroll, the volume of transactions, the complexity of your income streams and whether you need management accounts or tax support on an ongoing basis. Once we understand your requirements, we set out clearly what is covered before any work begins.
It is designed for hospitals and hospital businesses that want accounting support with a proper understanding of their sector, whether you run a single private hospital, operate as an independent hospital, manage several sites as a hospital group or sit behind the scenes as a hospital operator. It also suits hospital businesses preparing for growth, refinancing, new equipment investment or tighter cost control. If your finance function needs clearer reporting and more reliable compliance, the service is likely to be a good fit.
You should always expect your accountant to be professionally qualified and to work within UK accounting standards, anti-money laundering rules and the relevant regulatory framework for the services they provide. We are happy to confirm our professional memberships and how we are regulated before you appoint us, and to explain who will be looking after your work. If you have specific compliance requirements, such as reporting to a lender or an investor, tell us early so we can confirm exactly how we can support that.
Hospital tax matters usually centre on how income is structured, how staff costs are treated, and how significant expenditure on medical equipment, premises and facilities is accounted for, including whether capital allowances may be available on qualifying assets. Corporation Tax will apply to some hospital businesses and not others, depending on how the organisation is set up and what it does. The right treatment depends on your own circumstances, so we look at your structure and activities before advising rather than applying a blanket rule.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, and it often varies between the different services and goods a hospital provides. It is also not safe to assume that every hospital is treated the same way, or that private and NHS hospitals follow identical rules. We review your actual supplies and activities so the VAT position is understood properly rather than guessed at.
Switching is usually simpler than people expect, and you are not starting from scratch. We begin with a conversation about your hospital business and what you need, then liaise with your existing accountant to obtain the relevant records and information so the handover is handled professionally. Timelines vary depending on how up to date your records are and how quickly information is released, but we manage the process for you so there is no disruption to payroll, compliance deadlines or the reporting you rely on.
