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 financial and compliance work a hospital or hospital business needs to stay on top of. In practice that usually means day-to-day bookkeeping, payroll for staff and clinical teams, annual accounts, management accounts and financial reporting, along with budgeting and cash flow forecasting. Depending on how the organisation is structured and what it does, it can also include Corporation Tax where that applies, VAT support, and help with the financial side of larger purchases such as medical equipment. The mix is tailored rather than fixed, because a private hospital, an independent hospital and a hospital group will each have different priorities.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. What they have in common is a need for accounting and tax support that understands the shape of a hospital's finances — significant payroll, expensive equipment, premises and facilities, a wide supplier base and often more than one income stream. If your organisation operates in or around the hospital sector, the chances are the accounting considerations will be recognisable ones.
Pricing is based on what you actually need rather than a one-size-fits-all figure. We look at the size and structure of the organisation, the volume of transactions, whether payroll is involved, how many income streams there are and what reporting you require, then put together a fixed, transparent package with no hidden fees. That means you know where you stand before work begins, and the arrangement can be reviewed as your hospital business grows or changes.
You should expect your accountant to be properly qualified, regulated and accountable, with clear professional standards covering how your records and information are handled. It is always worth checking the specific qualifications and professional body memberships of any firm you are considering, and asking directly about their compliance framework and how they keep client data secure. A good accountant will be happy to answer those questions openly and in detail before you commit to anything.
VAT in the hospital sector is far less clear-cut than it first appears. Some supplies may be exempt, others taxable, and some may fall outside the scope entirely — it depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances in each case. It is also a mistake to assume that every hospital is treated the same way, since VAT position can differ between organisations with different structures and activities. Because of that, it is worth reviewing your position properly rather than working from assumptions.
It depends on how the hospital or hospital business is structured and what its activities are. Some organisations will have clear Corporation Tax obligations, while others may be affected by different rules depending on their legal form and the nature of their income. Rather than assuming which applies to you, the sensible approach is to review your structure, income streams and activities so that the correct treatment is identified and deadlines are met.
Yes — these are exactly the areas where hospital accounts tend to need the most care. Large equipment purchases and other capital expenditure can affect your accounts, tax position and cash flow for years, so it helps to plan them rather than absorb them unexpectedly. We can build equipment and capital spending into your budgets and forecasts, and use management accounts to give you a clearer view of how those commitments sit alongside your regular operating costs.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax arrangements so we understand what is working and what needs attention. If you are moving from another accountant, we can manage the transition with you and coordinate the handover of records. From there, we agree the ongoing support that fits your requirements and put it in place.
