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 work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the hospital businesses that support them. Each of these can have quite different accounting needs depending on how the organisation is structured, the services it provides, its income streams, its staffing model, its premises and its equipment base. If you are unsure whether your organisation fits, it is worth a conversation to work through what you actually need.
Support usually covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow, financial reporting, Corporation Tax where it applies and VAT support where relevant. The exact mix depends on your hospital's size, structure and internal finance setup. Some hospital organisations want a full outsourced finance function, while others need specific pieces handled alongside their existing team. We shape the scope around what is genuinely useful rather than applying a fixed package to every hospital.
We work on fixed, transparent packages, so you know what you are paying for before work begins. Pricing reflects the scope of what you need — for example, how complex your payroll is, how many income streams you have and how much reporting support you require — rather than charging by the hour without warning. There are no hidden fees, and the arrangement is set out clearly so you can plan around it.
Yes, and it matters. Accountants acting for hospitals should be properly qualified and subject to professional oversight, with the compliance and reporting standards that go with it. You should always check the qualifications and regulatory position of any accountant before appointing them, and ask how they handle confidentiality, data and professional indemnity. We are happy to answer those questions directly so you can make an informed decision.
Hospitals can face a range of tax considerations depending on their structure and activities, including Corporation Tax where it applies, employment taxes on staff costs and VAT on relevant supplies. VAT treatment is not a simple blanket rule — it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Income streams can also be treated differently from one another, which is why it is worth reviewing your position rather than assuming it stays the same.
Medical equipment and other capital expenditure typically need to be treated differently from routine operating costs, with decisions around capitalisation, depreciation and timing that affect both your reported figures and your tax position. We help you record equipment and capital spending properly, plan for larger purchases and understand the cash flow impact before you commit. That makes budgeting more realistic and reduces surprises at year end.
Yes. Cash flow is often one of the biggest pressures for hospitals, because payroll, supplier payments, premises and equipment costs tend to arrive on set schedules while income can come in at different times and from different sources. We help build budgets and cash flow forecasts that reflect your actual commitments, so you can see pressure points in advance and plan for equipment purchases, staffing changes or quieter periods with more confidence.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, review your current accounting and tax position, and then agree the scope of support that makes sense. If you are moving from another accountant, we can handle the practical side of the transition, including requesting records and professional clearance, so the changeover does not disrupt your reporting or compliance deadlines.
Our focus is on private hospitals, independent hospitals, hospital operators, hospital groups and related hospital businesses. NHS Trusts, NHS Foundation Trusts and other public-sector organisations operate under very different structures and reporting requirements, and we do not present ourselves as specialists in that area. If you are unsure where your organisation sits, get in touch and we can talk it through honestly.
