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.
The work usually covers the accounting and tax essentials a hospital or hospital business needs: annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow, financial reporting, Corporation Tax where it applies, and VAT support where relevant. Because hospital operations bring their own complications, including staff costs, medical equipment, premises, suppliers and several income streams, the focus is on keeping records accurate and reporting clear enough to make decisions from. Some hospitals want a full outsourced finance function, while others need targeted support alongside their existing team.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses, from single-site providers to organisations running services across more than one location. Their accounting requirements vary depending on structure, activities, income streams, staffing, premises, equipment, suppliers and operating costs. If you are unsure whether your organisation fits, it is worth having a conversation, because the deciding factor is whether you run a hospital or hospital-type business rather than the size of it.
Fees are generally based on the scope and complexity of the work, including the number of entities or sites, the size of the payroll, transaction volumes, whether management accounts are prepared monthly or quarterly, and the level of tax and VAT support required. We work towards fixed, transparent packages agreed in advance, so there are no hidden fees or unexpected invoices. The exact fee is confirmed once we understand your hospital's circumstances rather than being estimated before we know what is involved.
Accounts, returns and payroll are prepared in line with current UK accounting standards and HMRC requirements, and we keep pace with changes that affect hospital businesses. We are also happy to explain how we are regulated and which professional bodies we work under as part of an initial conversation, so you know exactly who you are dealing with. If your hospital already has an accountant, we can work alongside them or take over the work entirely, whichever suits you better.
Corporation Tax applies to many hospitals operating through a limited company, and the way profits are calculated can be influenced by capital expenditure on medical equipment, premises costs, staff costs and professional fees. VAT is often the area needing the closest attention, because treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not safe to assume that everything is exempt or that everything is standard-rated. We review your particular position rather than applying a blanket rule.
Payroll is one of the largest and most sensitive areas in any hospital, covering clinical and non-clinical teams, varied shift patterns, overtime and other payments. We can manage payroll processing and the associated reporting so staff are paid accurately and deadlines are met, and we can feed payroll costs into management accounts so you can see how staffing affects overall performance. For many hospital businesses this is the first piece of work they ask us to take off their hands.
Yes, in most cases switching is a straightforward process and your filing and reporting obligations continue as normal throughout the changeover. Timing matters most around year-end and filing deadlines, so it is worth starting the conversation early if a change is on your mind. We will let you know what information we need to take over the work and keep things moving without disrupting your hospital's finances.
It starts with a conversation about your hospital: how it is structured, how it operates, what your income streams look like and where the accounting pressure points are. From there we can outline the support that would be useful and how it would work in practice. Whether you need bookkeeping, payroll, management accounts, annual accounts, or tax and VAT support, the next step is simply to get in touch and talk it through.
