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, along with the companies that own or manage hospital facilities. That includes single-site hospitals as well as organisations running multi-site operations. Every hospital has its own structure, activities and income streams, so the accounting support is shaped around how your organisation actually works rather than a one-size-fits-all approach. If your hospital forms part of a wider group, we can also take account of how the group structure affects your reporting and compliance.
Support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax help where it applies and VAT support where relevant. For hospitals, we also pay close attention to the areas that dominate the numbers, such as clinical and non-clinical staff costs, medical equipment, premises and facilities, supplier payments and professional services, so your records give a realistic picture. Exactly what is included depends on the size and complexity of your hospital business and the level of support you need.
Fees are based on the scope and complexity of the work, so we agree the basis with you before anything begins. A larger hospital group with multiple sites, complex payroll and several income streams will naturally involve more work than a smaller independent hospital. We keep pricing fixed and transparent, with no hidden fees, and we explain clearly what is included so you know what you are paying for. If your requirements change, we review the arrangement rather than leaving you with unexpected costs.
Yes. Hospital payroll often involves a mix of clinical and non-clinical staff, varying shift patterns, overtime, enhancements and pension arrangements, which makes accuracy particularly important. We can handle payroll processing on an ongoing basis, including payslips, real-time reporting to HMRC and the record keeping that sits behind it. This reduces the risk of errors and keeps staff costs recorded consistently, which in turn supports your management reporting and annual accounts.
Hospitals carry significant fixed costs, from staffing through to premises and equipment, while income can arrive unevenly depending on patient numbers, contracts and payment terms. We help build budgets and cash flow forecasts that reflect those patterns, so you can see pressure points in advance and plan for equipment purchases, recruitment or expansion. Regular management accounts make it easier to compare actual performance against the plan and adjust early rather than reacting after the event.
Corporation Tax applies to many hospital companies, although the treatment depends on how the organisation is structured and what it does. VAT is more nuanced, because hospitals can have very different positions depending on the nature of their supplies, the activities involved and their organisational status. It is not simply a case of all hospital services being exempt or all hospital-related supplies being taxable, and NHS hospitals and private hospitals do not automatically share the same treatment. We review your circumstances, explain how the rules apply to you and help keep your records and returns consistent with that position.
Medical equipment and other capital expenditure are often among the largest financial commitments a hospital makes, and how they are recorded affects your accounts, your tax position and your cash flow. We can help you plan for significant purchases, account for them correctly and consider how funding choices and timing influence your overall finances. That includes making sure depreciation, financing costs and any available reliefs are reflected properly in your reporting.
Getting started is usually straightforward. We begin with a conversation about your hospital or hospital business, the services you provide and what you need from an accountant, then review your current records, filings and deadlines. If you are switching accountants, we can liaise with your existing adviser and manage the handover, including any professional clearance requirements. From there, we set out how the ongoing support will work and put a practical plan in place that suits your operation.
