Accountants for Private Hospitals, Clinics & Care Homes
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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 accounting and tax work a hospital or hospital business needs, which typically means bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax where applicable, general tax support, and VAT support where relevant. The exact mix depends on your organisation — some hospitals want the full finance function handled, while others need support focused on reporting, payroll or year-end compliance. We agree the scope with you first so there are no surprises about what is and is not included.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a more specialist focus. Requirements vary considerably depending on whether the organisation runs a single site or several, how it is structured, how many staff and clinicians it engages, and where its income comes from. If you are unsure whether your organisation fits, it is worth a conversation — we can tell you quickly whether we are the right fit for your circumstances.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for rather than receiving an open-ended hourly bill. The fee reflects the scope of work — for example, the volume of transactions, the size and complexity of payroll, the number of income streams, and whether you need management accounts or year-end support. There are no hidden fees, and if your requirements change we discuss any adjustment with you before it takes effect.
Yes. Hospital payroll often involves a mix of salaried employees, bank or shift-based staff, and self-employed clinicians paid through a different route, and each needs to be treated correctly for tax purposes. We can handle the payroll end to end, including payslips, RTI submissions, pension auto-enrolment duties and the reporting that comes with them, while making sure the distinction between employed and self-engaged individuals is properly reflected in your records.
A lot depends on your structure and activities, but common areas include Corporation Tax where it applies, the tax treatment of capital expenditure on medical equipment and facility improvements, employment taxes on staff and clinician costs, and VAT. VAT is a good example of why blanket assumptions are risky — treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We review your position and explain what applies to you rather than applying a generic rule.
Equipment purchases and facility upgrades are often the largest outlays a hospital makes, so they need to be recorded and treated correctly, with any available reliefs considered and the cash flow impact planned for. We can help you decide how to account for a purchase, whether the timing can be managed, and how it feeds into your management accounts and tax position. That usually means a clearer picture of when money leaves the business and what it does to your reserves.
Yes. Hospitals frequently have several income streams, which can make it harder to see where profitability actually sits and when cash will arrive. We build management accounts and cash flow forecasts that separate those streams, so you can see the contribution each one makes and plan for quieter periods, seasonal patterns or delayed receipts. That visibility is often what hospitals find most valuable in the first few months.
It starts with a conversation about your hospital or hospital business — how it is structured, who currently handles the accounting and what you want to improve. From there we review your existing records, payroll arrangements and compliance position, and confirm the scope and fee before anything begins. If you are switching from another accountant, we can manage the handover and correspondence, so the transition stays straightforward on your side.
