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.
The core package typically covers day-to-day bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, Corporation Tax where applicable and VAT support where relevant. Exactly what sits in your package depends on the size and structure of your hospital and how much internal support you already have. Some hospital businesses need a full outsourced finance function, while others want specific pieces looked after alongside an in-house team. We agree the scope with you up front so it is clear what is being handled and what is not.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as the management and holding companies connected to them. That includes organisations with a single site and those running multiple locations or service lines. Accounting requirements differ a great deal across those models, so the work is shaped around your structure, your income streams and the way your costs are organised rather than applied in a one-size-fits-all way.
We work on fixed, transparent packages based on the scope of work your hospital actually needs, so you know what you are paying rather than receiving an open-ended bill. The level of fees reflects factors such as the number of entities involved, the volume of transactions, the size of your payroll, the number of income streams and how much reporting you require. There are no hidden fees, and if your circumstances change we discuss any adjustment to the scope before it happens.
Yes, although VAT for hospitals is rarely straightforward. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should be looked at case by case rather than assumed to be exempt or standard-rated across the board. We help you understand which of your activities fall where, keep the supporting records in order and deal with VAT reporting and correspondence so the position is properly documented.
Yes. Payroll is usually one of the largest cost areas in a hospital, covering clinical staff, non-clinical staff, and in many cases bank or variable-hours workers, all with different pay rates, pensions and entitlements. We manage the calculations, payslips, pension deductions and reporting obligations so the process runs reliably each period, and we make sure the payroll figures feed into your management accounts and budgets so staff costs are visible rather than a surprise at year end.
Medical equipment and other capital items need to be treated differently in the accounts from everyday running costs, and getting that right affects both your reported position and your tax position. We can help you keep track of additions, depreciation and disposals, plan for replacement cycles, and understand how significant purchases affect your cash flow and budgeting. Where capital allowances are relevant to your circumstances, we factor that into the tax work as part of the wider picture.
Yes, switching is generally a straightforward process. We would arrange the handover of your records and information from your current accountant, review the position and pick things up from an agreed date so there is no gap in your compliance. It usually helps to plan the change around your year end rather than mid-way through a reporting period, and we can talk you through the timing and what information we would need from you.
Getting started begins with a conversation about your hospital or hospital business — how it is set up, what income streams you have, where your main costs sit and what you need from an accountant. From there we can outline what support would look like in practice and confirm the scope and fees. There is no obligation at that stage; the priority is making sure the fit is right for both sides before anything changes.
