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.
Our work typically covers the everyday and year-end finance needs of a hospital business: bookkeeping, annual accounts, management accounts, payroll for staff of all kinds, budgeting, cash flow planning and financial reporting. We also handle tax matters, including Corporation Tax where it applies and VAT support where relevant, and we can help with the records and reporting that sit behind supplier payments, medical equipment costs, premises and multiple income streams. The exact mix is agreed around what the hospital genuinely needs, so you are not paying for work that adds nothing.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running day-case facilities or multi-site operations. Support is shaped around the organisation's structure, its activities and the income streams it relies on, which may include self-pay work, private medical insurance, contracted arrangements and other sources. If you are unsure whether your organisation fits within what we offer, get in touch and we will tell you honestly.
Pricing reflects the scope and complexity of the work, which means the size of the hospital business, the number of staff on payroll, transaction volumes, whether you need management accounts and how much compliance work is involved. We use fixed, transparent packages rather than open-ended hourly billing wherever possible, so you know what you are paying for and there are no hidden fees. The basis is set out clearly before any work begins and reviewed as your circumstances change.
Compliance matters in a hospital business, from accurate records and correct accounting treatment to filing deadlines with HMRC and Companies House, and the work is carried out under recognised professional standards. Rather than making broad claims, we are happy to talk through the specific qualifications, memberships and regulatory oversight that apply to the work we do for you. If you already have an arrangement with another firm, we can review what is in place and flag anything that needs attention.
VAT for hospitals is not a one-size-fits-all area, and there is no blanket rule that all hospital services are exempt or that all hospital-related supplies are taxable. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, which is why it is worth reviewing carefully rather than assuming. We can look at your income streams, purchases and arrangements, help you apply the rules consistently and explain where more specialist advice may be needed.
Payroll is often one of the largest and most complicated costs a hospital carries, covering a varied workforce with different pay rates, rotas, overtime, pensions and statutory payments. We can run payroll on an ongoing basis, produce the necessary reporting and make sure the figures feeding into your management accounts and budgets reflect reality. That gives you a clearer view of staffing costs and how they affect margins, cash flow and forward planning.
Yes. Medical equipment, facilities and premises work often involve significant outlays and long-term commitments, so those decisions need to sit alongside sensible cash flow planning and budgeting. We can help you model the financial impact of expenditure, keep track of how it affects profits and reserves, and produce management accounts that show where the business stands. Where funding or payment arrangements are involved, we will look at how they affect your reporting and tax position.
Getting started is usually straightforward: we begin with an initial conversation about your hospital business, what you need and what is already in place. If you are moving from another accountant, we can handle much of the practical transition, including contacting your existing firm where needed and obtaining the records required. From there we agree the scope, set out the pricing clearly and get to work, keeping disruption to day-to-day hospital operations to a minimum.
