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 for hospitals typically covers annual accounts and statutory filings, bookkeeping, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow planning, financial reporting, Corporation Tax calculations where applicable, and tax and VAT support where relevant to your activities. Because hospitals vary so much in size and structure, the exact mix is agreed with you at the outset and reviewed as your organisation changes. The intention is to give you one consistent picture of your finances rather than a set of disconnected reports.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need accounting, tax and compliance support tailored to their sector. That includes organisations at different stages — newer facilities finding their feet as well as established sites with several income streams and significant fixed costs. If your organisation provides hospital services and you want an accountant who understands the operational and financial pressures that come with that, this is the right starting point.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. Pricing is based on the scope of the work you actually need — for example whether you require payroll, management accounts, VAT support or a fuller annual accounts service — along with the size and complexity of your hospital organisation. There are no hidden fees, and we will always explain what is included before you commit to anything.
Yes. Payroll is often one of the largest and most time-consuming costs for a hospital, particularly when you have clinical and non-clinical teams on different shift patterns, variable hours and multiple pay rates. We can handle payroll processing, PAYE, pension contributions and HMRC reporting, and we can link the results through to your management accounts so staff costs are visible in the same place as the rest of your figures. That makes it easier to spot trends and plan ahead rather than reacting at year end.
Corporation Tax applies to companies where it applies, and we prepare the calculations and supporting information so the position is clear and properly documented. VAT is rarely a one-size-fits-all answer for hospitals: the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so hospital-related supplies cannot simply be described as all exempt or all taxable. We look at what your organisation actually does and advise accordingly, and we keep that position under review as your services and structure develop.
Yes. Budgeting and cash flow planning are particularly useful for hospitals because costs such as medical equipment, refurbishment, premises and facilities do not arrive in a smooth monthly pattern. We can help you build forecasts that reflect your real commitments, plan for capital expenditure and understand how different income streams affect your cash position across the year. That gives you something more useful to work with than a single year-end number.
Hospital income can come from several directions at once, and the mix shapes everything from your reporting to your tax position. We help hospital organisations keep those income streams clearly separated and accurately recorded, so you can see which parts of the operation are performing and which need attention. Because the composition of income affects reporting and tax treatment, it is worth getting this right from the start rather than untangling it later.
Start with a conversation. We will ask about your hospital, your current accounting arrangements, what is working and what is not, and what you would like more visibility on. If you decide to move forward, we will explain what we need from you and how the handover from your existing accountant works, so the transition stays organised and your reporting continues without gaps. You do not need everything perfectly in order before you contact us.
