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.
We work with privately run and independent hospitals, private hospital operators, hospital groups and the hospital businesses that support them. That includes organisations with a single site and those operating across several locations or service lines. Because we focus on hospitals and hospital businesses rather than public-sector bodies, we do not present ourselves as advisers to NHS Trusts or other government organisations, and it is always worth checking at the outset whether your particular structure falls within what we can properly support.
In most cases the work covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, general tax support and VAT support where relevant. Depending on your hospital's structure, we may also help with record-keeping systems, supplier and cost tracking, and reporting that brings different income streams together into a single, understandable picture. We will agree the scope with you so you know exactly what is being handled and when.
Yes. Bookkeeping and payroll are two of the most demanding areas for hospitals because of the volume of transactions and the way staff costs build up across departments, shift patterns and roles. We can keep day-to-day records accurate and up to date, process payroll, and make sure the figures feeding into your management accounts and year-end reporting are reliable. If you already have an internal finance team, we can work alongside them rather than replacing what already works.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are committing to before work begins. The fee depends on the size and complexity of your hospital business, the number of sites, how many staff are on payroll, the volume of transactions and which services you need. There are no hidden fees, and if your requirements change we will discuss any adjustment with you rather than surprising you with a bill.
Yes. Where Corporation Tax applies to your hospital business, we can help with computations, returns, allowable deductions and planning around capital expenditure such as medical equipment. VAT is more nuanced: the treatment of a supply depends on its nature, the activities involved, the organisation's status and the specific circumstances, so a blanket assumption that everything is exempt or everything is taxable would be misleading. We look at your actual income streams and cost base and advise accordingly.
Cash flow is often the biggest pressure point for hospitals, particularly when income is uneven but payroll, premises and supplier commitments arrive like clockwork. We prepare management accounts and forecasts that show what is coming in and going out over the months ahead, so you can plan for equipment purchases, refurbishment or expansion without being caught short. Budgeting is built around your real cost structure, including staffing, facilities, consumables and professional services.
Our work is prepared in line with UK accounting and tax requirements, and we stay on top of changes that affect hospitals and hospital businesses. We are happy to talk you through how the work is prepared, who will be looking after your file and what professional memberships and qualifications the team holds, so you can make an informed decision rather than relying on assumptions. If something falls outside what we can properly do, we will tell you rather than stretch the scope.
It usually starts with a conversation about your hospital or hospital business, your current accounting arrangements and where you feel the gaps are. From there we will review your position and set out what we would suggest, including the services involved and how the fees would work. We can also handle the practical side of switching from another accountant, including requesting the information we need, so the transition does not fall on your shoulders.
