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 of the service usually covers bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting and cash flow support, along with Corporation Tax and VAT assistance where those apply to your organisation. For hospitals, we also take account of the specific things that shape your numbers — staff costs, medical equipment, premises and facilities, supplier payments, professional fees and the different income streams your hospital generates. What you actually need will depend on your size, structure and whether you have an in-house finance function, so we agree the scope with you rather than applying a fixed template.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses. That can mean a single-site hospital, an operator running several locations, or a group structure with more than one entity to report on. Because accounting and tax treatment can differ depending on how an organisation is set up and what it does, we look at your circumstances individually rather than assuming one approach fits every hospital. If your structure changes — for example through growth or a new site — we can review how that affects your reporting and obligations.
We use fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees added on later. The fee is based on the work your hospital actually needs, which is influenced by factors such as the number of entities, transaction volumes, payroll headcount and the level of reporting you require. We set that out clearly before anything begins, and if your requirements change we discuss the impact with you first rather than sending an unexpected invoice.
We can confirm our professional registration and regulatory details directly when you get in touch, so you have the information in writing rather than taking it on trust. Compliance is central to what we do: accounts prepared in line with current UK requirements, filings submitted on time, and payroll and VAT handled in accordance with the rules that apply to your organisation. If something in your hospital's affairs needs attention, we will tell you plainly and explain the options before acting.
Yes. Payroll is often one of the biggest administrative tasks for a hospital, particularly where staffing is varied and costs are spread across departments or sites. We can manage the payroll process, keep records of payments and deductions, and make sure the information flows properly into your accounting and management reporting so staff costs are visible rather than buried. Where a hospital has a complex staffing structure, we will talk through how it should be organised before we start.
VAT for hospitals is not a simple blanket situation. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — and different hospitals can reach different conclusions on apparently similar arrangements. We look at what your hospital actually does, review the relevant income streams and costs, and advise on the treatment that applies to you, keeping records well organised so the position is defensible if it is ever reviewed.
Definitely. Medical equipment, facilities upgrades and other capital expenditure tend to be large, irregular and difficult to absorb without planning, and they can put real strain on cash flow. We can help you build budgets and forecasts that account for these commitments alongside regular operating costs such as staffing, premises and suppliers, and then keep them updated as circumstances change. Good management accounts alongside that forecasting make it much easier to see the effect of a purchase before you commit to it.
It usually begins with a conversation about your hospital, what it does and where the current pressure points are. If you are moving from another accountant, we can handle the transition with you, including obtaining the information needed to take over your records smoothly. From there we review your existing accounting and tax position, confirm the scope and fee, and put the right ongoing support in place. There is no obligation to proceed after the initial discussion.
