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.
It covers the core accounting and tax work a hospital business needs to stay on top of its finances. In practice that usually means bookkeeping, payroll for staff and clinicians, annual accounts, management accounts, budgeting, cash flow planning and financial reporting, plus Corporation Tax support where it applies and VAT help where relevant. The exact mix depends on your structure, your income streams and how involved you want us to be in the day-to-day running of the finance function.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses such as those running specialist facilities or day-case units. Requirements vary widely depending on whether you operate as a limited company, a partnership or another structure, how many sites you run, and the balance of income from different services, insurers, self-paying patients or other sources. We tailor the work to the organisation rather than applying a one-size-fits-all approach.
We work on fixed, transparent packages, so you know what you are paying for and when, without hidden fees appearing later. The fee reflects the scope of the work, which depends on factors such as transaction volumes, payroll headcount, the number of income streams, reporting requirements and how much support you need with tax and VAT. We discuss the scope with you up front and agree the arrangement before any work begins.
Yes. Payroll is one of the largest and most sensitive cost areas for any hospital, covering clinical staff, administrative teams, support roles and often a mix of employed and contracted arrangements. We can manage payroll processing, payslips, deductions and reporting obligations so that payments are accurate and deadlines are met, and so the payroll figures feeding into your management accounts and budgets are reliable. This also makes it easier to see how staffing costs are trending across the year.
VAT treatment for hospitals is not a simple blanket rule. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances, which means different income streams can be treated differently. We review how your services and supplies are structured, identify where VAT applies and where it does not, and help you keep records and returns in order so there are no unwelcome surprises.
Yes, and this is often where hospital businesses feel the most pressure. Large items such as medical equipment, facility upgrades and premises work can tie up significant sums, while income may arrive across several streams at different points in the month. We help with budgeting and cash flow forecasting so you can plan major purchases and commitments with a clearer picture of what is affordable and when, and management accounts that flag issues early rather than after the fact.
Switching is usually more straightforward than people expect. We ask for some background on your hospital or hospital group, review your current accounting and tax position, and liaise with your existing accountant to obtain the records and information needed for a clean handover. Once everything is in place, we set up ongoing support around your reporting cycle and key deadlines, and adjust as your organisation changes.
The first step is a conversation about your hospital business, how it is structured, where your income comes from and what you need from an accountant. From there we review your accounting and tax requirements and outline how we would support you, including the services that are relevant to your situation. If that works for you, we agree the scope and put the arrangements in place so support can begin without unnecessary delay.
