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 depends on what your hospital needs, but most clients combine a core set of services — bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support — with tax help such as Corporation Tax where it applies and VAT support where relevant. Hospitals with more complex structures, multiple sites or several income streams often need additional reporting, consolidated figures or support around capital expenditure and equipment financing. We agree the scope with you upfront, so you know what is covered and what is not.
We work with hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups — as well as the supporting organisations that sit around them. Structure matters a great deal: a single-site independent hospital has very different accounting needs from a multi-entity hospital group, and a business owned through a company, partnership or sole trader will have different reporting and tax considerations. We do not hold ourselves out as accountants for NHS Trusts or other public-sector bodies; our focus is on hospitals and hospital businesses in the private and independent sector.
We use fixed, transparent packages agreed in advance, so you know what you are paying for before any work begins. Pricing reflects the size and complexity of your hospital, the volume of transactions, the number of staff on payroll, the structure of your organisation and the range of services you need. There are no hidden fees, and if your circumstances change — a new income stream, an additional site or more staff — we review the arrangement with you rather than letting costs drift.
Look for professional body membership, anti-money laundering supervision, appropriate professional indemnity insurance and a clear process for handling confidential financial and patient-related information. It is also worth asking how a firm deals with hospital-specific issues such as payroll for clinical and non-clinical staff, medical equipment costs, capital expenditure and VAT on mixed supplies, because these come up regularly in hospital accounting. We are happy to confirm our registration and supervisory details and to explain how we would approach your work before you commit to anything.
VAT for hospitals cannot be answered with a single rule, and anyone who tells you otherwise is oversimplifying it. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — a service treated one way in one context may be treated differently in another. Hospitals that mix clinical services with retail, pharmacy, catering, property letting or private patient work often need to look carefully at how VAT applies across those activities. We can review your position and help you keep VAT reporting accurate and well supported.
Yes. Payroll is usually one of the largest costs a hospital carries and one of the easiest places for errors to creep in, particularly where you have a mix of full-time, part-time, bank and locum staff, different pay rates and varying shift patterns. We can handle payroll processing, payslips, pension contributions, RTI submissions and the associated record-keeping, and we make sure staff costs are reflected accurately in your management accounts and annual accounts. Where you use a mix of employed and self-employed arrangements, we can also help you review whether the treatment is appropriate.
Yes, and this is often where good accounting support makes the biggest difference. Hospital income can come from several sources — private patient fees, insurer and third-party arrangements, contracted work, ancillary services and other activities — and each may need to be tracked and reported differently. We can help you separate and monitor income and costs so you can see which areas are performing, build budgets and cash flow forecasts around them, and produce management accounts that give directors or owners a clear picture of the business.
Switching is usually more straightforward than people expect, even for a hospital with complex records and several income streams. We handle the handover with your existing accountant, obtain professional clearance, and request the information we need to pick up the bookkeeping, payroll and reporting without disrupting your operations. Once we are up and running, we will review your current accounting and tax position and let you know if anything needs attention.
