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 work covers the accounting and tax essentials a hospital needs to keep running smoothly. That typically means maintaining accurate bookkeeping, preparing annual accounts, producing management accounts and financial reports, running payroll for clinical and non-clinical staff, supporting budgeting and cash flow planning, and handling Corporation Tax where it applies. Where VAT is relevant to your activities, we can also help you understand how it applies to your specific supplies, since VAT treatment for hospital businesses depends on the nature of the supply, the activities involved, the organisation's status and the particular circumstances rather than a single blanket rule.
We support private hospitals, independent hospitals, hospital operators and hospital groups. Their requirements vary considerably — a single-site independent hospital may need hands-on bookkeeping and payroll support, while a hospital group may need consolidated reporting across several facilities. What matters is understanding your structure, your income streams, your staffing model, your premises and equipment commitments, and your operating costs before recommending how the accounting should be handled.
Yes. Payroll is often one of the biggest and most complex costs for a hospital, particularly where staff work varied shift patterns, have different contract types or are paid a mix of basic pay, overtime and allowances. We can manage the payroll process alongside your bookkeeping so the two stay consistent with each other, and so your management accounts reflect the true cost of your workforce rather than an estimate. This also makes it easier to spot trends in staff costs over time and plan around them.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The scope depends on factors such as the size of your hospital, the number of sites, transaction volumes, the complexity of your payroll, your reporting requirements and the level of tax and VAT support you need. We will discuss all of this with you before anything is agreed, so the arrangement is clear from the outset.
Not necessarily, and it is not something that can be answered with a single rule. VAT treatment for hospital businesses depends on the nature of the supply being made, the activities involved, the status of the organisation and the specific circumstances. Two hospitals with outwardly similar services can end up with different VAT positions, and private hospitals and NHS hospitals do not automatically share identical accounting or tax treatment. We look at what you actually provide and advise on the position that applies to you.
Yes. Medical equipment and other capital expenditure can represent a significant outlay for a hospital, and how those purchases are recorded, funded and reflected in your accounts matters for both your reported position and your tax planning. We can help you track capital expenditure properly, factor it into cash flow and budgeting, and make sure the accounting treatment is appropriate, including considering any available reliefs or allowances where they apply to your circumstances.
Hospitals often face substantial fixed costs — payroll, premises, equipment and supplier commitments — while income arrives through several different streams with their own timing. We build management accounts and cash flow forecasts that show when money is coming in and going out, so you can plan equipment purchases, staffing decisions and supplier payments with a clearer picture. Over time, this gives you a stronger basis for budgeting and for conversations with lenders or investors if you need external funding.
Switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the information we need, review your current records and reporting, and identify anything that needs tidying up along the way. Once we understand your hospital's structure and requirements, we put the ongoing support in place and keep you informed at each stage, so the transition causes as little disruption as possible to your day-to-day operations.
