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.
In most cases it covers the core compliance work — annual accounts, bookkeeping and payroll — alongside management accounts and financial reporting that give you a clearer view of how the hospital is performing. Budgeting and cash flow forecasting are usually part of the picture, particularly where staffing, medical equipment, premises and supplier costs are significant. Where relevant, we also handle Corporation Tax matters and VAT support, although VAT treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances, so it is always assessed case by case rather than assumed.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital-based businesses such as day-case, diagnostic, surgical and rehabilitation facilities run on a commercial basis. The right accounting approach depends heavily on your legal structure, the services you provide, how income is generated and the scale of your workforce and facilities. If you are unsure whether your organisation fits, it is worth a conversation — we will tell you honestly whether we are the right fit.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and what is included. The fee reflects the scope of work involved — factors such as the size and structure of the hospital, the volume of transactions, payroll numbers, the number of sites, whether you are VAT registered, and the level of management reporting you need. There are no hidden fees, and if your requirements change we will discuss any adjustment with you before proceeding.
It helps considerably. Hospitals have cost structures and reporting needs that differ from most trading businesses — heavy payroll, expensive medical equipment and capital expenditure, complex premises and facilities costs, multiple supplier relationships and several income streams that all need to be tracked separately. An accountant who recognises those patterns can produce reporting that is genuinely useful, spot cash flow pressure earlier and ask more relevant questions at year end rather than starting from scratch each time.
There is no single answer that applies to every hospital. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and it is not safe to assume that everything a hospital does is treated the same way. Corporation Tax depends on how the organisation is structured and whether it operates through a company or another vehicle. We review your particular arrangements and explain how the rules apply to you, so you are not relying on general assumptions.
Yes, and this is often where hospitals feel the pressure most. Large items such as medical equipment, facility upgrades or expansion plans need to be planned around predictable cash flow rather than fitted in afterwards, and management accounts that clearly show income against operating costs make those decisions much easier. We can help build budgets, forecast cash flow and present capital expenditure in a way that gives lenders, investors or directors a clear picture.
It is usually more straightforward than people expect. We handle the handover with your existing accountant, obtain the records and information we need, and make sure nothing is missed in the transition. Where relevant we can also review your current accounting set-up to see whether reporting, payroll or bookkeeping could be organised more effectively. Once everything is in place, the ongoing relationship runs around your hospital's reporting cycle rather than adding to your workload.
The first step is a conversation about your hospital or hospital business — how it is structured, what services it provides, how income arrives and what you need from your accounts. From there we will outline the support that fits, what is included and how the fee is structured, with no obligation. If you decide to proceed, we agree the scope and get the transition moving so your compliance and reporting stay on track throughout.
