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 your circumstances, but most hospital businesses come to us for a combination of bookkeeping, annual accounts, management accounts, payroll, financial reporting, budgeting, cash flow planning, Corporation Tax where it applies, general tax support and VAT support where relevant. We look at how your hospital operates, including staff costs, medical equipment, premises, supplier payments and the different income streams you generate, then build a package around the areas that genuinely need attention rather than a fixed list of tasks.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need dependable accounting and tax support. Requirements vary widely between organisations depending on structure, services offered, scale, staffing and how income is generated, so we take the time to understand the business before recommending an approach. If you are unsure whether your organisation fits, it is worth a conversation to establish what you need.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for before any work begins. The fee is based on the scope of what you need, such as the volume of bookkeeping, the size of the payroll, whether management accounts are produced regularly, and the level of tax and VAT support required. There are no hidden fees or unexpected invoices, and the package can be adjusted as your hospital business grows or its needs change.
All work is carried out in line with UK accounting standards and HMRC requirements, with records prepared accurately and deadlines monitored so nothing slips through the cracks. If you would like to know more about the professional memberships and qualifications held by the people who would look after your work, we are happy to talk that through as part of your initial conversation. Transparency about who is handling your affairs matters, particularly when the numbers involved are significant.
Corporation Tax applies where it applies, and the position can differ between organisations depending on structure, activities and how profits arise. VAT is rarely a simple picture either, because the treatment of a supply depends on the nature of that supply, the activities involved, the organisation's status and the specific circumstances, so it is not safe to assume everything is exempt or everything is taxable. We review your position and explain how it applies to your own arrangements rather than offering a blanket answer.
Yes. Payroll is one of the largest and most complex cost areas for most hospitals, with a mix of roles, shift patterns, contracted hours and variable pay to manage accurately and on time. We can run payroll, keep records tidy and help you see clearly what staffing actually costs you month to month, which feeds directly into budgeting and cash flow planning. It also helps that payroll, bookkeeping and management accounts sit with the same team, so the numbers line up.
Medical equipment and other capital items can involve substantial outlay and need to be treated correctly in your accounts, with the right distinctions between capital and revenue spend. We help you record purchases and disposals properly, understand how they affect your reported position and plan for the cash flow impact of significant expenditure. Where relevant, this ties into budgeting and longer-term financial planning so future commitments do not come as a surprise.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you want from the relationship, then review your existing records and agree the scope of support. If you are moving from another accountant, we can manage the handover and liaise with them to obtain the information we need, so the transition happens without disruption to your day-to-day operations.
