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 usually covers the essentials that keep a hospital's finances accurate and compliant — day-to-day bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax and VAT where those apply. In practice the mix depends on your structure and how much you want to handle in-house. Some hospital businesses want a full outsourced finance function, while others need specific pieces such as payroll or year-end accounts handled properly.
It is aimed at hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups, along with the organisations that run or support them. Their accounting requirements differ widely depending on whether they are limited companies, partnerships or part of a wider group, what services they provide, how many staff they employ and where their income comes from. If your organisation operates hospital facilities or hospital-related services, the approach can be adapted to suit you.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the scope of work — the number of entities, the volume of transactions, how many staff are on payroll, whether VAT returns and Corporation Tax are involved, and how much reporting you need. There are no hidden fees, and if your requirements change, the arrangement can be reviewed so the cost stays aligned with the work being done.
Yes, payroll is often one of the most valuable parts of the service for hospitals because staff costs tend to be the single largest expense. We can look after payslips, PAYE and National Insurance, pension contributions, starters and leavers, and the reporting that goes with them, including handling varied shift patterns, overtime and different pay arrangements across clinical and support roles. Keeping payroll accurate and on time matters both for your team and for your compliance position.
Corporation Tax applies to most hospital businesses that trade through a limited company, and VAT can be considerably more nuanced than many people expect. VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so it is not a case of everything being exempt or everything being taxable. Hospitals with several income streams may also need to think carefully about how income and costs are recorded and reported. We review your position and explain what applies to you.
Yes. Large purchases such as medical equipment, facilities improvements and other capital items need to be recorded and treated correctly in your accounts, and they can have a significant effect on cash flow and on your reported position. We can help you plan for that spending, understand how it flows through your accounts and make sure the tax treatment is handled properly, so a major investment does not create an unwelcome surprise later.
It is usually far less disruptive than people fear. We begin with a conversation about your hospital or hospital business, what you currently have in place and what is causing friction, then review your existing records and arrangements. From there we agree a clear scope of work and handle the practical side of moving across, including liaising with your previous accountant where needed. Where VAT is relevant, we also make sure returns and records are brought up to date as part of the transition.
