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 of running hospital finances properly: bookkeeping, annual accounts, management accounts, payroll support, budgeting, cash flow planning, financial reporting, Corporation Tax where it applies, and VAT support where relevant. We also help with the areas that tend to complicate hospital numbers, such as capital expenditure on medical equipment, premises costs, supplier payments and multiple income streams. The exact mix is shaped around your hospital's structure and activities rather than a fixed package.
Our support is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. The common thread is that they carry hospital-style costs and obligations: substantial staff payroll, medical equipment, premises and facilities, suppliers, professional services and several income streams to keep track of. If your organisation operates in that space, the accounting work tends to look very different from a typical small business, and that is the environment we work in.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for before the work begins. Pricing reflects the scope and complexity of what you need, which for hospitals varies considerably depending on the number of staff, income streams, size of premises and level of reporting required. There are no hidden fees or surprise invoices, and we are happy to explain how a package is put together and what is included in it.
Yes. Payroll is often one of the largest and most complex cost areas for a hospital, particularly where clinical and non-clinical teams work varied shift patterns or different contractual arrangements. We can support the payroll process so staff are paid accurately and on time, with the associated reporting and compliance handled properly. Because payroll feeds directly into your management accounts and cash flow planning, keeping it in order gives you a much clearer view of your overall cost base.
VAT for hospitals is rarely a simple yes or no. The treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some income may be treated differently from other income. It is also worth remembering that hospitals do not all sit in the same position, and it should not be assumed that different types of hospital are treated identically. We review your particular activities and income streams so VAT is handled on the facts rather than on general assumptions.
It depends on the organisation's structure and status, so this is something we look at case by case rather than applying a blanket answer. Where a hospital or hospital business operates through a structure that falls within the charge to Corporation Tax, we handle the compliance side, including reviewing income, allowable costs, capital expenditure on medical equipment and any reliefs that may be relevant. If your structure sits outside that, we will explain the position clearly so you understand what applies to you.
Medical equipment and other capital items need to be treated correctly in your records, because they affect both your reported position and your tax calculations. We help identify what should be capitalised, how it should be reflected in your annual accounts and management accounts, and how it fits into longer-term budgeting and cash flow planning. Given how significant equipment spending can be for a hospital, getting this right supports better decisions about when and how to invest.
Getting started begins with a conversation about your hospital, its structure and what you need from an accounting team. We then review your current accounting and tax position, agree a suitable package, and manage the handover from your existing adviser where you are switching. We keep the process clear and practical, so you know what information is needed, what happens next and what ongoing support will look like once you are up and running.
