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.
For most hospitals and hospital businesses, the core work covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, together with Corporation Tax support where applicable and VAT support where it is relevant to your activities. Beyond the compliance basics, it also means organising your figures so that staff costs, medical equipment, premises, supplier payments and each of your income streams can be seen clearly and compared over time. How much of this you need depends on the size and structure of your hospital, whether you have an internal finance team, and how detailed your reporting needs to be.
We support private hospitals, independent hospitals, single-site facilities, hospital operators with more than one location, and hospital groups made up of several entities. Each of these can have quite different accounting requirements — a single-site independent hospital may need straightforward bookkeeping, payroll and annual accounts, while a hospital group may need consolidated reporting across entities and more detailed management information. If you are unsure whether your organisation fits, it is worth a conversation so we can look at your circumstances properly.
Pricing is based on the scope of work your hospital actually needs rather than a flat rate applied to everyone, so the shape of your organisation, the number of entities involved, the volume of transactions, payroll headcount and the level of reporting you want all feed into it. We set out what is included in advance and work to fixed, transparent packages where the scope allows, so there are no hidden fees or unexpected extras appearing later. If your requirements change — for example, if you add a new income stream or expand your workforce — the scope and cost are reviewed openly rather than adjusted quietly.
We work to UK accounting and tax standards, and part of our role is making sure you know which filings apply to your hospital business and when they fall due, so deadlines do not creep up unnoticed. That includes keeping company records and supporting documentation in a state that stands up to scrutiny, and preparing accounts and returns on the right basis for your structure. If you need details of professional body membership or specific qualifications, we can confirm these directly when we speak.
VAT in a hospital setting is rarely a simple yes or no. The correct treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — a hospital may have a mix of supplies that are treated in different ways, and the position can differ between organisations. We review your income streams and expenditure in context, help you apply the treatment that fits your situation and keep supporting records in order, rather than assuming one rule applies across everything you do.
Yes. Medical equipment and other capital expenditure can tie up significant funds and affect how your accounts and tax position look over several years, so it is worth planning rather than reacting. We can help you build equipment purchases into your budgeting and cash flow forecasting, think through the timing of major spend, and keep your management accounts reflecting the impact as it happens. That gives you a clearer picture when decisions about replacement, upgrade or expansion come around.
We do, and it is often one of the most valuable pieces of day-to-day support for a hospital. Payroll for clinical and non-clinical staff can involve a mix of pay rates, shift patterns, overtime, pension arrangements and varying contractual terms, and getting it right every period matters both for your team and your records. Running payroll alongside your bookkeeping also means staff costs feed straight into your management accounts, so you can see workforce expenditure in context rather than as a separate exercise.
Getting started is straightforward. We begin with a conversation about your hospital — its structure, activities, income streams and the pressures you are currently facing — then review your existing records and reporting to see what is working and what needs attention. If you are moving from another accountant, we can deal with the practical side of the handover, including requesting the information we need, so the transition does not create a gap in your compliance. From there, we agree the level of ongoing support that suits you, whether that is payroll and bookkeeping, full annual accounts and tax work, or something in between.
