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.
Support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow oversight, financial reporting, Corporation Tax where applicable, and VAT support where relevant. Because hospitals have particular cost structures, the work also takes account of staff costs, medical equipment, premises and facilities, supplier payments and professional fees, along with the different income streams the hospital generates. We agree the scope with you upfront so you know what is being handled and when.
We support private hospitals, independent hospitals, hospital operators and hospital groups, including single-site facilities and organisations running across more than one location. Accounting needs differ depending on whether the hospital is a limited company, part of a group, or structured in another way, and they also differ depending on the clinical services offered and the income streams involved. We take the time to understand your structure before recommending how your accounts, payroll and tax affairs should be handled.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before work begins. The fee reflects the size and complexity of your hospital business, including how many staff are on payroll, how many income streams you have, and the level of reporting and compliance support you need. There are no hidden fees, and if your requirements change we discuss any adjustment with you first.
Yes. Hospital payroll often involves a mix of clinical, administrative and support staff, different working patterns, and varying pay arrangements, all of which need to be processed accurately and on time. We can manage the payroll cycle, deal with the associated reporting obligations, and make sure the figures feed correctly into your management accounts so staff costs are always visible. That visibility matters when staff costs form such a large part of a hospital's overall expenditure.
Hospitals tend to have significant fixed costs, substantial capital expenditure on medical equipment, and several income streams that need to be tracked separately. Corporation Tax where applicable and VAT are the other key areas: VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should be reviewed rather than assumed. We look at your individual position and explain what applies to you.
Yes. Medical equipment and other capital purchases can place real pressure on cash flow, so we help you plan for them rather than react to them after the fact. That includes budgeting, cash flow forecasting and making sure the accounting treatment of capital expenditure is handled correctly in your annual accounts and management reporting. It also helps when you are deciding whether to fund a purchase outright or spread the cost.
Switching is usually simpler than people expect. We can liaise with your existing accountant to obtain the records and information we need, handle the transfer of your accounting records, and make sure there is no gap in compliance or reporting along the way. Once everything is in place, we review your current position and set out how we will support your hospital going forward.
The first step is a conversation about your hospital or hospital business, covering its structure, activities, income streams and the accounting and tax pressures you are dealing with. From there we can outline the services that would be most useful and how they would work in practice. There is no obligation at that stage, and we will only recommend support that genuinely fits what your hospital needs.
