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.
They look after the accounting and tax side of a hospital or hospital business — bookkeeping, payroll, management accounts, annual accounts, financial reporting and tax compliance — so owners, directors and finance teams can see how the organisation is performing and where it is heading. For hospitals that also means understanding the cost base properly: clinical and non-clinical staff, medical equipment, premises, suppliers and the various income streams coming in. The work is about accurate records and reports that support decisions, not simply meeting filing deadlines.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, from single-site providers through to organisations running several locations or service lines. Their accounting needs differ depending on how they are structured, the services they offer, how those services are charged for and how the organisation is funded. If you operate as a hospital business, the focus stays firmly on hospital-relevant accounting rather than a generic healthcare service.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what is covered and what you are paying for. The scope is shaped by factors such as the size of the hospital, how many staff are on payroll, transaction volumes, how many income streams there are and the level of reporting you need. We talk that through with you upfront and set out the fees clearly, with no hidden extras or surprise invoices later in the year.
Yes. Hospital payroll usually involves a mix of clinical and non-clinical staff, varied contract types, overtime, shift enhancements, pensions and a steady flow of starters and leavers across departments. We can run payroll end to end, produce payslips and handle the associated PAYE obligations, so wages are accurate and paid on time and the reporting behind them is properly maintained.
VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. Private hospitals, independent hospitals and hospital groups can each have different positions depending on what they provide and how they operate. We review your particular situation and help you apply the rules correctly rather than working from assumptions.
Yes, where they apply. We prepare annual accounts and the supporting information, and handle Corporation Tax computations and filings for hospital companies and hospital groups that fall within the scope of Corporation Tax. We also look closely at areas that commonly affect hospital businesses, such as capital expenditure on medical equipment, premises costs, and the timing of income and expenditure across the year.
Absolutely. Hospitals often carry significant fixed costs — payroll, premises, equipment finance — alongside income that can fluctuate from month to month. Regular management accounts and sensible budgeting give you an early view of pressure points, help you plan equipment purchases and other capital spending, and make conversations with lenders, investors or partners far more straightforward.
It begins with a conversation about your hospital, how it is structured, what accounting and tax work is currently done in-house or elsewhere, and where you feel the gaps are. If you are switching accountants, we can manage the handover with your existing adviser, including requesting the records and information we need. From there we agree the scope of support and set out a straightforward plan for moving forward.
