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 day-to-day bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Depending on how the hospital is structured, it can also include Corporation Tax support, tax planning and VAT support where it applies. The mix is shaped around the hospital's own operations, so a single-site independent hospital and a multi-site hospital group will need very different levels of involvement.
They are designed for hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups, along with the organisations that support them. If you run a hospital and need reliable accounting, payroll and reporting that reflects your cost base and income streams, the support is built for you rather than for a general business.
We work on fixed, transparent packages rather than hourly billing wherever possible, so you know what you are paying for and there are no hidden fees. The level of pricing depends on the scope of work involved — the size of the hospital, the number of staff on payroll, how many income streams there are and how much reporting you need. We will talk through your requirements and set out the options clearly before anything is agreed.
Yes. Hospital payroll often includes a mix of clinical, administrative, facilities and support staff, sometimes with variable hours, different pay rates and multiple departments. We can manage payroll processing, statutory deductions and the associated reporting so that employees are paid accurately and the compliance side is kept in order alongside your other accounting work.
VAT treatment for hospitals is not a single, uniform answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different services and income streams can be treated differently. We review how a hospital's supplies and activities are structured and help clarify the VAT position that applies to it, rather than assuming one rule covers everything.
Medical equipment and other capital expenditure can have a significant effect on cash flow, particularly when purchases fall into a single accounting period. We help with budgeting, cash flow forecasting and how these costs are reflected in your accounts and financial reporting, so that major purchases can be planned for rather than absorbed as a sudden hit.
Payroll, premises, facilities and supplier commitments tend to be consistent, while income can arrive on different timescales depending on the mix of income streams. Regular management accounts and cash flow forecasting help show what is coming in and going out over the months ahead, which makes it easier to plan for equipment purchases, seasonal pressures and quieter periods without surprises.
It starts with a conversation about your hospital, how it is structured and what you need from your accounts and reporting. If you are moving from another accountant, we can deal with the handover, request the relevant records and make sure your compliance deadlines are covered during the transition. From there, we agree the scope of support and put an ongoing arrangement in place that fits around your operations.
