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 covers the core accounting and tax work most hospitals and hospital businesses need, including bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Where relevant, we also support on Corporation Tax, general tax matters and VAT. The emphasis is on keeping your records accurate, your reporting useful and your compliance deadlines under control, with the service shaped around your hospital's income streams, staffing, premises, medical equipment and supplier costs.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses whose activities sit alongside clinical care. Every one of these has a different structure, cost base and mix of income, so the accounting work is tailored accordingly. If you are unsure whether your organisation fits, it is worth having a conversation — the practical answer is usually clearer than the labels suggest.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects the size and complexity of your hospital or hospital business, the volume of transactions, payroll numbers and the level of reporting and tax support you need. There are no hidden fees, and we will always explain what is included before any work begins.
Yes. Payroll is one of the biggest areas for most hospitals, and we can manage it end to end, including payslips, PAYE and National Insurance, pensions and the reporting that goes with them. Because hospital staffing often spans a range of roles, shift patterns and contract types, getting payroll right matters both for accuracy and for keeping staff confident that they are paid correctly.
It depends on how the hospital is structured and what it does. Where a hospital operates through a limited company, Corporation Tax will usually be relevant, along with the allowances and reliefs that may apply to things like medical equipment and capital expenditure. VAT is less straightforward, as the treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so we look at your position individually rather than assuming a blanket rule applies.
Large purchases such as medical equipment and facility improvements need to be treated properly, both in your accounts and, where relevant, for tax purposes. We help you record these correctly, think through the cash flow impact of significant purchases, and understand how they affect depreciation, profit and any available tax relief. That way, big spending decisions are made with a clear view of the financial consequences.
Yes, switching accountants is more straightforward than most people expect. We handle the handover, liaise with your existing accountant where needed and make sure your records transfer cleanly so there is no gap in your compliance. Once we are up and running, we will review your position and flag anything that needs attention.
It starts with a conversation about your hospital or hospital business — how it is structured, what you need help with and where the pressure points are. From there we review your current accounting and tax position and explain what we would do and how the package would work. If it feels like a good fit, we agree the scope and take it from there.
