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.
Most hospital engagements combine bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow work, financial reporting, and tax support such as Corporation Tax and VAT where these apply to your organisation. The exact mix depends on your structure, the size of your team, the equipment and premises you maintain and the income streams you generate. We agree the scope with you up front so you know what is covered, and it can grow as your hospital does.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit around them. Some are single-site providers with a focused service offering, while others run multiple locations with more complicated reporting, payroll and cost structures. The common thread is that they need accounting support which understands clinical staffing, medical equipment, premises and the operational costs of running a hospital.
We work on fixed, transparent fees agreed in advance, so you know the cost of the work before it begins. Pricing reflects the scope and complexity of your hospital's requirements — things like the number of sites, staffing levels, payroll volume, the reporting you need and how much of the bookkeeping we handle. There are no hidden fees, and the arrangement can be reviewed as your hospital grows or changes.
Yes. Hospital payroll often involves shift patterns, overtime, varying hours and a mix of clinical and non-clinical staff, which makes accuracy and timeliness important. We can run payroll end to end, including payslips, RTI submissions to HMRC and the associated record keeping, so staff are paid correctly and the figures flow through to your management accounts and annual reporting without gaps.
Management accounts give you a regular, structured view of income and expenditure — staffing, equipment, premises, suppliers and other operating costs — so you can see how the hospital is performing between year ends. Good financial reporting supports decisions about capacity, investment in equipment, pricing and cost control. It also makes conversations with lenders, investors or partners far easier when the numbers are current and clearly presented.
It depends on your organisation. VAT treatment varies according to the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not a matter of a single blanket rule. Corporation Tax applies where the hospital operates through a limited company, and the position can differ for other structures. We review your circumstances and explain what applies to you, rather than assuming.
Yes. Medical equipment purchases, refurbishment and other capital expenditure can be significant outlays, and how they are recorded and funded affects your tax position, your balance sheet and your cash flow. We help you plan for those commitments, budget around them and understand the reporting implications, so investment decisions are made with a clear picture of the financial impact.
Getting started is straightforward. We begin with a conversation about your hospital, its structure, how it earns income and what you need from your accounting support. If you are moving from another accountant, we can manage the handover, including requesting the relevant records and professional clearance, so the transition is smooth and nothing is missed. From there we agree the scope, set up the reporting you need and take it from there.
