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 depends on what your hospital or hospital business needs, but most clients come to us for a combination of bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, tax support and VAT support where relevant. For hospitals specifically, that often means handling large and varied payroll runs, tracking medical equipment and capital expenditure, monitoring premises and facilities costs, managing supplier payments and pulling together income from several different streams into reporting that makes sense. We agree the scope with you up front so you know exactly what is covered.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as smaller hospital businesses such as day-case facilities and specialist treatment centres. If your organisation provides hospital-level care and has the financial complexity that comes with staff, equipment, premises and multiple income streams, our support is built with that in mind. Requirements differ depending on structure, size, activities and how income is generated, so we tailor the work rather than applying a fixed template.
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 scope you need — for example, whether payroll covers a small team or a large workforce, how much bookkeeping is involved, and whether you need management accounts, VAT support or help with capital expenditure planning. There are no hidden extras, and because the arrangement is agreed in advance, your costs stay predictable as your hospital grows or its needs change.
Yes. Payroll is usually one of the biggest administrative and financial tasks a hospital faces, covering clinical and non-clinical teams, varied pay rates, overtime, shift patterns and pension contributions. We can take on the payroll function so employees are paid accurately and on time, and so the associated costs are recorded properly in your books. That also means your payroll figures flow into your management accounts and year-end reporting, giving you a consistent picture of your largest cost line.
It depends on the organisation and its activities. Corporation Tax applies to companies and its treatment can be affected by capital expenditure on equipment and premises, so how those costs are recorded and relieved matters. VAT is more nuanced still: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not safe to assume that everything a hospital does falls one way or the other. We review your position and help you apply the right treatment to the transactions you actually carry out.
Yes. Medical equipment is a significant investment, and how it is purchased, financed, depreciated and reflected in your accounts affects both your reported position and your tax treatment. We help you plan for these purchases, account for them correctly, and understand the impact on cash flow and profitability. We can also help you think through the timing of major expenditure so that it fits sensibly alongside your other commitments rather than stretching your finances unexpectedly.
Switching is usually far less disruptive than people expect. We handle the practical side, including contacting your existing accountant for the information we need and making sure your records transfer cleanly, so you are not left chasing paperwork yourself. We then review your position, flag anything that needs attention and put ongoing support in place. Many hospital businesses find the review alone gives them a much clearer view of where they stand.
It starts with a conversation about your hospital or hospital business — how it is structured, how it earns income, what your main costs are and what you would like help with. From there we review your current accounting and tax arrangements, explain what we would recommend and agree a scope and fee with you. Once that is in place, we take over the agreed work and provide ongoing support, adjusting it as your requirements change.
