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 accounting and tax work hospital businesses typically need: bookkeeping, payroll for hospital staff, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax where applicable, and VAT support where relevant to your activities. The exact mix depends on your structure, how you are set up and what you already handle in-house, so the scope is agreed around your circumstances rather than applied as a fixed template.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses whose activities sit within those settings. Their accounting requirements vary considerably depending on structure, income streams, staffing levels, premises, medical equipment and supplier arrangements. If you are unsure whether your organisation fits, it is worth a conversation — the focus is on whether you operate as a hospital or hospital business, not on fitting a narrow label.
Pricing is based on the work involved rather than a standard rate card. Factors such as the size of your payroll, the number of income streams, the volume of transactions, how many entities sit within a hospital group and the level of reporting you need all affect the scope. We prefer fixed, transparent packages where possible, agreed in advance, so you know what you are committing to with no hidden fees appearing later.
Yes. Hospital payroll often involves a broad mix of roles, shift patterns, varying hours, overtime arrangements and differing contract types, and it needs to be processed accurately and on time. We can manage payroll end to end, including the associated reporting obligations, and we can align it with your bookkeeping and management accounts so your staff costs are reflected properly in the figures you review each month.
Corporation Tax is relevant for incorporated hospital businesses, and planning around capital expenditure on medical equipment and premises can matter a great deal given the sums involved. VAT is often less straightforward: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume that every hospital service is exempt or that every related supply is taxable. We look at your own position rather than applying a general rule.
That is often where hospital businesses feel the pressure most. Large payroll runs, equipment purchases, premises costs and supplier payments do not always line up neatly with incoming income. We can prepare management accounts and cash flow forecasts that show what is coming in, what is going out and when, so you can plan equipment investment, manage supplier terms and make decisions with a clearer view of your position.
Switching is usually more straightforward than people expect. Once you decide to move, we can liaise with your existing accountant to obtain the records and information needed, and we will tell you exactly what we require from you. There is no expectation that you arrive with everything perfectly organised — part of the process is reviewing what exists and putting a sensible structure in place going forward.
It starts with a conversation about your hospital or hospital business — what you provide, how you are structured, who handles your finances now and where you feel the gaps are. From there we can look at your current accounting and tax position and outline the support that would make a practical difference. You are under no obligation to proceed, and there is no pressure to commit before you are confident it is the right fit.
