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.
We look after the accounting and tax side of running a hospital or hospital business. In practice that covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies, and VAT support where relevant. We also help keep your records organised so that the figures you rely on for decisions are accurate, current and easy to understand.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide services connected to hospital care. Their needs vary considerably depending on structure, activities, income streams, staffing models, premises, equipment and supplier arrangements, so the first thing we do is understand how your organisation is set up before recommending any approach. If your situation involves public-sector organisations, it is best to discuss this with us directly so we can confirm whether we are the right fit.
Hospital payroll tends to be more involved than most, with shift patterns, overtime, enhanced rates, agency and locum arrangements, pensions and a mix of clinical and non-clinical roles all feeding into the same process. We can manage payroll end to end, keeping records accurate and consistent and making sure the related reporting and payments are handled on time. Where your team structure changes frequently, we can build a routine that keeps the payroll running smoothly rather than becoming a monthly scramble.
For companies, we prepare and file Corporation Tax returns and help you plan for liabilities rather than being caught out by them. VAT is less straightforward for hospitals, since the treatment of a supply depends on the nature of that supply, the activities involved, the organisation's status and the specific circumstances. That means VAT treatment can differ across income streams and cost categories, and we review your position accordingly rather than assuming one rule applies across the board.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and when. Pricing reflects the scope of work involved, such as the size of your payroll, the number of income streams, the level of reporting you need and how much bookkeeping support you want us to take on. There are no hidden fees or surprise invoices, and if your requirements change we will discuss any adjustment with you before proceeding.
Yes. Medical equipment, facilities upgrades and other capital expenditure are significant commitments for any hospital, and they affect both your cash position and how your accounts are presented. We can help you plan for the timing of large purchases, understand how they flow through your financial statements, and keep appropriate records that support the treatment applied. If borrowing or leasing is involved, we can factor that into your budgeting and cash flow planning as well.
Switching is usually more straightforward than people expect, and much of the process sits with us. Once you decide to move, we can contact your existing accountant for the relevant records and information, review what has been done previously, and set up a clean, organised starting point. The aim is to make the handover as smooth as possible so there is minimal disruption to your payroll, reporting and tax deadlines.
We do, and for most hospital businesses this is where accounting support delivers the most practical value. Regular management accounts give you a clear view of income, staff costs, supplier payments, premises and equipment spend, and overall performance, while cash flow planning helps you prepare for the timing of large outgoings and uneven income. Together they make it far easier to plan, budget and spot issues early rather than after the year end.
