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 support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses whose activities sit alongside patient care. That might include a single-site independent hospital, a group running several locations, or an operator with a mix of inpatient, outpatient and diagnostic services. Because each hospital's structure, income streams and cost base differ, we start by understanding how yours operates before recommending the level of accounting support that fits.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, tax support and VAT assistance where it applies. In a hospital setting, that means handling the detail behind staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and professional services, then turning it into reporting you can act on. Corporation Tax and VAT support are included where they are relevant to your hospital's structure and activities.
They are designed for hospitals and hospital businesses that need accounting and tax support with a genuine understanding of their operating environment. That includes owners and directors of private and independent hospitals, hospital operators managing multiple sites or service lines, and hospital groups that need consistent reporting across the organisation. If your hospital has complex payroll, significant equipment costs or several income streams, the support is shaped accordingly.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects the scope of work your hospital actually needs, including the number of sites, staffing levels, payroll complexity, reporting frequency and the tax and VAT support required. There are no hidden fees, and we agree the scope with you before any work begins so there are no surprises later.
Yes. Where your hospital operates through a limited company, Corporation Tax will usually be relevant, and we can help with calculations, allowances and planning around capital expenditure on medical equipment. VAT is more nuanced — the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so there is no single blanket rule. We review your position carefully rather than assuming one approach applies to every hospital.
Hospital payroll often involves a mix of clinical, administrative and support staff, varied shift patterns, rota-based pay and multiple contract types, so accuracy matters. We manage the payroll process and make sure the figures feed cleanly into your management accounts. Those management accounts then give you a clearer picture of margins, staffing costs, equipment and premises expenditure, supplier commitments and cash flow, so you can make decisions with current information rather than year-old numbers.
The most common themes are high fixed costs that do not flex with income, capital expenditure on medical equipment, supplier payment cycles, premises and facilities costs, and the need for financial reporting that arrives early enough to be useful. Multiple income streams can also complicate things, particularly where different services attract different VAT and tax treatment. Good accounting support helps you see these pressures coming and plan around them instead of reacting after the fact.
It starts with a conversation about your hospital, its structure, its income streams and what you need from an accountant. We then review your current accounting and tax position, agree the scope of support and handle the handover from your existing accountant, including any professional clearance that is required. Once everything is in place, we move into ongoing support, keeping your records accurate, your reporting timely and your tax position properly managed as your hospital grows.
