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, as well as hospital businesses involved in providing treatment or diagnostic services. The common thread is that the organisation has hospital-style operations: clinical staffing, medical equipment, premises, multiple income streams and a substantial cost base. Because structures, activities and income streams differ so much from one hospital to the next, we start by understanding how your organisation works before recommending any particular approach to the accounting.
Our work typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where it applies, wider tax support and VAT support where relevant. For hospitals, we apply these to the things that matter most operationally, such as staff costs, medical equipment and capital expenditure, premises and facilities costs, supplier payments and professional services. The goal is accurate records and financial information you can use for decisions, lending conversations and compliance, rather than a set of figures produced once a year and forgotten.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees or surprise invoices. The right package depends on factors such as the size and structure of the hospital, the volume of transactions, the number of staff on payroll, the complexity of your income streams and the level of reporting and tax support you need. We discuss scope and cost openly at the outset so the arrangement matches your hospital's actual requirements rather than a generic template.
Yes. Hospital payroll tends to involve a mix of clinical and non-clinical staff, varied shift patterns, overtime and different contractual arrangements, which makes accurate and timely payroll processing important. We can manage payroll alongside your bookkeeping and management accounts so that staff costs feed cleanly into your financial reporting and budgeting. Getting this right also supports your cash flow planning, since payroll is usually one of the largest and most predictable ongoing costs in a hospital.
VAT is rarely straightforward for hospitals. 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 treat all hospital services as exempt or all hospital-related supplies as taxable. Different income streams and mixed activities can create genuinely complicated positions. We review the facts of your organisation and its supplies to help you apply VAT correctly and keep your records and returns consistent.
Yes. Medical equipment and capital expenditure are significant financial commitments for hospitals, and they need to be planned for rather than absorbed as a surprise. We help with budgeting and cash flow forecasting so you can see the impact of purchases, lease arrangements, financing and depreciation over time, and we reflect them properly in your annual and management accounts. Corporation Tax treatment of capital costs can also matter where relevant, and we factor that into the wider picture.
It usually helps to have your current records, accounts, tax returns and correspondence to hand, and to be clear about what you want from the relationship going forward — whether that is stronger management reporting, tighter payroll, better cash flow visibility or simply more responsive communication. We can talk through your hospital's situation, review what is in place now and explain how the transition would work. There is no obligation, and the initial conversation is about understanding your needs rather than pushing you into anything.
Just get in touch and tell us a little about your hospital or hospital business, including its structure, activities and the accounting or tax challenges you are facing. From there we will discuss what support would be most useful, what it would involve and how it would be priced on a fixed, transparent basis. Once you are happy to proceed, we agree the scope and begin the onboarding process, and we can manage any handover from your existing accountant on your behalf.
