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 core accounting and tax work a hospital or hospital business needs to stay compliant and well informed. That typically means bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax where it applies and VAT guidance based on your particular supplies and activities. The exact mix depends on your structure and how much internal resource you already have, so we agree the scope with you rather than assuming a standard package.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and the trading or management entities behind them. A single-site independent hospital has very different reporting and payroll demands from a multi-site hospital group, and the accounting approach should reflect that. We look at how your organisation is structured, how it generates income and where its main costs sit before recommending how to proceed.
Pricing is based on the scope and complexity of your requirements rather than a flat figure applied to everyone. Factors such as transaction volume, the number of staff on payroll, the number of sites, the range of income streams and the level of reporting you need all influence it. We favour fixed, transparent packages with no hidden fees, so you know what you are paying for and can plan around it.
Yes. Bookkeeping and payroll are among the most common areas hospitals ask us to handle, because staff costs are usually one of the largest and most complex parts of the operation. That can include a mix of full-time, part-time and variable-hours employees, along with the reporting obligations that come with them. Accurate payroll and clean bookkeeping also make your management accounts far more reliable, which helps with budgeting and cash flow planning.
VAT treatment for hospitals is not a single, fixed answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. We review how your supplies are structured and advise on the position that applies to you, rather than assuming that all hospital services are exempt or that all hospital-related supplies are taxable. Please note that we do not advise NHS Trusts or other public-sector organisations.
Yes. Medical equipment and other capital expenditure can have a significant effect on your tax position and on cash flow, particularly when purchases are large or spread across more than one year. We look at the timing of expenditure, how it is financed and how it interacts with your wider financial picture, including Corporation Tax where it applies. The aim is to make sure major investment decisions are made with a clear view of the financial consequences.
Switching is usually far less disruptive than people expect. We handle the practical steps, including obtaining the information we need from your existing accountant and making sure your records are brought across in good order. If your year end is approaching, we will talk through timing so nothing is missed. Once the handover is complete, you get a single point of contact and a clear view of what happens next.
It starts with a conversation about your hospital or hospital business: how it is structured, how income arrives, where the main costs sit and what you need from an accountant. From there, we review your current accounting and tax position and set out a suitable scope of support. If you would like to understand what that could look like for your organisation, get in touch and we will take it from there.
