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.
Most hospital clients need a combination of annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax and VAT support where these apply. Some hospital businesses need help tidying up existing records, others want monthly management information to track performance against budget, and others need support with specific areas such as equipment costs or staffing. We agree the scope with you up front so it reflects your hospital's structure, activities and priorities, and we can adjust it as things change.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses such as day-case and specialist treatment facilities. Their accounting needs differ depending on whether they operate as a limited company, a group structure or another arrangement, and on factors such as the services they provide, their income streams, staffing, premises and equipment. If you are unsure whether your hospital fits, it is worth a conversation to see whether our experience lines up with your requirements.
We use fixed, transparent packages agreed in advance, so you know what you are paying for and when. The fee reflects the scope and complexity of your hospital's affairs, including the number of entities, payroll size, transaction volumes, reporting requirements and any compliance deadlines involved. There are no hidden fees or surprise invoices, and if your requirements change, we discuss any adjustment to the scope and fee before work goes ahead.
Yes, payroll is a common part of hospital accounting support, and it is often one of the largest and most complex areas given the mix of clinical, administrative and support roles, varied shift patterns, overtime and different contract types. We can manage payroll processing, payslips, deductions, pension contributions and the associated reporting so that staff are paid correctly and on time, and so that the payroll figures in your accounts and management reporting stay reliable.
Corporation Tax applies to companies in the usual way, based on profits, with allowances potentially available on qualifying expenditure such as medical equipment and other capital assets, though the detail depends on the asset and the circumstances. VAT is more nuanced: hospitals can have different VAT considerations depending on the nature of their supplies, the activities involved, the organisation's status and the specific facts. Some income may be treated differently from other income, so it is important to review your particular situation rather than assume a blanket treatment. We can help you understand where you stand and keep your filings consistent.
Yes. Hospitals often face large, lumpy outlays on medical equipment, facilities and premises alongside steady commitments such as payroll and supplier payments, which makes cash flow planning genuinely important. We can help you build budgets and forecasts that take account of planned capital expenditure, payment terms, income timing and seasonal or contractual variations, and then report against them regularly so you can spot pressures early rather than after the fact.
Switching is usually more straightforward than people expect, and it is something we handle routinely. We can contact your existing accountant on your behalf to request the records and information needed, then review what we receive, identify anything missing or unclear, and set up your accounting records and reporting in a way that works for your hospital. The aim is to keep disruption to a minimum while making sure nothing falls through the gaps on deadlines or filings.
It starts with a conversation about your hospital or hospital business, covering how it is structured, how it operates, what accounting support you already have and where you feel the gaps are. From there we outline what we would recommend, what the scope would cover and how the pricing would work, so you can decide with a clear picture in front of you. If you are ready to proceed, we agree the details and get your records and reporting set up.
