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 typically covers the full financial picture rather than just a year-end set of accounts. That means day-to-day bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting, cash flow forecasting and financial reporting. Tax support sits alongside this, including Corporation Tax where it applies and VAT support where relevant, along with help understanding costs such as medical equipment, premises, professional services and supplier payments. The mix is usually adjusted to suit the size and structure of the hospital.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, plus the hospital businesses that support or sit alongside them. Their needs differ enormously: a single-site independent hospital will have a very different reporting and payroll burden from a group running several locations. What matters is understanding how the organisation is structured, how it earns income and where its main costs sit, then building the accounting around that.
Pricing is based on the scope of work and the complexity of the hospital business, so factors such as size, structure, number of staff on payroll, transaction volumes, income streams and the services you need all play a part. We work on fixed, transparent packages with no hidden fees, and you will know what is included before anything begins. If your requirements change as the hospital grows, the arrangement can be reviewed and adjusted accordingly.
Yes. Hospital payroll often involves part-time and full-time staff, bank or casual workers, overtime, enhanced rates for unsocial hours, and pension contributions, which makes accuracy particularly important. We manage the payroll process so employees are paid correctly and on time, and so the figures feed cleanly into your books, management accounts and year-end reporting. Keeping payroll and accounting joined up also makes it easier to understand total staff costs as a proportion of income.
It depends on the circumstances. VAT treatment for hospitals is not a simple all-or-nothing position, because it turns on the nature of the supply, the activities involved, the organisation's status and the specific facts. Some supplies may be exempt, some may be outside the scope, and others may be standard-rated, and NHS hospitals and private hospitals do not automatically receive identical treatment. Corporation Tax similarly depends on how the organisation is structured. We look at your actual arrangements and advise on the position that applies to you.
Yes, and it is often one of the most valuable areas for a hospital. Large equipment purchases and facility improvements involve significant outlay, so it helps to see the impact on cash before committing rather than afterwards. We can help with budgeting, forecasting, and reviewing how capital expenditure fits into your wider financial position, alongside keeping track of depreciation, finance arrangements and ongoing running costs. That gives you a clearer basis for planning investment with confidence.
You do not need to wait for your year end to make a change. The simplest approach is to get in touch and talk through your hospital's structure, current accounting arrangements, payroll and reporting requirements. From there we can explain what support would look like, confirm what is included and outline how a handover from your existing accountant would work. Compliance deadlines and continuity are always kept in mind throughout the process.
In practice, payroll and staff costs, cash flow visibility, multiple income streams and capital expenditure are the areas that come up most often. Reporting that arrives too late to be useful is another common frustration. We focus on keeping records accurate and current, producing management accounts that help you steer the hospital, and making sure tax and VAT obligations are handled on time, so financial information supports decisions rather than just recording history.
