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 work with hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups, along with the management or holding companies behind them. The common thread is that the business has hospital-style financial characteristics: substantial payroll, significant equipment and premises costs, multiple income streams and detailed reporting needs. If you are unsure whether your organisation fits, it is usually quickest to talk it through with us so we can confirm the right level of support.
Our hospital accounting support typically covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Depending on your circumstances, we can also help with Corporation Tax where applicable, VAT support where relevant, and the financial records you need to review performance, plan capital expenditure on medical equipment and keep supplier and premises costs under control. We agree the scope with you up front so it reflects your hospital's actual operations rather than a generic package.
We work on fixed, transparent packages rather than unpredictable hourly billing, so you know what you are paying for and when. Pricing reflects the size and complexity of your hospital or hospital business, the volume of transactions, the number of staff on payroll, the range of income streams and how much reporting you need. There are no hidden fees, and if your requirements change as the hospital grows or restructures, we review the arrangement with you openly.
Yes, although VAT for hospitals is rarely straightforward. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so a blanket assumption either way is unwise. Some hospital-related activities may fall within exemptions or special rules while others do not, and private hospitals and NHS hospitals do not automatically have identical accounting or tax treatment. We review your particular position and help you apply the right treatment consistently.
Yes. Payroll is often the single largest cost for a hospital, spanning clinical teams, nursing and support staff, administrative functions and contracted workers, frequently across varied shift patterns and pay structures. We can manage the payroll process, keep records accurate and help you understand the wider employment cost picture, which in turn feeds into your budgeting and cash flow planning.
Hospitals frequently face uneven cash flow, with payroll and supplier payments falling at set times while income arrives on different cycles, and large equipment purchases adding further pressure. We help by building management accounts and forecasts that show the timing of money in and out, so planned investment in medical equipment, premises or facilities can be weighed against everyday operating costs rather than decided in the dark. That clarity makes conversations with lenders, investors and suppliers considerably easier.
You should look for an accountant who is properly regulated, works to recognised professional and ethical standards, and holds the appropriate professional indemnity cover. Just as importantly, they should be able to explain hospital-specific issues clearly, including payroll complexity, equipment and premises costs, multiple income streams and where Corporation Tax or VAT may apply. We are happy to talk through how we work and what you can expect from us before you commit to anything.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve. If you are switching from another accountant, we can handle the handover process, including requesting the information we need from your existing adviser, so the transition causes as little disruption as possible. From there, we agree a scope of support and put a plan in place that fits your operations.
