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, along with other hospital businesses that need accounting, tax and reporting support. The right approach depends on how the organisation is structured, whether it operates from a single site or several, and how its income streams and cost base are arranged. If you are unsure whether your organisation fits, it is worth a conversation so we can establish what support would actually be useful.
Support typically covers annual accounts, bookkeeping, management accounts, financial reporting, payroll, budgeting and cash flow planning, with tax support and Corporation Tax assistance where it applies, plus VAT guidance where relevant. Because hospitals have distinctive cost profiles, including staffing, premises, medical equipment, supplier payments and professional services, the work is shaped around those areas rather than being a standard package. We agree the scope with you so it reflects the reporting you genuinely need.
Pricing is based on the size and complexity of your hospital organisation, the volume of transactions, the number of staff on payroll and the level of reporting you need. We work on fixed, transparent packages wherever possible, so you know what you are paying for in advance, and we avoid hidden fees. After an initial conversation about your requirements, we set out the scope and cost clearly before any work begins.
Yes. Hospital payroll often includes a mix of full-time and part-time staff, different shift patterns, variable hours and a range of contract types, which can make accurate processing more involved than in many other sectors. We can handle payroll on an ongoing basis, help with the associated reporting obligations, and make sure the staff cost figures in your accounts and management information reflect what is actually being paid out.
Hospitals may receive income from several directions, and these can behave quite differently in terms of timing and predictability, which has a direct effect on cash flow and reporting. We set up bookkeeping and management accounts so each income stream is recorded clearly and can be reviewed separately. That makes it much easier to see which activities are performing well and where budgeting or cash flow planning needs attention.
The tax position depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so there is no single answer that applies to every hospital. VAT treatment in particular can differ from one activity to another, and Corporation Tax depends on how the organisation is structured and what it does. We review your circumstances and explain how the rules apply to you, rather than relying on assumptions.
Yes. Major purchases such as medical equipment and other capital expenditure can place significant demands on cash, even when the underlying business is performing well. We can help build budgets and cash flow forecasts that account for planned spending, ongoing operating costs, supplier payments and the timing of income, so that decisions about investment are made with a clear view of the financial impact.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured and what you need from an accountant, then review your current accounting and tax position. If you are switching accountants, we can help manage that transition, and once the scope is agreed we put the ongoing support in place and adjust it as your requirements change.
