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 day-to-day and year-end financial work a hospital needs, including bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting. Where relevant, we also help with Corporation Tax and VAT, explaining how the treatment of a particular income stream or cost depends on the nature of the supply, the activity involved and the organisation's own status rather than applying a blanket rule. The mix is shaped around your hospital or hospital business, so you are not paying for work you do not need.
We work with private hospitals, independent hospitals, hospital operators and hospital groups. That includes organisations running a single site as well as those managing several locations with more complex reporting needs. Because a hospital's accounting requirements depend heavily on its structure, activities, income streams, staffing, premises, equipment and supplier arrangements, we take the time to understand how your organisation actually operates before recommending how the work should be handled.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The scope depends on the size of the hospital, the number of sites, payroll volumes, the complexity of income streams and how much reporting and tax support you need. There are no hidden fees, and we are happy to talk through what a sensible package looks like for your organisation before anything is agreed.
Yes. Payroll is one of the largest and most time-sensitive costs in any hospital, covering clinical, administrative, facilities and support staff, often across shift patterns and varying hours. We manage the payroll process, keep records accurate and help make sure staff are paid correctly and on time, while giving you a clear view of what staffing actually costs so it can be planned for rather than absorbed as a surprise.
VAT for hospitals is rarely a simple yes or no. The treatment depends on the nature of the supply, the activities involved, whether they are carried out commercially and the status of the organisation itself, so some areas may be straightforward while others need closer examination. Corporation Tax applies where it applies, based on how the hospital is structured and what it does. We look at your specific circumstances and explain the position clearly rather than assuming all hospital services are treated the same way.
Yes, and this is often where hospitals feel the most strain. Income can arrive from multiple streams at different points in the year, while staff costs, supplier payments, premises and equipment commitments continue regardless. We use management accounts, budgeting and cash flow forecasting to give you a realistic view of what is coming in and going out, which makes it easier to plan capital expenditure on medical equipment and other significant costs without disrupting day-to-day operations.
Switching is generally simpler than people expect. We begin by understanding your hospital or hospital business and reviewing your current accounting and tax position, then we take over the necessary records and communication with your existing adviser where that is helpful. From there we agree the support that fits your requirements and get the ongoing work running. If you would like to talk it through first, we are happy to have that conversation before you commit to anything.
