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 hospital businesses that provide related services. The accounting requirements can vary significantly depending on how the organisation is structured, how many sites or facilities it operates, the mix of income streams it relies on and the scale of its staffing and equipment costs. Because of that, we take time to understand your particular setup before recommending how the work should be handled.
Our work with hospitals typically covers annual accounts, bookkeeping, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, together with Corporation Tax and VAT support where these are relevant to the organisation. We can handle the day-to-day record keeping and compliance side while also producing information that helps you understand margins, control costs such as medical equipment, premises and supplier payments, and plan for capital expenditure. The exact mix depends on your internal resources and what you want to keep in-house.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The right package depends on factors such as the size and structure of the hospital business, the number of staff on payroll, the volume of transactions, the number of income streams and whether you need management accounts, VAT support or tax advice as part of the service. We set out the scope clearly before any work begins, with no hidden fees.
Yes, we can support hospitals with VAT and Corporation Tax compliance and planning where these apply. It is worth being clear that VAT treatment for hospitals is not a simple yes or no question: it depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances. Corporation Tax also varies depending on how the hospital or hospital group is structured. We look at your actual position rather than applying a blanket assumption.
We can. Hospital payroll often involves a varied workforce with different contracts, shift patterns and pay arrangements, so getting it right matters both for staff and for your cost reporting. Management accounts give you a regular view of income against expenditure, which is particularly useful when fixed costs such as premises, equipment finance and supplier commitments are significant. Financial reporting then pulls this together into a clear picture you can use for planning, lender discussions or board-level decisions.
Medical equipment and capital expenditure usually need careful treatment in both the accounts and your cash flow planning. Larger purchases can affect profit reporting, tax relief and available cash, so it helps to plan them alongside your budgeting rather than treating them as one-off surprises. We help you record these items correctly, understand their impact on your financial statements and factor them into forward-looking budgets so capital investment does not undermine day-to-day liquidity.
Switching is usually more straightforward than people expect. We can liaise with your existing accountant to obtain the records and information needed, review the current position and then agree a clear scope for the work going forward. Many hospitals choose to move because they want reporting that better reflects their operational reality, more responsive communication or a clearer view of costs such as staffing, equipment and premises. The transition is managed so that your compliance deadlines are not disrupted.
The first step is a conversation about your hospital or hospital business, covering how it is structured, how it earns income, what your main cost pressures are and what you want from your accounting support. From there, we review your current accounting and tax position and outline what we would recommend, along with the scope and pricing. Once that is agreed, we put the support in place and it becomes part of your regular financial rhythm.
