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 private hospitals, independent hospitals, hospital operators and hospital groups, ranging from single-site facilities to organisations running more than one location. The support is shaped around how the hospital is structured, the services it delivers and the income streams it relies on. If your organisation operates as a limited company, partnership or another structure, the accounting and tax approach will be tailored accordingly.
Support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, together with Corporation Tax and VAT support where these apply. For hospitals specifically, this often means handling payroll for clinical and non-clinical staff, tracking medical equipment and capital expenditure, recording premises and facilities costs, and keeping supplier payments and operating expenses organised. The mix is agreed around what your hospital actually needs rather than a fixed template.
Pricing is based on the scope and complexity of the work, such as the size of the hospital, the number of staff on payroll, the volume of transactions and whether multiple sites or entities are involved. We offer fixed, transparent packages with no hidden fees, so you know what you are paying for before work begins. Because every hospital is different, the scope is discussed and agreed in advance rather than quoted as a one-size-fits-all figure.
Yes. Payroll is usually one of the largest cost areas for a hospital, so it needs to run accurately and on time. We can manage payroll for clinical and non-clinical staff, including different pay arrangements, deductions and the associated reporting obligations. Keeping payroll well organised also makes it easier to understand your staffing costs and how they affect cash flow, budgeting and management reporting.
VAT treatment for hospitals depends on a range of factors, including the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt, some may be taxable, and others may fall outside the scope entirely, so it is not accurate to treat all hospital services as exempt or all hospital-related supplies as taxable. We review your particular situation and help you apply the right treatment and keep appropriate records.
Where Corporation Tax applies to your hospital business, we can help with preparation and filing, along with the supporting records and calculations behind it. We also prepare financial reporting that gives a clear view of income, costs and profitability across different areas of the hospital. This is particularly useful when you have several income streams, significant equipment costs or premises overheads that need to be understood separately as well as together.
Yes. Cash flow and budgeting are common pressure points for hospitals, especially when equipment purchases, premises costs and supplier payments fall at different times to income. We help build budgets and forecasts that reflect your actual cost structure, and we track capital expenditure such as medical equipment so the financial impact is visible rather than a surprise. That gives you a firmer basis for planning staffing, investment and day-to-day spending.
Getting started usually begins with a conversation about your hospital or hospital business, how it is structured and what you need help with. If you are switching accountants, we can talk through the handover and what information is needed from your current adviser. From there we agree a scope of support, whether that is bookkeeping, payroll, management accounts, annual accounts, tax or a combination, and put a straightforward plan in place.
