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.
The service is built around what your hospital or hospital business needs. In practice that usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, and tax support such as Corporation Tax where applicable and VAT support where it is relevant. We can handle the full finance function or focus on the areas where you need the most help, and we review the scope with you so it stays aligned with how your hospital operates.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with similar hospital businesses such as day-case and specialist treatment facilities. Some are single-site operations with a small management team, while others run multiple locations and income streams. Your accounting requirements will depend on your structure, activities, staffing, premises, equipment, suppliers and operating costs, so we shape the work around your circumstances rather than assuming every hospital is the same.
We work on fixed, transparent packages with no hidden fees, so you know what you are paying for before any work begins. The fee reflects the size and complexity of your hospital business, including factors such as transaction volumes, payroll headcount, the number of sites and the level of reporting you need. Because those things change as a hospital grows, we review the arrangement periodically and agree any changes with you in advance.
Yes, payroll is a major part of what we do for hospitals, given how many different roles and shift patterns a typical hospital employs. We can manage payroll processing, payslips, pension contributions and the associated reporting, so staff are paid accurately and on time and the administrative burden is lifted from your management team. If you have a mix of full-time, part-time and bank or agency staff, we can factor that into how the payroll is run.
Corporation Tax applies where the hospital operates through a limited company, and the position can differ depending on structure, ownership and how profits arise. VAT is more nuanced than many people expect: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. We look at your particular income streams and activities before advising on the right treatment.
Yes. Medical equipment and other capital expenditure are often among the largest outlays a hospital makes, and they can put real pressure on cash flow if they are not planned for. We help you look ahead at what is coming, consider how purchases affect your accounts and tax position, and build a clearer picture of affordability alongside your day-to-day running costs. That way major purchases are decisions rather than surprises.
Switching is usually far less disruptive than hospital owners expect. We ask for some basic information about your current setup, then handle the handover with your existing accountant, including requesting the records and information we need to take over the work. We will review your position as part of that process so nothing gets missed, and we will explain what happens at each stage so you always know where things stand.
The first step is a straightforward conversation about your hospital or hospital business, covering how it is structured, how it earns income and what you want from an accountant. From there we will outline the support that fits, confirm the scope and pricing, and agree a start date. There is no pressure and no obligation, and if you are unsure what you need, we can talk through the options and help you decide.
