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.
Most hospital businesses need a combination of bookkeeping, payroll, management accounts, annual accounts and financial reporting, along with budgeting and cash flow support. Where they apply, we also help with Corporation Tax and VAT. The exact mix depends on your structure, how many staff you employ, how many income streams you have and how much internal finance resource already exists. We agree the scope with you up front so it is clear what is covered.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses. Some are single-site operations, while others run multiple locations or sit within a wider group structure. Because hospital organisations vary so much in size and shape, we look at each one individually rather than applying a standard package to everyone.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the actual work involved — things like transaction volumes, payroll headcount, the number of income streams, reporting requirements and whether VAT or Corporation Tax support is needed. There are no hidden fees, and we will always explain what sits inside the scope before you commit to anything.
Yes. Hospital payroll tends to be one of the largest and most complex cost lines, often covering a mix of clinical, administrative, support and temporary staff, with different pay rates, shift patterns and contract types. We can manage the payroll process end to end, including payslips, deductions, pension contributions and the reporting obligations that go with employing staff. Getting this right matters both for compliance and for the accuracy of your management accounts.
VAT for hospitals is not something that can be reduced to a single rule. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and services can be treated differently. Rather than making assumptions, we look at what your hospital actually provides and how it is structured, then work through the VAT position on that basis so your returns reflect reality.
Medical equipment and other capital items can involve significant outlay, and the timing of those purchases often has a real impact on cash flow. We can help you plan for major expenditure, reflect it correctly in your accounts and factor it into budgeting and forecasts. That way, large purchases are treated as planned investment decisions rather than surprises that strain the bank balance.
Many hospitals earn income from several different sources, which can make financial reporting more involved than it first appears. We can build management accounts and reports that separate and explain those streams clearly, so you can see which areas are performing and where costs are accumulating. Good reporting also makes conversations with lenders, investors or other stakeholders far easier.
Getting started is straightforward. We begin by understanding your hospital or hospital business, then review your current accounting and tax position, including existing records and any outstanding compliance work. If you are switching from another accountant, we can handle the handover and liaise with your previous firm on your behalf. Once everything is in place, we agree the ongoing support you need and get on with it.
