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 core accounting and tax work a hospital or hospital business needs, including bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, and Corporation Tax and VAT support where those apply. Because hospitals have substantial staff costs, equipment and premises expenditure, and often several income streams, the emphasis is on keeping records accurate, reporting useful and deadlines met.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of different sizes and structures. Accounting requirements differ depending on how an organisation is set up, what services it provides, how it is funded and how many people it employs, so the support is adapted rather than applied in a fixed format.
We work on fixed, transparent packages agreed in advance, based on the scope and complexity of the work involved, such as the number of entities, payroll size, transaction volumes and reporting requirements. The aim is to give you certainty about what you are paying and to avoid unexpected charges, with the fee structure explained clearly before any work begins.
Yes. Payroll is often one of the largest costs a hospital carries, spanning clinical, administrative, facilities and support roles, frequently across shift patterns and variable hours. We can manage payroll processing and the associated reporting and compliance, so wages are handled accurately and on time while you retain clear oversight of staffing costs.
Corporation Tax applies to companies in the usual way, based on taxable profits after allowable deductions. VAT is more nuanced for hospitals: treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to assume all hospital services are exempt or all hospital-related supplies are taxable. We review your position and advise accordingly.
Yes. Hospitals typically carry significant commitments around medical equipment, facilities, supplier payments and staff costs, and those need to be planned rather than absorbed reactively. We can prepare budgets, cash flow forecasts and management accounts that show how different income streams and expenditures interact, which helps when assessing capital investment, expansion or changes in service provision.
Switching is usually more straightforward than people expect. We handle the handover with your existing accountant, obtain the records we need and get your bookkeeping and reporting set up in a way that suits your hospital. You will have a clear point of contact and a straightforward explanation of what happens at each stage.
The first step is a conversation about your hospital or hospital business, your current accounting arrangements and what you need from an accountant. From there we set out how we can help, what the support would involve and how the fees would work, so you can decide with a full picture rather than a sales pitch.
