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 typically covers bookkeeping, payroll for hospital staff, annual accounts, management accounts, budgeting and cash flow planning, financial reporting, Corporation Tax where it applies, and VAT support where relevant. Because hospitals differ so much in size and structure, we agree the scope with you based on what your organisation actually needs, whether that is a full outsourced finance function or additional capacity alongside an existing team.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses. Their accounting requirements vary depending on how they are structured, the services they provide, how income is generated, the number of staff employed, and the cost of premises, equipment and suppliers. That variation is exactly why we take time to understand your setup before recommending how the work should be handled.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees. The fee depends on the size and complexity of your hospital business — for example the number of staff on payroll, the volume of transactions, the number of income streams and how much reporting you need. We will talk through the scope with you first and set out what is included before any work begins.
Yes, and it matters. Accountants providing these services should be properly qualified and regulated, and work to recognised professional and ethical standards. When you speak to us, we are happy to explain how we are regulated and what that means for you in practice, including how your records, tax filings and financial reporting are handled and reviewed.
Corporation Tax applies where a hospital business operates through a limited company, and the treatment can vary depending on structure, activities and how profits arise. VAT is another area where there is no single answer — the treatment of hospital supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We review your position rather than making assumptions, and explain clearly what applies to you.
Hospital payroll is usually one of the largest and most complex costs, with varied roles, shift patterns, overtime and different contract types to account for. We can run payroll end to end, calculate the associated deductions and employer costs, and make sure staffing costs are recorded accurately in your management accounts so you can see the real cost of your workforce month to month.
Yes. Medical equipment and other capital purchases can create significant, uneven demands on cash, particularly when income arrives on a different timetable. We help you plan for those costs, reflect them correctly in your records and accounts, and build a clearer picture of cash flow so you can make purchasing and investment decisions with more confidence.
It is usually simpler than people expect. We will have an initial conversation about your hospital or hospital business, review your current accounting and tax position, and outline what we would do and what it would cost. If you decide to proceed, we can liaise with your existing accountant and handle the handover of records, then set up an ongoing support arrangement that suits how your organisation works.
