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 can include day-to-day bookkeeping, annual accounts, management accounts, payroll support, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT guidance where relevant. For hospitals, that often means handling staff costs, medical equipment, premises, supplier payments and multiple income streams in a way that gives you accurate records and useful management information.
They are suitable for private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-focused businesses that need accounting, tax and reporting support. The right scope depends on your structure, activities, income streams, staffing, premises, equipment and operating costs.
Pricing is usually based on the scope and complexity of the work, such as the number of income streams, payroll size, reporting requirements, VAT position and how much bookkeeping support you need. We aim to provide fixed, transparent packages with no hidden fees, and the exact arrangement is agreed before any work begins so you know what to expect.
Yes. Payroll can be one of the biggest administrative pressures for hospitals, especially where there are different staff groups, shift patterns, overtime, allowances or contractor arrangements. We can help keep payroll organised and connected to your wider accounting records, so staff costs are reflected properly in management accounts, annual accounts and cash flow planning.
Hospitals can have a range of tax considerations depending on their structure and activities. Corporation Tax may apply where the hospital operates through a limited company, and VAT treatment is not automatic; it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. We can review your position and help you understand what applies to your hospital.
Yes. Medical equipment, facilities and other capital expenditure can have a significant effect on cash flow, budgeting and financial reporting. We can help you record and report those costs clearly, consider how they affect your management accounts and cash flow, and make sure the accounting treatment is appropriate for your hospital's circumstances.
We usually start with a conversation about your hospital, your current accounting arrangements and what you need help with. From there, we may ask for details of your income streams, payroll, supplier costs, equipment and premises, existing accounts and tax records, so we can review your requirements and recommend a suitable support package.
Yes. If you already work with another accountant, we can help manage the transition by reviewing your current records, accounts and tax position and agreeing what information is needed. The aim is to make the switch straightforward and keep your accounting, payroll and reporting running without unnecessary disruption.
