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.
For most hospital businesses, support covers bookkeeping and financial records, payroll for clinical and non-clinical staff, annual accounts and financial reporting, management accounts, budgeting and cash flow planning, and tax compliance such as Corporation Tax and VAT where it applies. Because hospitals usually carry significant staff costs, medical equipment purchases, premises and facilities costs and a mix of income streams, the work is shaped around how the organisation actually operates rather than a standard template. Where a hospital operates across multiple sites or as part of a group, reporting can be structured to give a clearer view of each part of the business.
Support is designed for private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as day case and diagnostic facilities. It suits organisations that want their financial records kept accurate, their tax obligations managed properly and their numbers presented in a way that is genuinely useful for decision-making. Every hospital has a different structure, income mix and cost base, so the starting point is always a conversation about how yours works.
Pricing is normally based on fixed, transparent packages agreed in advance, so you know what is covered before any work begins. The right package depends on the size and complexity of the hospital business, the number of sites, the volume of transactions, how many staff are on payroll, and whether management accounts, VAT returns or Corporation Tax support are needed. There are no hidden fees, and if your requirements change as the hospital develops, the arrangement can be reviewed.
Yes. Payroll in a hospital can involve a wide range of arrangements, including clinical and non-clinical staff, different shift patterns, overtime and other variable payments, so accuracy and timeliness matter. Support can cover payslips, deductions, pension contributions and the related reporting obligations, helping make sure staff are paid correctly and the records are in order. It also feeds usefully into budgeting and management accounts, since staff costs are usually one of the largest items in a hospital's cost base.
VAT for hospitals is rarely as simple as it first appears. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of everything being exempt or everything being taxable. Many hospital businesses have a mixture of activities that may be treated differently, alongside costs that may or may not be recoverable. The sensible approach is to look at what the hospital actually provides and how it is structured before drawing any conclusions.
Yes, and these are often the areas where hospitals get the most value. Management accounts give a regular, clearer picture of performance than annual figures alone, which matters when income streams and operating costs are both moving. Budgeting and cash flow forecasting help you plan for significant items such as medical equipment, capital expenditure and premises costs, and manage the timing of supplier payments. Together they reduce surprises and give more confidence when decisions need to be made.
Yes, and switching is usually straightforward. The process typically involves reviewing your current position, arranging the transfer of information and making sure records are handed over properly, so ongoing bookkeeping, payroll, accounts and tax work continue without disruption. It often helps to begin the conversation ahead of a key deadline or year end, as that gives more time to plan the transition properly.
It starts with a conversation about your hospital or hospital business — how it is structured, what income streams it has, how many staff are on payroll and what you need help with. From there you will get a clear view of the support that fits and how it would be provided. There is no obligation, and you do not need everything neatly organised before getting in touch.
