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.
They handle the accounting, tax and payroll work that sits behind a hospital business — bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow, financial reporting, and tax or VAT support where it applies. For a hospital, that means work which accounts for clinical and non-clinical staff costs, medical equipment and premises, supplier payments and several different income streams, rather than generic accounting that ignores how the business actually operates.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with associated hospital businesses. A single-site hospital and a multi-site group will have very different accounting requirements, so support is shaped around your structure, activities, services, staffing, premises and the income streams you rely on.
Typically a combination of bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow planning, alongside Corporation Tax where applicable and wider tax and VAT support. What is included is agreed up front based on the size and complexity of your hospital, so you are not paying for work you do not need.
We use fixed, transparent packages based on the scope of work required, so you know what you are paying for and there are no hidden fees. The fee depends on factors such as the number of sites, the size of the payroll, the volume of transactions, the number of income streams, and whether VAT returns or regular management reporting are needed. Once we understand your hospital, we set that out clearly before any work begins.
Yes, where VAT applies. VAT treatment for hospitals depends on the nature of the supply, the activities involved and the organisation's status, so the position is rarely as simple as treating everything as exempt or everything as taxable. We look at the specific supplies your hospital makes, how they are treated, and what needs to be reported, then help you keep records and returns accurate.
It depends on how the business is structured. If a hospital operates through a limited company, Corporation Tax will usually apply to its taxable profits, while other structures are taxed differently. We look at your structure, income and allowable costs to establish what applies, and make sure filings and deadlines are handled properly.
These are often among the biggest financial pressures a hospital faces, so they deserve proper tracking and planning. We can help record capital expenditure correctly, explain the impact on your accounts and profits over time, and build cash flow forecasts that show when major purchases, equipment replacement or premises costs will affect your bank balance — giving you time to plan rather than react.
It is usually straightforward. We review your existing records, contact your current accountant for the information we need, and take over the bookkeeping, payroll and reporting from an agreed date. Once everything is in place, you have a clear picture of your hospital's finances and a single point of contact for accounting, tax and payroll questions.
