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.
The work covers the financial foundations of a hospital business: day-to-day bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, alongside tax and VAT support where relevant. In practice that means recording income and costs accurately, keeping staff payroll and supplier payments in order, tracking medical equipment and premises spending, and giving you figures you can rely on when making decisions. It also includes making sure Companies House and HMRC obligations are met on time, where they apply to your organisation.
We help private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running day-case facilities, diagnostic and treatment centres, rehabilitation units and specialist inpatient services. Their accounting requirements differ depending on how they are structured, what treatments they provide, how many staff they employ, what facilities and equipment they run, and where their income comes from. If you are unsure whether your organisation fits, it is worth a conversation so we can look at your circumstances properly.
Yes. Payroll is usually one of the largest and most complex cost areas in a hospital, covering clinical staff, administrative teams, support roles and often a mix of full-time, part-time, bank and shift-based working patterns. We can manage payroll processing, payslips, PAYE and National Insurance, pension contributions and the reporting that goes with them, so your team is paid accurately and on time. We can also help you understand how payroll feeds into your management accounts and cash flow planning.
We agree fees in advance based on the scope of work your hospital actually needs, so there are no hidden fees or unexpected invoices along the way. A smaller hospital business with straightforward bookkeeping and payroll will need a different level of support from a group operating several sites with complex reporting and capital expenditure. Once we understand your structure, income streams, staffing and reporting needs, we can set out a fixed, transparent package so you know what you are committing to before anything begins.
Yes, where those taxes apply to your organisation. Corporation Tax support typically includes preparing and submitting returns, reviewing allowable costs and reliefs, and planning around capital expenditure such as medical equipment and premises improvements. 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 what applies to one source of income may not apply to another. We review your position in light of your actual activities rather than relying on blanket assumptions.
Yes, and for many hospitals this is the most useful part of the service. Management accounts can show how income streams are performing, where staff, equipment, premises and supplier costs are heading, and how those compare with budget. Cash flow forecasting helps you plan around large one-off payments such as new medical equipment, refurbishment work or seasonal staffing pressures, so you are not caught short. Together, these give hospital operators and boards a clearer basis for decisions throughout the year.
Medical equipment and larger facility investments need to be recorded and treated correctly, with capital purchases distinguished from day-to-day running costs and depreciation accounted for over the right period. Getting this wrong can distort your reported profitability, your tax position and your cash flow planning, particularly in a year where several large purchases fall together. We help you keep a clear record of what has been bought, how it is being used and how it should be reflected in your accounts and returns.
It usually starts with a conversation about your hospital or hospital business — how it is structured, what services it provides, where the income comes from and which parts of the accounting are causing friction. From there we review your existing records and tax position, explain what we would recommend, and handle the handover with your current accountant so the transition stays smooth. Once the details are agreed and fees are confirmed in advance, we put your bookkeeping, payroll, reporting and compliance support in place and adapt it as your organisation evolves.
