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.
We work with private hospitals, independent hospitals, day-case and specialist hospital providers, hospital operators and hospital groups. That includes organisations running a single site as well as those operating across more than one location or under a group structure. Because hospitals differ so much in size, services and structure, we start by understanding how your organisation is set up before recommending any particular approach to your accounting and tax affairs.
In most cases it covers the core areas a hospital needs: bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting, along with Corporation Tax support where it applies and VAT support where relevant. The exact mix depends on your circumstances — a hospital group with multiple sites and complex payroll will need something different from a single-site independent hospital. We agree the scope with you first so you know what is being handled and when.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for the services you have agreed. Pricing reflects the scope and complexity of your hospital's affairs — factors such as the number of sites, staffing levels, payroll volumes, income streams and reporting requirements all play a part. There are no hidden fees, and if your needs change we will discuss any adjustment with you beforehand.
Yes. Payroll is often one of the largest and most complicated cost areas for a hospital, covering permanent clinical staff, non-clinical and administrative teams, and where relevant temporary or locum arrangements. We can manage payroll processing, handle the associated reporting and compliance requirements, and make sure payroll costs feed accurately into your management accounts so your staff cost picture is clear. We can also help you budget for payroll over the year rather than reacting to it month by month.
VAT treatment for hospitals is not a one-size-fits-all position. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — so different hospitals, and even different activities within the same hospital, can be treated differently. On the direct tax side, Corporation Tax and other obligations depend on how the organisation is structured. We review your position and explain what applies to you, making sure your reporting and returns are consistent with your actual activities.
We do. Medical equipment and other capital expenditure can place significant demands on hospital finances, and the accounting treatment needs to reflect how those assets are used and financed. We also help with cash flow planning and budgeting, which is particularly useful for hospitals where costs such as payroll, premises and supplier payments fall due on a regular cycle while income may arrive at different points in the year. Good cash flow visibility makes it far easier to plan equipment purchases and other major spending.
Yes. Switching accountants is usually a straightforward process, and we can handle much of the practical side, including liaising with your existing accountant to obtain the information we need and getting your records onto a clear footing. If there are outstanding accounts, returns or record-keeping gaps, we will identify them early and agree a sensible order in which to deal with them. You do not need to wait for a particular point in the year to make the change.
It starts with a conversation about your hospital — how it is structured, how it operates, what accounting and tax work is currently being done, and where you feel least confident about the numbers. From there we review your existing records and reporting, outline the support that would suit you, and confirm the scope and cost in plain terms. Once you are happy to proceed, we put the arrangements in place and take over the work from there.
