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.
Support is built around what your hospital actually needs. It can include bookkeeping, payroll for clinical and administrative staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where applicable and VAT guidance where relevant. Some hospital businesses want a full outsourced finance function, while others need help with specific areas such as management reporting, payroll or compliance. We agree the scope with you at the outset so you know exactly what is covered.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, from single-site facilities through to organisations running multiple sites or service lines. The accounting work reflects the structure, activities, income streams, staffing arrangements, premises and equipment profile of each organisation, because a hospital providing day-case procedures has different considerations from one running inpatient care, diagnostics or outpatient clinics.
Pricing is based on the scope of work, the size and complexity of the hospital business and the level of support you need, rather than a one-size-fits-all figure. We set out fixed, transparent packages with the fees agreed in advance, so there are no hidden charges or unexpected invoices. If your requirements change — for example, if you take on additional sites or expand your payroll — we review the scope and fees with you openly.
Yes. Hospital payroll often covers a mix of clinical, nursing, administrative, facilities and support roles, with varied hours, shift patterns, overtime and different contract types. We can manage the payroll process, calculate deductions and pension contributions, issue payslips and handle the associated reporting requirements, helping to keep payroll accurate and on time while giving you a clear view of total staff costs.
Corporation Tax applies where a hospital business operates through a company and is profitable, with considerations around allowable expenses, capital allowances on medical equipment and how different income streams are treated. VAT treatment is not uniform: it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing rather than assuming a blanket position. We can help you understand how these rules apply to your particular hospital business.
Yes. Medical equipment, refurbishment and facilities investment are usually significant outlays for a hospital, and how they are recorded and treated for tax purposes matters. We can help you plan for capital expenditure, consider the tax treatment of qualifying assets, and reflect the impact of major purchases in your management accounts and cash flow forecasts so the investment fits sensibly into your wider financial plans.
Hospitals often deal with irregular income patterns set against substantial fixed costs, so cash flow planning is genuinely useful rather than a formality. We can prepare budgets, forecasts and management accounts that show how the hospital is performing, where the pressures are and what the coming months look like. Clear financial reporting also helps when speaking with lenders, investors, board members or other stakeholders who want to understand the numbers.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your existing accounting and tax position, including any outstanding records or filings. If you are moving from another accountant, we can handle the transition process and correspondence so you are not left managing the administration yourself. From there we agree the support you need and put it in place.
