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 scope depends on your hospital and what you already handle in-house. Typically it covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow planning, along with Corporation Tax support where it applies and VAT support where relevant. We can also help with specific pressures such as medical equipment purchases, capital expenditure planning, supplier payment runs and reporting across multiple income streams. During the initial review we agree what you need, so you are not paying for work your hospital does not require.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses running facilities such as day-case units, diagnostic centres and specialist treatment services. What these organisations have in common is a cost base dominated by staff, premises, equipment and suppliers, plus income that can come from several different directions at once. That combination creates reporting, tax and cash flow questions that differ from those in most other sectors, and our support is structured around those realities rather than a one-size-fits-all approach.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are committing to before any work begins. The fee reflects the size and complexity of your hospital or hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and tax support you need. There are no hidden charges, and if your requirements change as your services or headcount grow, we review the arrangement with you rather than quietly adding costs.
Yes. Hospital payroll tends to be more involved than in most sectors, with varied shift patterns, overtime, bank and variable-hours staff, multiple departments and different rates of pay across clinical and non-clinical roles. We can handle PAYE calculations, payslips, pension auto-enrolment, starters and leavers, statutory payments and the reporting required by HMRC, making sure staff are paid accurately and on time. Good payroll records also feed directly into your management accounts, which helps you see the true cost of your workforce month to month.
VAT treatment in a hospital setting depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so there is no single rule that covers everything. Some supplies may fall outside the scope or be exempt, while others may be standard-rated or treated differently, and mixed activity can make partial exemption and recovery positions more complicated. We review what your hospital actually provides and how it is structured, then explain how VAT is likely to apply to your organisation so you can plan with confidence.
It depends on how the hospital or hospital business is structured. A hospital operated through a limited company will generally pay Corporation Tax on its taxable profits, whereas other structures are taxed differently and may involve Income Tax, partners or members instead. Allowable deductions, capital allowances on medical equipment and the treatment of various costs all affect the final position. We look at your specific structure and activities, then advise on what is likely to be due and how to plan for it.
Yes. Medical equipment and facilities spending often involves significant sums, long lead times and financing arrangements, all of which need to be reflected properly in your accounts and your cash flow forecasts. We can help you plan for purchases, understand how capital allowances may affect your tax position, and see the impact of major expenditure on your budgets and reserves. That way, equipment decisions are made with a clear picture of the financial consequences rather than in isolation.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what it does, how it is structured and what you need from an accountant, then review your current records, reporting and tax position. If you are switching from another accountant, we can talk you through handover and what information is required, and we will liaise on the practical side where possible. From there we agree a scope of work and provide ongoing support that fits around your operations.
