Specialist bookkeeping, payroll, VAT and management reporting for private hospitals, clinic groups and multi-site healthcare organisations.
We create a consistent monthly finance process across your locations, departments and legal entities. This gives directors and finance teams clearer control over clinical income, workforce costs, cash flow and financial performance.
Dental practice director
One Finance Process Across Your Hospitals, Clinics and Service Lines
Multiple sites, payroll schemes and income streams can make financial reporting difficult. Inconsistent coding and delayed reconciliations can prevent leadership teams from seeing which specialties, clinics or services are performing well.
We establish consistent processes while maintaining separate records for each site, department or legal entity.
Monthly bookkeeping, reconciliations and financial controls across hospitals, clinics and associated entities.
Accurate payroll for large clinical, administrative, operational and management teams.
Group-level and specialty-level reporting covering income, workforce costs, cash flow, operational performance, profitability, and key financial insights to support informed business decisions.
Tell us about your hospitals, clinics, workforce and existing finance systems.
We will review your bookkeeping, payroll, VAT and management-reporting requirements before recommending a suitable service.
We maintain accurate financial records across your sites, departments and legal entities using consistent account codes and month-end procedures.
We provide structured payroll support for healthcare organisations with large workforces, multiple locations, varied working patterns and more than one PAYE scheme.
Private healthcare groups can receive a mixture of exempt clinical income and taxable non-clinical income.
We help maintain appropriate VAT codes, separate income streams and review input VAT recovery where costs support both exempt and taxable activities.
Private healthcare groups may provide company cars, private medical cover, accommodation or other taxable benefits to directors and employees.
We help maintain benefit records and prepare the required employer reporting.
We can also help employers prepare for the phased introduction of real-time reporting for certain benefits from April 2027.
We support private hospitals, clinic groups and multi-site healthcare organisations with accurate digital records, activity-based VAT accounting and clear management reporting.
Our team helps separate exempt clinical income from taxable non-clinical supplies and reviews input VAT recovery where costs relate to mixed activities. We also prepare management accounts by hospital, clinic, department or clinical specialty, giving leadership teams clearer oversight of income, workforce costs, cash flow and performance.
Private healthcare groups may receive both VAT-exempt clinical income and taxable income from non-clinical services or other supplies.
We support accurate VAT coding, digital record keeping, reconciliations, partial-exemption reviews and MTD-compatible VAT returns. The correct VAT treatment is reviewed according to the service, provider, purpose and contractual arrangements.
We prepare hospital-level, clinic-level and consolidated management accounts for private healthcare groups.
Reports can show income and costs by clinical specialty, service line, department or legal entity, alongside payroll costs, cash flow, budgets and monthly performance.
Bookkeeping and payroll work best when connected with VAT management, benefit reporting, management accounts and strong financial controls. Our integrated services give private hospitals and clinic groups clearer oversight across every site, department, service line and legal entity.
Monthly bookkeeping, reconciliations and consistent financial records across private hospitals, clinics and associated entities.
Accurate payroll processing and workforce-cost reporting for large clinical, administrative and operational teams.
VAT coding, partial-exemption reviews, digital records and MTD-compatible returns for mixed healthcare income.
Group-level reporting by hospital, clinic, department, clinical specialty or service line.
Reviews of approvals, reconciliations, audit trails and financial processes across multiple sites and entities.
Support with P11D preparation, benefits in kind, P11D(b) submissions and Class 1A National Insurance reporting.
We discuss your hospitals, clinics, legal entities, payroll schemes, accounting systems and management-reporting requirements.
We define the bookkeeping and payroll scope, responsibilities, deadlines, approval routes and reporting structure for your healthcare group.
Our team securely transfers your financial and payroll records and establishes consistent monthly processes across every site and entity.
Yes. We can process payroll for doctors, nurses, healthcare assistants, administrative teams, facilities employees, managers and directors across multiple sites, PAYE schemes and cost centres.
Yes. We can support VAT coding, digital records, VAT reconciliations, partial-exemption reviews and MTD-compatible returns. The correct treatment depends on the service provided, its purpose, the supplier and the contractual arrangements.
Yes. Subject to the available data, management accounts can show income, payroll costs and financial performance by hospital, clinic, department, clinical specialty, service line or legal entity.
Yes. We can assist with benefit-record reviews, P11D and P11D(b) preparation, Class 1A National Insurance calculations and the reconciliation of benefits processed through payroll.
We can prepare management accounts, budgets, cash-flow forecasts and financial-control information that supports internal governance and CQC-related evidence requirements. CQC remains responsible for assessing regulatory compliance.
Yes. We can review your existing records, agree appropriate cut-off dates and coordinate the transfer of bookkeeping and year-to-date payroll information. The onboarding plan is designed to protect payroll deadlines and reduce disruption.
The timescale depends on the number of locations, employees, PAYE schemes, legal entities and the condition of your current records. Following the initial consultation, we will provide a proposed start date and structured onboarding plan.
We work with recognised cloud accounting and payroll platforms. During the discovery stage, we assess your existing systems and explain whether they should be retained, integrated or improved.
We usually need an overview of your legal entities, locations, employee numbers, PAYE schemes, monthly transaction volumes, accounting software and reporting requirements. You do not need to prepare every document before the first call.
Book a free consultation with our healthcare accounting team. We will review your current setup, discuss your priorities and explain the recommended service, onboarding process and next steps.
Bring your bookkeeping, payroll, VAT records and management reporting under one specialist team.
We support private hospitals and multi-site clinic groups with accurate monthly records, structured payroll processes and clearer financial reporting across every site, department and service line.
Book a free consultation to discuss your organisation’s current systems, workforce and reporting requirements. We will recommend a practical service and provide a tailored proposal with clear pricing and onboarding steps.
