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.
They handle the financial and tax work that hospital businesses need — bookkeeping, payroll, annual accounts, management accounts, financial reporting, VAT support and Corporation Tax where it applies. Beyond compliance, the focus is on giving hospital operators and owners clear, timely information on costs, income and cash flow so decisions can be made with confidence. The exact mix depends on how your hospital or hospital group is structured and how much you already handle in-house.
They suit private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital-based businesses such as day-case and diagnostic facilities. Structures vary — some organisations are limited companies, others operate through partnerships or other arrangements — and the accounting and tax treatment follows that structure. If you are unsure whether your organisation fits, a short conversation is usually enough to clarify.
We use fixed, transparent packages agreed in advance, so you know what you are paying for rather than being billed by the hour with no visibility. Fees reflect the scope and complexity of the work — for example the number of staff on payroll, the volume of transactions, the number of income streams, and whether VAT returns or management accounts are required. There are no hidden fees, and the scope can be reviewed as your hospital or hospital group evolves.
Look for accountants who are properly regulated, work to recognised professional and ethical standards, and hold the relevant compliance and anti-money laundering obligations. Beyond that, it matters that your accountant understands the sector — hospital income streams, staffing models, equipment costs and the reporting that banks, investors or lenders may expect to see. It is worth asking how they keep up to date with tax and reporting changes that affect hospital businesses.
VAT for hospitals is rarely straightforward, because the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt, others may be taxable at the standard or reduced rate, and mixed activities can require apportionment. We review what you actually provide, how it is charged and who it is charged to, then advise on the correct treatment and help with registration, returns and record keeping where needed.
Yes. Hospital payroll often involves a mix of full-time and part-time staff, variable hours, shift patterns, overtime, enhancements and more than one pay frequency, which makes accurate processing and record keeping essential. We can manage payroll end to end, including payslips, PAYE and National Insurance, pension contributions and year-end reporting, with payroll costs reflected properly in your management accounts and budgets.
Large equipment purchases and facility improvements affect both your cash position and your tax position, so they need planning rather than reacting after the event. We help you budget for capital expenditure, understand how it flows through your accounts and consider the available tax treatment, while keeping an eye on cash flow alongside supplier terms and the timing of income. That way, major investment decisions are made with a clear picture of the financial impact.
Switching is usually more straightforward than people expect. We agree the scope of work, contact your existing accountant for the relevant records and information, and make sure deadlines for accounts, returns and payroll continue to be met throughout the transition. Once everything is in place, we review your position and set out how the ongoing accounting and tax support will work for your hospital or hospital business.
