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 service is built around what your hospital actually needs, and typically covers bookkeeping, annual accounts, management accounts, payroll for clinical and administrative staff, budgeting and cash flow forecasting, financial reporting, tax support and VAT support where relevant. We can handle the full finance function or focus on specific areas such as year-end accounts or payroll, depending on the size of your hospital and the team you already have in place.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses operating in the UK. That includes single-site hospitals and organisations running several facilities under one structure. Because accounting, reporting and tax requirements can differ depending on your legal structure, income streams, activities and organisational status, we look at your circumstances individually rather than assuming one approach suits every hospital.
We work on fixed, transparent packages wherever possible, so you know what you are paying for and there are no hidden fees appearing later in the year. The fee reflects the scope and complexity of your hospital's needs — for example, the number of payroll employees, the volume of transactions, the number of entities involved and the level of reporting required. We talk this through with you upfront so the arrangement is clear before any work begins.
The team works within UK accounting standards and tax legislation, and we are happy to discuss the qualifications and professional memberships held by the people who will look after your hospital's affairs before you appoint us. If your hospital needs an audit, we can talk you through how that requirement applies to your organisation and what the process involves, so you are never left guessing about your compliance obligations.
Corporation Tax applies to limited companies, so it is relevant to many hospital operators and hospital groups but not to every structure in the same way. VAT is more nuanced: hospitals can have a mix of supplies, and the treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt, others taxable or outside the scope, so we review your position in detail rather than applying a blanket rule.
Yes. Medical equipment, premises improvements and other capital expenditure tend to be significant and irregular costs for hospitals, and they need to be reflected properly in both your accounts and your forward planning. We can help you track and report those costs correctly, plan for future investment, and build a clearer picture of cash flow so large purchases and repayments do not put pressure on day-to-day operations.
Yes, we can take over existing accounting arrangements, and we handle the transition as smoothly as we can so your records stay accurate and deadlines are not missed. We will review what has been done previously, identify anything that needs attention, and agree a realistic timetable for bringing everything up to date. Once the move is complete, you deal with a consistent team that understands your hospital rather than explaining your business from scratch each time.
Getting started is simple: get in touch, tell us about your hospital or hospital business and what you need help with, and we will arrange an initial conversation to understand your structure, income streams, payroll and current accounting position. From there we will outline how we can help, what that involves and how the pricing works, so you can make an informed decision before committing to anything.
