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.
Our work typically covers bookkeeping and record keeping, annual accounts, management accounts, financial reporting, payroll for clinical and non-clinical staff, budgeting and cash flow forecasting, and tax support including Corporation Tax where it applies and VAT support where it is relevant. We also help with the areas that are specific to hospitals, such as staff costs, medical equipment, premises expenditure, supplier payments and the various income streams a hospital may generate. The exact mix depends on your structure, how much of the work you handle in-house and what you need from us.
This service is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. It suits organisations that need reliable accounts, payroll and tax support but want an accountant who understands the operational pressures behind the numbers, such as staffing rotas, equipment costs and fluctuating income. If your business operates treatment facilities with inpatient or day-care activity, the accounting and tax considerations we deal with will usually be very relevant to you.
We work on fixed, transparent packages based on the scope of work you need, so you know what to expect rather than receiving an open-ended bill. Fees reflect practical factors such as the size and structure of the hospital, the number of staff on payroll, the complexity of your income streams, whether bookkeeping is included and how much reporting you require. There are no hidden fees, and we are happy to talk through what is and is not covered before any work begins.
We work within the relevant UK accounting and tax framework, preparing accounts in line with applicable standards and keeping up to date with changes that affect hospitals and hospital businesses. We can explain clearly how your accounts are prepared, what assumptions have been made and which taxes apply to your circumstances. If you need clarification on how a particular arrangement, structure or supply should be treated, we will set out the position and the reasoning behind it.
Yes. Payroll is often one of the largest and most complicated cost areas for a hospital, particularly where there are varied shift patterns, rotas, overtime, enhancements and a mix of clinical and non-clinical roles. We can handle the payroll process, including payslips, PAYE and Real Time Information submissions and pension auto-enrolment duties, and make sure payroll costs are reflected accurately in your accounting records and management reporting.
VAT treatment for hospitals depends heavily on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not something that can be decided by a blanket rule. Some hospital-related supplies may be exempt, while others may be standard-rated or fall under different treatment, and a hospital can have a mixture of taxable and non-taxable activities at the same time. We look at your position as a whole and help you apply the correct treatment, including anything that affects how you report VAT and reclaim input tax.
Yes. Medical equipment, premises and facilities expenditure are usually significant and often lumpy, which makes planning essential, so we help with budgeting, forecasting and cash flow oversight that reflects the timing of major purchases and supplier payments. We can also help you think through how capital expenditure affects your reported position over time and how best to fund it. The goal is to give you a clear view of what is coming so decisions are not made on incomplete information.
Getting started is straightforward: we begin with a conversation about your hospital, its structure, income streams and current accounting arrangements, then review what you already have in place. If you are moving from another accountant, we can handle the standard handover steps, including obtaining the information needed to act on your behalf and dealing with the necessary notifications. From there we agree the support you need and put it in place.
