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.
It typically covers day-to-day bookkeeping, payroll for clinical and non-clinical staff, management accounts, annual accounts, budgeting, cash flow forecasting and financial reporting. Where they apply, Corporation Tax, wider tax matters and VAT are handled as part of the same picture rather than treated as an afterthought. Because hospitals carry significant staff, equipment, premises and supplier costs, the reporting is shaped so you can see where money is going and what is likely to happen next.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses running day-case facilities, diagnostic services, treatment services and similar operations. The right accounting approach depends on your structure, income streams, staffing model, premises, equipment and operating costs, so the starting point is always understanding how your organisation actually works. If you are unsure whether your setup fits, a short conversation is usually enough to establish that.
Pricing is based on the work your hospital genuinely needs — the volume of transactions, the number of staff on payroll, the complexity of your income streams and the level of reporting you want. We work on fixed, transparent packages wherever possible so you know what you are paying for, with no hidden fees and no surprise invoices. Once we understand your circumstances, we can set out the scope clearly and adjust it as your hospital grows or changes.
Corporation Tax depends on how the hospital or hospital business is structured, so it is not a one-size-fits-all answer. Companies are generally within the Corporation Tax regime, while other structures are taxed differently. We look at your legal structure, your activities and your income before confirming what applies, and we make sure any liabilities and deadlines are planned for rather than discovered late.
VAT for hospitals is not something that can be answered with a blanket rule — treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt, some may be taxable, and some may fall outside the scope entirely. We look at what your hospital actually provides and how it is structured, then explain the VAT position and what it means for your pricing, reporting and returns.
Yes — payroll is a significant part of hospital accounting, particularly where rotas, shift patterns and a mix of clinical and non-clinical staff are involved. We can handle payroll processing, payslips, pension arrangements and the associated reporting, alongside the payroll costs that sit within your management accounts. That helps keep staff costs accurate, on time and visible in your wider financial picture.
Medical equipment and other capital expenditure can be among the largest outlays a hospital makes, and the tax treatment often depends on the nature of the asset and how it is used. We can help you plan for these purchases, understand how they affect your accounts and tax position, and see the impact on cash flow before you commit. That makes budgeting for replacements, upgrades and expansion far more manageable.
Getting started is straightforward — we begin with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you are switching accountants, we can liaise about the handover of information and records so the change happens without disruption to your reporting or deadlines. From there, we agree the scope of support and get your records moving in the right direction.
