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 covers the core accounting and tax work a hospital or hospital business needs: bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow support, financial reporting, Corporation Tax where applicable, and VAT support where relevant. Because hospitals tend to have complex cost bases and several income streams, the work also involves making sure the records behind staff costs, medical equipment, premises and supplier payments are accurate enough to be genuinely useful. You can take the full service or focus on the specific areas where your hospital needs the most support.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses. That includes established hospitals with large teams and long supplier lists, smaller independent hospitals, and organisations operating across more than one site or entity. Accounting requirements differ widely depending on structure, activities, income streams, staffing, premises, equipment and operating costs, so the starting point is always understanding how each hospital is set up and what it actually needs from its accounts.
Pricing is based on the scope and complexity of your hospital's requirements rather than a flat figure applied to everyone. Factors include the size of the operation, its structure, the number of transactions, payroll numbers, the range of income streams and the level of reporting you need. We work on fixed, transparent packages wherever possible, so you know what you are paying for in advance, with no hidden fees and no surprise invoices partway through the year. A conversation about your circumstances is the quickest way to establish what the right level of support looks like.
Compliance runs through everything we do, from Companies House filings and HMRC deadlines to payroll reporting and digital record-keeping requirements. We keep an eye on the dates that matter for your hospital, prepare the filings that fall due and make sure the underlying records are maintained to a standard that stands up to scrutiny. We are also happy to talk through the qualifications and professional memberships relevant to your engagement so you know exactly who is handling your affairs.
The most common ones are the size and timing of staff costs, spending on medical equipment and capital expenditure, premises and facilities costs, and the mix of supplier and professional service payments. On the tax side, Corporation Tax may apply depending on how the hospital or hospital business is structured, capital allowances may be relevant to certain equipment purchases if the conditions are met, and employment taxes follow the payroll. VAT treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing properly rather than working from assumptions.
Yes, and this is an area where hospitals can genuinely benefit from a closer look. VAT treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so a hospital with a mix of income streams may find that different treatments apply across different parts of the business. We review what you are supplying, how it is invoiced and how it is recorded, and help you apply the correct treatment rather than assuming everything falls into one category.
Payroll is often the single largest cost for a hospital, covering clinical teams, nursing staff, administrative roles and support functions, frequently across shift patterns and varying hours. We can handle payroll processing, deductions, pension contributions and the associated reporting, and make sure staff costs are recorded in a way that feeds properly into your management accounts and budgeting. That gives you a clearer picture of your cost base and helps you plan ahead for recruitment, rota changes or seasonal pressure.
Switching is usually straightforward and we manage the handover so nothing gets missed. We will ask about your hospital or hospital business, your current accounting arrangements and what you would like to improve, then take care of the transition with your existing adviser, including obtaining the records and information needed to pick things up properly. After that, we agree the level of ongoing support that suits you, whether that is bookkeeping and payroll, management accounts, annual accounts and tax, or a combination of these. You do not need to have everything in perfect order before getting in touch.
