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 and record-keeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where applicable and VAT support where relevant. We also help with the practical side of hospital finance, such as tracking capital expenditure on medical equipment, monitoring premises and facilities costs, managing supplier payments and making sense of multiple income streams feeding into one set of accounts. The exact mix depends on your structure, your in-house finance capacity and what you already have in place.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses of different sizes and ownership structures. Some are single-site operations, others run across multiple locations or sit within a wider group. Accounting requirements differ substantially between them — a small independent hospital with a handful of income streams has very different reporting and payroll needs from a larger hospital group with complex intercompany arrangements and significant capital expenditure. We shape the support around your circumstances rather than applying a standard template.
We work on fixed, transparent packages, so you know what you are paying for and when. Pricing is based on the scope of work rather than a headline rate — the volume of transactions, the number of staff on payroll, the complexity of your income streams, whether you need management accounts and how much tax and VAT work is involved all feed into the fee. There are no hidden extras, and if your requirements change we discuss that with you openly before anything is adjusted. The goal is predictable costs you can plan around.
We operate as a professional accounting practice and work within the relevant UK accounting, tax and reporting standards, including Making Tax Digital requirements for digital record-keeping. We handle your information confidentially and maintain the internal processes needed to keep client records accurate and secure. If you have specific compliance obligations flowing from your structure, your regulators or your funders, we can talk those through with you as part of the initial review so there are no surprises later.
Hospitals tend to carry heavy staff costs, substantial capital expenditure on medical equipment, significant premises and facilities overheads and a wide supplier base, all of which need to be recorded and reported accurately. Many also deal with several income streams rather than one, which makes management accounts and financial reporting more involved. On the tax side, Corporation Tax treatment depends on how the organisation is structured, while VAT depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so there is no single blanket rule that applies to every hospital or every service it provides.
Yes. Payroll is often the single largest cost line for a hospital, and it usually involves a mix of contracted staff, shift patterns, overtime, bank or locum arrangements and varying hours, which makes accurate processing and reporting important. We handle payroll processing, payslips, deductions and the associated reporting obligations, and we can align payroll information with your management accounts so staff costs are reflected properly in your overall financial picture rather than sitting in isolation.
Yes, and this is often where hospital businesses feel the most pressure. Large equipment purchases, premises costs and supplier payments can land well before the related income arrives, so we help build budgets and cash flow forecasts that show what is coming and when. We also help you think through how capital expenditure on medical equipment is recorded and how it affects your reported position over time, so planned investments do not come as a shock to your cash position.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, how it is structured, what income streams you have and what is currently working well or causing friction. From there we review your accounting and tax requirements, agree the scope of support and handle the handover from your existing accountant, including requesting the relevant records and professional clearance where needed. Once everything is in place, we provide ongoing support at a rhythm that suits your operation.
