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.
Accountants for Hospitals in March work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses such as day-case and specialist hospital providers. The common thread is that these organisations carry significant operating costs, complex staffing arrangements and income that arrives from a number of different sources, so the accounting needs to be structured around those realities. Support is shaped around the size, structure and activities of each hospital business rather than a fixed template.
The core services cover bookkeeping, payroll, management accounts, budgeting, cash flow forecasting, financial reporting, annual accounts and Corporation Tax where it applies, alongside VAT support where it is relevant. For hospitals, those services are applied to the things that matter most — staff costs, medical equipment and capital expenditure, premises and facilities, supplier and professional service costs, and the different income streams coming into the business. We can take on the full accounting function or work alongside an existing finance team, depending on what suits your hospital.
Pricing is based on the scope of the work — the size and structure of the hospital business, the number of staff on payroll, transaction volumes, the number of income streams and the level of reporting needed. Because it is scoped this way, we can offer a fixed, transparent fee for the agreed package rather than an open-ended hourly arrangement, and there are no hidden charges for routine work within that scope. If your requirements change over time, the fee is reviewed and agreed with you in advance.
Accounts are prepared in line with the relevant UK accounting standards and filed with Companies House where the hospital business is a limited company, and tax returns are prepared and submitted to HMRC within the applicable deadlines. Payroll is processed under PAYE with real-time reporting, and VAT work follows HMRC guidance and Making Tax Digital requirements where they apply. Where a hospital has more complex arrangements — group structures, capital purchases or mixed income streams — the compliance position is reviewed in the context of its specific circumstances.
VAT treatment for hospitals depends on the nature of the supply, the activities involved and the organisation's status, so there is no single answer that applies across the board. Some hospital-related supplies may be exempt from VAT, others may be standard-rated, and where a hospital makes a mix of supplies it may need to consider partial exemption and how input tax is recovered. We look at what your hospital actually provides and how it is structured before advising on the right treatment.
Yes — payroll is usually one of the most significant areas for a hospital, given the mix of clinical and non-clinical staff, shift and rota patterns, overtime, enhancements and pension contributions. We process payroll accurately and on time, manage PAYE and real-time reporting to HMRC, and produce the information the hospital needs for budgeting and management reporting. Keeping payroll tidy also makes it far easier to see how staffing costs compare with income over time.
Medical equipment, refurbishment and facility improvements often represent major outlays, so it helps to plan for them rather than react to them. We can help hospitals budget for capital expenditure, understand how those costs are treated in the accounts, consider capital allowances where they are available, and see the effect on cash flow before committing to a purchase. That planning makes it easier to balance equipment investment against day-to-day running costs and existing commitments.
Switching is usually straightforward: we start with a conversation about your hospital, review the existing accounting and tax position, and agree what support you need going forward. Where you are moving from another accountant, we handle the handover, obtain the necessary records and information, and make sure filings continue without disruption. From there, ongoing bookkeeping, payroll, management accounts and reporting run on a schedule that suits your hospital.
