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.
The work covers the accounting and tax essentials of running a hospital business: bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow, financial reporting, and Corporation Tax and VAT support where those apply. In practice, that means keeping accurate records of staff costs, medical equipment and capital expenditure, premises, supplier payments and the various income streams a hospital generates, then turning those figures into reports you can actually use. We can take on as much or as little as you need, from handling the day-to-day bookkeeping through to preparing year-end accounts and management information.
It is designed for hospitals and hospital businesses rather than healthcare providers in general. That includes private hospitals, independent hospitals, hospital operators, hospital groups and organisations running hospital-style facilities with clinical teams, inpatient or day-case activity, equipment and premises to manage. If your organisation has the cost structure of a hospital, with significant payroll, supplier commitments and capital spending, the accounting approach needs to match that. If you are unsure whether your setup fits, a short conversation is usually enough to work it out.
We work on fixed, transparent packages based on the scope of what you need, so you know what you are paying for before work begins. Pricing depends on factors such as the size and structure of the hospital business, the number of staff on payroll, the volume of transactions, how many income streams there are and how much reporting you require. There are no hidden fees, and if your needs change we will discuss the scope with you rather than surprising you with additional charges.
Yes. Hospital payroll tends to be more involved than in many businesses because of the mix of clinical and non-clinical roles, varied hours, rotas, overtime, enhancements, pension contributions and frequent changes in staffing. We can handle payslips, PAYE, pension administration and the payroll records behind them, making sure the figures feeding into your management accounts and annual accounts are consistent. If you have a large or multi-site team, we will agree a payroll timetable that works around your operations.
Corporation Tax may apply to taxable profits depending on how the hospital business is structured and what it does, and capital spending on medical equipment can raise questions around allowances and how costs are treated in the accounts. VAT is rarely straightforward: the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not safe to assume all hospital services are exempt or that all hospital-related supplies are taxable. NHS hospitals and private hospitals do not automatically receive identical accounting or tax treatment either, which is why we review your actual position before advising.
Medical equipment and other capital spending can represent a substantial part of a hospital's costs, and it needs to be recorded and reported consistently. We help you track purchases, distinguish capital expenditure from day-to-day running costs, account for depreciation or amortisation appropriately, and reflect equipment commitments in your budgeting and cash flow planning. That gives you a clearer view of when major purchases are affordable and how they affect your reported position.
Your work is carried out by experienced accounting professionals working to UK accounting and tax rules and the professional standards that apply to the engagement, and we will be clear about who is responsible for your affairs. If your hospital has additional requirements from a regulator, lender, investor or funder, tell us and we will build those into how your accounts, records and reports are prepared. Deadlines for filings and payments are tracked so nothing is left to the last minute.
Switching is usually simpler than people expect. We start with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to improve, then agree the scope of support. Where you have an existing accountant, we can liaise with them to obtain the records and information needed for a smooth handover, and we will confirm what is required from you along the way. From there, we set up your bookkeeping, payroll and reporting on a timetable that suits how your hospital operates.
