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.
Most hospitals and hospital businesses need a combination of day-to-day and year-end work. That typically covers bookkeeping for income and expenditure, payroll for clinical and non-clinical staff, management accounts so you can see how the hospital is performing, annual accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, and tax and VAT support where relevant. The exact mix depends on your structure, activities and how much you want to handle in-house.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses that need accounting and tax help. Their needs differ widely depending on size, structure, services offered and how they are funded. If you are unsure whether your organisation fits, the simplest approach is to get in touch and talk through what you do and what you need.
We favour fixed, transparent packages rather than open-ended hourly billing, so you know where you stand. The fee reflects the scope of work involved — things like transaction volumes, payroll headcount, reporting requirements and the complexity of your income streams — and it is agreed in advance. There are no hidden fees, and if your circumstances change we will review the arrangement with you rather than letting costs drift.
We work to professional accounting and tax standards, and we handle your information with the confidentiality you would expect from an accounting practice. We keep up with UK tax and reporting requirements so that filings and deadlines are dealt with properly, and we explain matters clearly rather than in jargon. If you have specific compliance or regulatory questions about your hospital, we will tell you plainly what we can help with and where you may need additional specialist advice.
VAT for hospitals is rarely straightforward. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of everything being exempt or everything being taxable. Hospitals may also have a mix of income streams that are treated differently from one another. We can review your position and help you apply the rules correctly, including partial exemption issues where they arise.
Yes. Medical equipment and other capital expenditure can have a significant effect on your accounts, your cash flow and, in some cases, your tax position through capital allowances. We can help you plan for major purchases, reflect them properly in your financial reporting and make sure the accounting treatment is sensible for a hospital of your size and structure. It helps to discuss planned spending early rather than after the event.
Hospitals face a lot of fixed and semi-fixed costs — staff, premises, equipment, utilities, supplies and professional services — while income can be uneven. We help by preparing management accounts and cash flow forecasts that show what is coming in and going out, so you can plan recruitment, capital spending and supplier commitments with more confidence. Regular reporting makes it much easier to spot pressure points before they become problems.
It begins with a conversation about your hospital, your current accounting arrangements and what you would like to improve. If you decide to move forward, we can liaise with your existing accountant to obtain the records and information needed, and we will agree a clear scope of work with you. From there we set up the ongoing routines — bookkeeping, payroll, reporting and filing deadlines — so nothing gets missed during the transition.
