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 depends on what your hospital or hospital business needs, but the core usually covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Corporation Tax support is provided where it applies, alongside VAT support where relevant to your supplies and activities. Many hospital clients also want help with cost tracking across staff, medical equipment, premises, suppliers and professional services, so that reporting reflects how the business genuinely operates rather than a simplified version of it.
These services are designed for hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. If your organisation delivers hospital services and has to manage significant payroll, equipment costs, premises and multiple income streams, the accounting work tends to be more involved than in many other sectors. If you are unsure whether your structure fits, it is worth a conversation, because the support can be adjusted to the way your organisation is set up.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects the scope of work, which depends on factors such as your size, the number of staff on payroll, the complexity of your income streams, whether you need management accounts and how much VAT or Corporation Tax support is involved. There are no hidden fees, and the scope can be reviewed as your hospital business grows or changes.
Compliance work is handled in line with current UK accounting and tax requirements, including relevant filing deadlines and reporting obligations. We keep records organised and up to date so that payroll, VAT where applicable and year-end accounts are based on reliable information rather than last-minute estimates. Where a hospital has multiple cost centres or separate entities within a group, we make sure the records are structured in a way that keeps reporting clear and consistent.
Hospitals often carry high fixed costs in areas like staffing, medical equipment, premises and facilities, while income can arrive through several different routes and may not be evenly spread across the year. That combination puts pressure on cash flow and makes budgeting and capital expenditure planning more difficult. Corporation Tax applies differently depending on how the organisation is structured, and VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it needs to be looked at case by case rather than assumed.
Yes, we can review your VAT position and support with registration, returns and record keeping where it applies. It is important to be clear that VAT treatment for hospitals is not uniform: it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. A mix of taxable and exempt activities is common, and NHS hospitals and private hospitals do not automatically receive identical treatment. We look at your actual situation rather than applying a general assumption.
Yes. Medical equipment and other capital expenditure are significant commitments for most hospitals, and the accounting treatment and cash flow impact need to be considered carefully. We can help with budgeting, cash flow planning and financial reporting around planned purchases, so you can see how a purchase fits alongside payroll, premises costs and supplier payments. That visibility makes it easier to plan expenditure around your income and avoid unnecessary pressure on working capital.
Getting started is straightforward. We begin by understanding your hospital or hospital business, then review your current accounting and tax arrangements to see what needs attention. If you are moving from another accountant, we can handle the transition process with you so records and deadlines are not disrupted. From there, ongoing support is shaped around your requirements, whether that is payroll, management accounts, annual accounts, tax compliance or a combination of these.
