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.
We look after the accounting and tax side of running a hospital or hospital business. In practice that covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. Alongside the compliance work, we help hospital operators understand their margins, monitor their cost base and make decisions with proper financial information in front of them.
We work with private hospitals, independent hospitals, day-case and treatment facilities, diagnostic centres, hospital operators and hospital groups, as well as other hospital businesses with similar operational and financial characteristics. Because a single-site independent hospital and a multi-site hospital group have very different needs, we shape the support around your structure, your services and the way your income and costs are arranged, rather than applying the same approach to everyone.
Yes. Payroll is usually one of the largest and most complex costs a hospital carries, particularly where staff work shifts, rotas, overtime or variable hours across clinical and non-clinical roles. We can manage the payroll process, help keep records organised, and make sure the figures feeding into your management accounts and budgets reflect what is actually being paid. If you use payroll software or a time and attendance system, we can work alongside what you already have in place.
We use fixed, transparent packages based on the work your hospital actually needs, so you know what you are paying for and there are no hidden fees. The level of support depends on factors such as how many sites you operate, the size of your payroll, the volume of transactions, your reporting requirements and whether you need additional help with areas like cash flow forecasting or VAT. We will talk through your circumstances first and set out a clear scope before anything begins.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so different income streams and costs within the same hospital can be treated differently. We review your supplies and expenditure, explain where VAT is likely to apply, and help you keep records and returns in order. Where a position is unclear, we will talk it through with you rather than assume a blanket rule.
Yes, and it is often the most valuable part of the work. Management accounts give you a regular view of income, staffing costs, medical equipment expenditure, premises and facilities costs and supplier payments, while budgeting and cash flow forecasting help you plan around capital purchases and slower-paying income streams. That combination makes it much easier to spot pressure points early, whether you are funding new equipment, expanding capacity or managing a quieter period.
We work to UK accounting standards and keep your filings in line with HMRC and Companies House requirements, including statutory accounts, Corporation Tax returns where the hospital operates through a limited company, and VAT returns where they apply. If you need to know about specific qualifications held by the people who will handle your work, just ask and we will confirm the details before you engage us.
Getting started is straightforward. We begin with a conversation about your hospital, how it is structured and what you need help with, then review your current accounting and tax position. If you are moving from another accountant, we can usually manage the handover, including requesting the records and information needed to pick things up cleanly, so the transition does not disrupt your reporting or deadlines.
