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 service is built around the needs of hospitals and hospital businesses. In practice that usually means bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow support, financial reporting, Corporation Tax where it applies, and VAT support where it is relevant to your activities. Because hospital organisations differ so much, we agree the scope with you first, based on your structure, your income streams and the level of internal finance resource you already have.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital businesses that need dependable accounting and tax support. Every organisation is different, and the right approach depends on how the hospital is structured, the services it provides, how its income is generated and the scale of its operations. We take the time to understand those details before recommending how we can help.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee reflects the scope of work involved, including the size of the hospital business, the volume of transactions, payroll numbers and the level of reporting and compliance support required. We talk through your requirements and confirm the arrangement before any work begins.
All work is carried out in line with current UK accounting and tax legislation, and we keep track of changes that affect hospitals and hospital businesses. Submissions, deadlines and records are handled carefully so you are not left facing avoidable penalties or a last-minute rush. If you would like to understand how we approach compliance for your organisation, we are happy to talk it through.
VAT treatment in the hospital sector depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances. It is not a case of everything being exempt or everything being taxable, and different services and income streams can be treated differently. We review how VAT applies to your particular activities and help you account for it correctly, so unexpected liabilities do not catch you out.
Yes. Payroll is often one of the largest and most complex costs for a hospital, particularly where staff work varying shifts, rotas or overtime. We can manage payroll processing, deductions, pension contributions and the associated reporting, so wages are paid accurately and on time and HMRC obligations are met. That takes a substantial administrative burden off your internal team.
Medical equipment and other capital purchases can tie up significant amounts of cash, and the tax treatment of those costs needs to be handled correctly. We help hospitals plan for major expenditure, understand how it affects cash flow and make sure the accounting treatment and any available reliefs are applied properly. Budgeting and forecasting alongside that gives you a clearer view of what is affordable and when.
Switching is usually straightforward, and we manage the process with you. We contact your existing accountant to obtain the information and records we need, review your position, and set up the new arrangements without disrupting your day-to-day operations. Once everything is in place, you have a clear picture of your accounting, reporting and compliance obligations going forward.
