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 typically covers the areas that matter most to a hospital business: bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies and VAT support where relevant. We build the service around your structure and activities rather than applying a fixed package, so if you run a private hospital with significant staff costs and equipment expenditure, your reporting and support will reflect that.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses such as specialist treatment and diagnostic facilities. If your organisation provides hospital services and has to manage payroll, premises, medical equipment, suppliers and multiple income streams, our support is designed with those pressures in mind.
We work on fixed, transparent packages so you know what you are paying for and when, with no hidden fees or surprise invoices. The cost reflects the size and complexity of your hospital business, including transaction volumes, payroll headcount, reporting needs and whether you need VAT or Corporation Tax support. We will talk through your requirements and confirm the scope before anything begins, so there are no grey areas.
Our work is carried out in line with UK accounting standards and tax rules, and compliance deadlines are built into the way we manage your affairs so nothing slips through. If you would like to understand more about how we handle specific compliance obligations, such as payroll reporting or filing requirements, we are happy to talk that through with you in detail.
VAT treatment for hospitals is not uniform. Whether a supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Because of that, we look at your individual arrangements, including your income streams, equipment purchases, premises costs and supplier charges, rather than assuming all hospital services are treated the same way.
Yes. Payroll is often one of the largest and most complex costs a hospital carries, covering a mix of clinical, clinical support and administrative roles across different pay arrangements. We can manage payroll processing, help you understand the employer costs involved and make sure staff costs are reflected properly and consistently in your management accounts and budgets.
Medical equipment is a significant investment for most hospitals, and the way it is funded and accounted for affects both your tax position and your cash flow. We can help you plan for capital expenditure, budget for replacement cycles and report on those costs clearly, so major purchases do not put unexpected pressure on your finances.
The process is generally straightforward. We start by understanding your hospital or hospital business, reviewing your current accounting and tax position, and identifying anything that needs attention. If you are moving from another accountant, we can handle the handover arrangements with them, and once we understand your requirements we will set out the support that fits your needs.
