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 support private hospitals, independent hospitals, day-case and specialist hospital facilities, hospital operators and hospital groups, along with hospital businesses that provide clinical services from hospital premises. The common thread is that the organisation runs, manages or operates hospital facilities and needs accounting and tax support that understands the financial shape of that work. The right approach depends on structure, size and activities rather than a one-size-fits-all model.
Support generally covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax where applicable, wider tax support and VAT support where relevant. In a hospital setting, that often means handling staff costs across clinical and non-clinical teams, tracking medical equipment and capital expenditure, monitoring premises and facilities costs, and keeping supplier and professional service payments properly recorded. Income streams are also recorded and reported clearly so you can see what is driving performance.
Pricing is based on fixed, transparent packages rather than open-ended hourly billing, with the scope agreed upfront so there are no hidden fees or unexpected invoices. The level depends on factors such as the size and structure of the hospital or hospital group, the number and complexity of income streams, payroll headcount, transaction volumes and the extent of tax and VAT support required. You will know what is included before work begins.
Yes. Hospital payroll tends to be complex, with clinical and non-clinical staff, a mix of full-time, part-time and flexible working arrangements, overtime and shift patterns, and pension contributions to administer. We handle payroll processing, PAYE and pension obligations, payslips and the records that sit behind them, so payroll is accurate and compliant while still lining up with the wider management accounts and financial reporting.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the particular supply, the activities involved, the organisation's status and the specific circumstances, so different elements of a hospital's activity can be treated differently. Some supplies may be exempt while others are standard-rated or subject to different rules, and partial exemption and recovery positions often need careful review. We look at your actual activities rather than applying a blanket assumption, and note that NHS hospitals and private hospitals do not automatically receive identical tax treatment.
Medical equipment, fit-out and facilities investment are significant outlays for most hospitals, and how they are recorded and treated matters for both your accounts and your tax position. We help maintain clear asset records, handle depreciation and capital allowances considerations, and factor equipment replacement or expansion plans into budgets and cash flow forecasting. That helps hospitals plan major purchases without losing sight of the impact on day-to-day finances.
Yes. Hospitals often receive income from several directions — self-pay patients, insurers, contracted arrangements and other sources — each with its own invoicing, timing and collection patterns. We keep those streams clearly separated and reported, then build cash flow forecasting and budgeting around them so periods of heavy expenditure do not catch you out. That visibility is usually where the biggest practical difference is made.
Getting started is deliberately straightforward: we begin by understanding your hospital or hospital business and what you need from an accountant, then review your existing accounting and tax position, including current records, filings and any outstanding matters. If you are switching from another accountant, we can manage the handover of information and take over the relevant filings so the transition does not disrupt your operations. From there, ongoing support is agreed and put in place.
