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 core service covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, along with tax support and VAT support where those apply to your hospital business. Which elements you need will depend on how the hospital is structured, its size, how it is staffed and where its income comes from. Some hospitals need help across all of these areas, while others only need support with specific parts of the process.
This service is aimed at hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups, as well as organisations running hospital-based facilities and services. We focus on businesses rather than offering accounting support to individual clinicians or unrelated professions. If your organisation operates as a hospital or sits within a hospital group structure, the accounting and reporting requirements we work with are likely to be relevant to you.
Pricing is based on the scope of work involved, so it reflects factors such as the number of staff on payroll, the volume of transactions, the number of income streams, whether management accounts are needed and how much reporting the hospital requires. We work on fixed, transparent packages so you know what is being provided and there are no hidden fees appearing later. Once we understand your requirements, we can set out the basis clearly before any work begins.
We work within the professional and regulatory framework that applies to UK accounting and tax services, and we keep our approach to compliance and record-keeping up to date. Where a hospital has specific requirements or an established structure, we take the time to understand the arrangements in place before advising. If you need clarity on any particular compliance point for your organisation, we are happy to talk it through.
The main considerations usually sit around Corporation Tax where the hospital business is a limited company, the treatment of capital expenditure on medical equipment and premises, and how different income streams are reported. Payroll taxes and staffing costs are also significant for most hospitals given the size of the workforce. Because these areas interact, it helps to review them together rather than in isolation.
VAT treatment for hospitals is not something that can be assumed, because it depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances of the case. Some income streams and supplies may be treated differently from others, and the position can vary between organisations. We look at the detail of what a hospital provides rather than applying a blanket assumption, and we help make sure the treatment adopted is consistent and properly supported.
Yes. Large purchases such as medical equipment and significant premises costs need to be planned around cash flow rather than treated as ordinary monthly spending. We can help with budgeting and forecasting so the timing of major expenditure is visible in advance, and with management accounts and financial reporting that separate capital items from day-to-day operating costs. That makes it easier to see how purchasing decisions affect the overall financial position.
The process starts with a conversation about your hospital or hospital business, how it is structured and what you need from an accountant. From there, we review the existing accounting and tax position, and if you are moving from another accountant we can help coordinate the handover of records. Once everything is in place, ongoing support is provided in a way that fits around your operations.
