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.
Our work with hospitals typically covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax where it applies, and tax and VAT support where relevant. Because hospitals vary so much in size and structure, we shape the service around what your organisation genuinely needs rather than applying a fixed package to every client. For some hospital businesses that means taking on the day-to-day bookkeeping and payroll; for others it means strengthening management reporting and financial controls while the internal team handles the transactional work.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as other hospital businesses with a commercial or operational focus. Each of these can have very different accounting and tax requirements depending on how they are structured, the services they provide and the income streams they generate. If you are unsure whether your organisation fits, it is worth a conversation, because the practical needs of a hospital business are usually what determine whether we can help.
We work on fixed, transparent packages, with the fee agreed in advance based on the scope of work your hospital needs. Factors such as transaction volumes, payroll headcount, the number of income streams, reporting requirements and whether VAT returns are involved all influence the level of work required. You will not be met with hidden fees or unexpected invoices, and if your requirements change as your hospital grows, we will discuss any adjustment openly before it happens.
Accountants providing services to hospitals should be properly qualified and subject to professional oversight, which is why it is always sensible to check the credentials and regulatory position of any firm before appointing them. Compliance obligations also matter on your side, since hospitals have responsibilities around payroll, tax, VAT and company or entity reporting depending on how they are structured. We are happy to talk through our professional position, how we work and what information we need from you so you can make an informed decision.
Hospitals often deal with substantial staff costs, significant capital expenditure on medical equipment, premises-related costs, supplier payments and multiple income streams, all of which need to be reflected accurately in the accounts. Corporation Tax will be relevant where a hospital business operates through a limited company, while VAT treatment needs care, as it depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances rather than a single blanket rule. Different hospital organisations can therefore have quite different tax positions, so it is worth reviewing yours properly.
Yes. Hospitals tend to have high fixed costs and uneven timing of income and expenditure, which makes cash flow forecasting and budgeting particularly valuable alongside regular management accounts. Good management reporting helps you see how staff costs, equipment purchases, premises costs and supplier commitments are affecting performance, and where there may be pressure building before it becomes a problem. We focus on giving you figures you can actually use to make decisions.
Switching is usually more straightforward than people expect, and much of the process is handled between the two firms once you have given your authority to act. We will agree what information is needed, review your existing records and reporting, and make sure the transition does not disrupt your payroll or filing deadlines. If your current accountant has a clear process in place, the handover tends to be smooth and you can carry on running the hospital while it happens.
It starts with a conversation about your hospital or hospital business, covering how it is structured, how it earns income, how many staff you employ and what accounting, tax or VAT support you currently have in place. From there we can set out what we would recommend, how the service would work in practice and how the fee would be structured. There is no obligation to proceed, and you will have a clear picture of what working with us would involve before making any decision.
