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, hospital operators and hospital groups, as well as smaller specialist and day-case hospital businesses. What they have in common is a need for accurate accounting, reliable payroll data and reporting that reflects a complex, cost-heavy operation. The exact support depends on how the hospital is structured, the services it provides and how its income is generated.
Typically this covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable and VAT support where relevant. We can also help with the accounting treatment of medical equipment and capital expenditure, premises and supplier costs, and multiple income streams. The scope is agreed upfront so it matches what your hospital actually needs rather than a standard checklist.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when it is due. The cost reflects the size and complexity of the hospital, the volume of transactions, payroll numbers and the level of reporting and tax support required. There are no hidden fees, and the scope can be reviewed as your hospital grows, adds services or changes structure.
Yes. We prepare accounts and manage the associated filings and tax obligations in line with UK accounting standards and HMRC requirements, including Corporation Tax where applicable and VAT where relevant. Deadlines are tracked so nothing is overlooked, and we keep you clear on what is due, what information we need from you and when we need it.
It depends on the structure and activities of the hospital. Profits are generally subject to Corporation Tax where the entity is a company, and there may be reliefs or allowances available on qualifying expenditure such as medical equipment, although the position varies between businesses. VAT is another area where treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is worth reviewing properly rather than assuming.
Yes. Hospitals often face significant outlays on medical equipment, facilities and premises, and planning those alongside regular staff and supplier costs is where solid budgeting and cash flow forecasting make a real difference. We can help build a realistic picture of what is affordable and when, then keep the reporting updated as trading conditions change.
You can, and it is usually a straightforward process. We handle the handover with your existing accountant, obtain the records and information required, and make sure filings and deadlines are not disrupted during the transition. It also gives us a useful opportunity to review the current position and flag anything that needs attention.
Get in touch and tell us about your hospital, how it is structured and what you need help with. We will explain how we can support you, agree a clear scope and fixed pricing, and set out the information we need to begin. From there, the focus is on getting your records accurate and your reporting genuinely useful from the outset.
