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 covers the core work hospital businesses need, including bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting. Depending on your structure and activities, we can also support Corporation Tax where it applies and VAT where relevant, and help you interpret the figures so they are genuinely useful for decision-making. The mix of services is agreed around your hospital rather than applied as a fixed template.
They are for private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses that need reliable accounting and tax support. What these organisations often have in common is complexity — significant staff costs, medical equipment and capital spending, premises, suppliers and multiple income streams that all need to be recorded and reported accurately. If your organisation provides hospital-based care and treatment as a business, the support is designed with that in mind.
Pricing is based on the work involved, so it reflects factors such as the size of the hospital, the number of staff on payroll, the complexity of your income streams and the level of reporting you need. We use fixed, transparent packages with no hidden fees, and the scope is agreed with you before any work begins so there are no surprises. If your requirements change, we review the arrangement with you rather than leaving you with unexpected costs.
Compliance for a hospital business goes beyond hitting filing deadlines. We keep bookkeeping and payroll records in order, prepare accounts and returns that reflect the organisation's actual activities, and work to current UK accounting standards and tax rules. Where a hospital trades through a limited company or a group structure, we also keep track of the filing and reporting obligations that come with it, so nothing is left until the last minute.
VAT for hospitals is not a simple exempt-or-taxable question. The treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances, so two hospitals offering similar services can end up with different positions. We review what you actually provide, how it is charged for and how it is recorded, then help you apply the right treatment and keep the supporting records in order.
Yes. Where a hospital operates through a limited company or group, Corporation Tax is usually part of the picture, along with the accounts and computations that support the return. We can help with the figures behind the return, the reliefs and allowances relevant to your circumstances, and the timing of payments so cash flow is not caught out. We also look at wider tax considerations that arise from how the hospital is structured and how it pays staff, contractors and suppliers.
Medical equipment and other capital spending can be significant for hospitals and usually needs planning rather than being absorbed into general running costs. We help track that expenditure, understand how it affects your accounts and tax position, and build it into budgeting and cash flow forecasting. That way, major purchases or facility investments can be considered alongside everyday costs, payroll and supplier commitments.
It usually starts with a conversation about your hospital — how it operates, what is working well and where the accounting pressure points are. If you are moving from another accountant, we can handle the practical side, including requesting the records and information needed to pick things up cleanly, and we will agree timescales with you. From there, we set up ongoing bookkeeping, payroll, reporting and tax support around your requirements.
