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 for hospitals typically covers annual accounts and financial statements, day-to-day bookkeeping, management accounts, payroll for clinical and non-clinical staff, budgeting and cash flow planning, and financial reporting you can share with lenders, investors or partners. We also help with Corporation Tax where it applies to your structure, wider tax matters and VAT support where relevant. The scope is agreed around your hospital's activities, income streams and operating costs, so you get the support you actually need rather than a bundle of services you do not.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses that need structured accounting and tax support. The right approach depends on how the organisation is set up, because a single-site private hospital has different reporting needs from a group running several facilities. We shape the service around your structure, activities and income streams. We do not provide specialist accounting services for NHS Trusts, NHS Foundation Trusts or other public-sector organisations.
We price our work through fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before the work begins. The fee reflects the scope involved — the size of your hospital, transaction volumes, payroll headcount, the number of income streams and the level of reporting you need. There are no hidden fees, and if your requirements change we will talk through any adjustment with you before anything is agreed.
Accounting and tax work for hospitals has to be done to proper UK standards, and our team keeps up to date with the reporting, tax and VAT rules that affect hospital businesses. We are happy to explain how we work, what we need from you and where we can add value before you commit to anything. If your hospital has specific compliance or regulatory requirements, tell us about them at the outset so we can confirm whether we are the right fit.
VAT for hospitals is not a one-size-fits-all area. The treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some income streams, services or supplies can be treated differently from others. We review how your hospital operates, help you apply the correct treatment to each area and flag where specialist VAT advice may be needed.
Whether Corporation Tax applies depends on how your hospital or hospital business is structured, so the starting point is understanding your entity type and how profits are calculated. Where it applies, we prepare the relevant computations and returns, identify allowable expenses and reliefs, and make sure the position is reported accurately and on time. If a different tax treatment applies to your structure, we will explain what that means in practical terms.
Medical equipment and other capital expenditure need careful accounting, particularly when purchases are significant or spread over several years. We make sure assets are recorded correctly, depreciation is handled properly and any available reliefs or allowances are considered. We also track how equipment investment affects your cash flow and capital position, and help with planning so major purchases do not create an unwelcome surprise at year end.
Switching is usually more straightforward than people expect. We handle the handover with your existing accountant, obtain the information we need and make sure nothing falls through the gap. To get started, just tell us about your hospital, how it is structured and what you need help with, and we will outline how we can support you. From there we agree the scope and get your records into shape.
