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 depends on what your hospital or hospital business needs, but the core work usually covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting and tax compliance. We can handle Corporation Tax matters for limited companies, VAT support where it applies to your activities, and the ongoing reporting that helps you keep an eye on staff costs, medical equipment spend, premises, suppliers and income streams. Many hospital clients want a combination of regular management information and year-end compliance, and we build the arrangement around that.
We support private hospitals, independent hospitals, hospital operators, hospital groups and the supporting trading or property entities that often sit within those structures. That can include single-site hospitals with a tightly defined service offering as well as multi-site organisations managing several income streams and cost centres. Smaller hospital businesses and growing operators are equally welcome, and the support scales with the size and complexity of what you are running.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee reflects the size and complexity of your hospital, the volume of transactions, how many staff are on payroll, the number of income streams and how much reporting you need each month or quarter. Before anything begins, we talk through the scope so the arrangement is clear and the pricing matches the work involved.
Any accountant you appoint should be able to explain their qualifications, professional body membership and how they are regulated, and we are happy to talk you through ours directly so you can make an informed decision. What matters just as much is staying current, because accounting standards, tax rates and reporting requirements change regularly and hospitals are affected by rules around payroll, VAT, capital expenditure and company reporting. We keep our knowledge up to date so the advice and filings you receive reflect the rules as they stand.
VAT treatment for hospitals is not a single answer, because it depends on the nature of each supply, the activities involved, the status of the organisation and the specific circumstances in which the service is provided. Some supplies may be exempt, others may be standard-rated or subject to a reduced rate, and mixed activities can create partial exemption questions that need careful handling. Rather than applying a blanket assumption, we look at what your hospital actually does and how each income stream and cost is treated.
If your hospital operates through a limited company, then yes, Corporation Tax will usually apply to its taxable profits, and getting the calculations and reliefs right matters. Capital expenditure on medical equipment, premises-related costs and the timing of income can all influence the position, and there may be reliefs or allowances worth claiming depending on the circumstances. Where a hospital is structured differently, the tax position changes accordingly, which is why we look at the structure before advising.
Yes, these are often the areas where hospitals feel the pressure most. Payroll for clinical, administrative and support staff is usually one of the largest costs in the business, so it needs to be accurate and on time, while management accounts give you a regular view of how each income stream and cost centre is performing. Alongside that, cash flow forecasting helps you plan for equipment purchases, premises costs and supplier payments without being caught short, particularly when payment terms on different income streams do not line up.
The first step is a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve, whether that is clearer reporting, tidier records, payroll support or tax planning. If you are moving from another accountant, we can explain what information we need and how the handover works so the transition is smooth and nothing is missed. From there we agree the scope and pricing, then put the ongoing support in place and adapt it as your organisation develops.
