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 support covers the core finance functions a hospital business needs, including bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting. Alongside that, we provide tax support, Corporation Tax guidance where it applies and VAT support where relevant to your supplies and activities. Because hospital operations are cost-heavy and often have several income streams, we focus on keeping your records accurate, your reporting timely and your compliance obligations properly met, rather than simply filing figures at the end of the year.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and smaller specialist hospital organisations, each of which tends to have a slightly different financial profile. A single-site independent hospital may be focused on managing payroll and supplier costs carefully, while a hospital group may need consolidated reporting across several sites and clearer visibility of performance. The accounting and tax requirements can also differ depending on whether the business is a limited company, a partnership or another structure, so we tailor the support to how your organisation is set up and how it operates.
We use fixed, transparent pricing based around the scope of work your hospital actually needs, rather than an open-ended hourly arrangement that leaves you guessing. The scope is agreed upfront after we understand your structure, the volume of transactions, the number of staff on payroll and the level of reporting you require, so there are no hidden fees appearing later. If your requirements change as the hospital grows or takes on new services, we review the arrangement and agree any adjustment with you in advance.
We work to professional accounting and tax standards and keep up to date with UK reporting, payroll and tax requirements as they change, which matters given how regularly thresholds, rates and filing rules are updated. Compliance is built into our processes, from Making Tax Digital compatible record keeping through to accurate payroll submissions and timely accounts and tax filings. If you would like more detail on how we manage compliance for your specific circumstances, we are happy to talk it through before you commit to anything.
VAT for hospitals is not a simple yes-or-no answer, because the treatment depends on the nature of the supply, the activities involved, the status of the organisation and the specific circumstances of each transaction. Some supplies may be exempt, some may be outside the scope and others may be standard-rated, and a hospital can easily be dealing with a mix of all three across its income streams and purchases. We review what you actually provide and purchase, then help you apply the correct treatment and keep the supporting records to demonstrate it. We would not assume that every hospital service is exempt, or that every hospital-related supply is taxable.
Yes, we can manage both, and for many hospitals it makes sense to keep them joined up rather than split across different providers. Hospital payroll can be complex, with varied shift patterns, overtime, agency staff, pension contributions and different contract types all feeding into the numbers, while bookkeeping needs to keep pace with high volumes of supplier invoices, equipment purchases and patient or contract income. Handling both together means the payroll figures, management accounts and year-end position all reconcile, which saves time and reduces the risk of discrepancies.
Hospitals often face large, irregular outgoings, particularly when medical equipment is purchased or replaced, premises work is carried out or supplier payments fall due at the same time as payroll. We help by building management accounts and cash flow forecasts that show what is coming in, what is going out and when the pressure points are likely to appear, so decisions about equipment, staffing and investment are made with a clear view of the numbers. Budgeting support then turns that visibility into a plan you can track against month by month.
Getting started is straightforward, and switching is usually less disruptive than people expect. We begin with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax position so we understand what you need. If you are moving from another accountant, we can coordinate the handover of records and deal with the administrative side on your behalf, and if you are setting up a new hospital business we can help you get the structure and record keeping right from the beginning.
