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.
The core of the service usually covers bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, with Corporation Tax support where it applies and VAT support where relevant. For hospitals specifically, that means accounting for staff costs, medical equipment, premises and facilities, supplier payments, professional services and the different income streams the organisation relies on. We also help with the reporting that sits behind those numbers, so directors or owners can see how the hospital is performing rather than just how much tax is due.
The service is aimed at private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide inpatient or outpatient services and need proper accounting and tax structure behind them. It suits organisations that have outgrown basic bookkeeping, or that want more reliable management information, tighter payroll and clearer tax positions. If you are unsure whether your organisation fits, the simplest approach is to talk through your structure, activities and income streams with us.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and what is included before work begins. The scope is agreed up front based on factors such as the number of entities, transaction volumes, payroll headcount and the level of reporting you need, and we avoid hidden fees or surprise invoices. If your requirements change — for example, if you add a site, take on more staff or bring in new income streams — we review the arrangement with you rather than leaving it to drift.
Any accountant working with a hospital should be operating to recognised UK accounting and tax standards, keeping pace with HMRC filing requirements and Making Tax Digital obligations, and being clear about who is responsible for what. Compliance is more than filing on time — it means accurate records, appropriate anti-money laundering checks, sensible record retention and a genuine understanding of the sector the client operates in. We are happy to explain how we handle records, deadlines and confidentiality before you appoint us, so there are no grey areas.
VAT for hospitals is rarely a simple yes or no. Treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so some income may be exempt, some standard-rated and some treated differently again. Because that affects how much input VAT you can recover and how supplies should be invoiced, it is worth reviewing your particular mix of services properly. We can look at your activities as a whole and explain the position that applies to your organisation rather than applying a blanket rule.
Yes. Medical equipment and facilities investment are significant, lumpy costs for most hospitals, and they need to be planned for rather than absorbed as they arise. We can help you budget for capital expenditure, understand how purchases affect your accounts and tax position, and build a cash flow picture that accounts for both the equipment you need and the repayment terms on any funding. That planning matters most in the years when several large purchases or refits fall close together.
We can support hospital groups where activity is split across more than one company, site or trading entity, including the additional reporting and record-keeping that structure creates. That often means keeping separate books that still add up to a coherent group picture, with attention to how costs and income are allocated between entities and how tax applies to each. It is also worth reviewing the structure periodically as the group grows, since a setup that suited one site may not suit five.
Getting started is a matter of a conversation about your hospital, how it is structured and what you need from an accountant, followed by a review of your current records, reporting and compliance position. If you are moving from another firm, we can handle the handover process and liaise with your existing accountant to obtain the information we need, so the transition stays straightforward. Once we have agreed the scope, we set up the bookkeeping, payroll and reporting rhythm around your financial year and your internal deadlines.
