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.
We handle the accounting and tax work that hospital businesses need to stay on top of their finances. That typically includes bookkeeping, payroll, management accounts, annual accounts, budgeting, cash flow planning and financial reporting, along with tax support and VAT support where relevant. Because hospital finances involve staff costs, medical equipment, premises, suppliers and several income streams, the emphasis is on keeping records accurate, reporting clear and compliance up to date so you can make decisions with confidence.
We support privately run and independent hospital businesses, including single-site private hospitals, independent hospitals, hospital operators and hospital groups with multiple sites or service lines. Their accounting needs differ depending on how the organisation is structured, the services it provides, its income streams, staffing arrangements, premises, equipment and operating costs. If you are unsure whether your setup fits, it is worth a conversation so the scope can be discussed properly.
Yes. Payroll is often one of the largest and most intricate costs for a hospital, particularly where staff work shifts, rotas or variable hours, and where pension contributions and reporting obligations apply. We can manage payroll processing and the associated records so that payments, deductions and submissions are handled consistently, and so the payroll figures flowing into your management accounts and annual accounts are reliable rather than reconstructed at year end.
Pricing is based on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects the scope of work involved, such as the size of your payroll, the volume of bookkeeping, how many entities need accounts and whether management reporting is required. There are no hidden fees, and we explain what is included before anything is agreed so there are no surprises later.
Corporation Tax is relevant where a hospital operates through a limited company, and there are other structures with their own tax treatment, so it depends on how the organisation is set up and what it does. VAT is more nuanced still: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Some supplies may be exempt while others are taxable, so the position should always be reviewed rather than assumed.
Hospitals frequently earn income from several sources, such as self-pay patients, insurers and contractual arrangements, and each may need to be recorded and reported separately to give a meaningful picture of performance. On the cost side, medical equipment and other significant purchases involve capital expenditure, depreciation and potentially capital allowances, all of which affect your accounts and tax position. We help keep these areas correctly recorded and clearly reported.
UK accountants work within established accounting and tax rules and are subject to professional standards and anti-money laundering supervision through recognised professional bodies. We are happy to talk through the specific compliance arrangements that apply to your engagement and what information we need from you to meet those obligations, so you understand exactly how your records and data are handled from the outset.
The first step is a conversation about your hospital or hospital business, how it is structured, what accounting work you currently have in place and where you feel the gaps are. From there we review your existing records and tax position, agree the support that makes sense, and manage the handover from your current accountant so the transition is smooth. Once everything is in place, ongoing support continues on a schedule that suits how your hospital operates.
