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 scope is built around your hospital, but it typically covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts and any associated filing requirements, management accounts, budgeting and cash flow reporting, financial reporting, Corporation Tax where it applies and VAT support where it is relevant. Because hospital costs behave differently from most businesses — staffing, medical equipment, premises and facilities, supplier payments and professional services — the work is structured so that these areas are recorded accurately and reported in a way that makes sense to you. We agree the scope with you upfront so you know what is covered.
We support private hospitals, independent hospitals, hospital operators, hospital groups and hospital businesses, including companies that provide services connected to hospital operations. The accounting needs of a single-site independent hospital are very different from those of an operator running several sites or a group with more than one entity, and the number of income streams, the staffing structure, the premises arrangements and the level of capital investment all influence what is required. We tailor the support to match that structure rather than applying the same approach to every organisation.
We work on 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 of what you need — the size and structure of the hospital or group, the volume of transactions, payroll headcount, the level of reporting required and how complex your tax and VAT position is. There are no hidden extras, and if your requirements change we discuss any adjustment with you rather than simply adding charges. Everything is agreed and confirmed in writing first.
The work is carried out in line with professional accounting and tax standards, and we are happy to confirm the specific qualifications and professional memberships relevant to your engagement before you appoint us. What matters most day to day is that the people handling your accounts, payroll and tax affairs understand the practical realities of running a hospital business — how costs accumulate, how income streams differ and where compliance risk tends to sit. If you have particular requirements around professional oversight or reporting, we can discuss those as part of the initial conversation.
The recurring themes tend to be operating costs and payroll, medical equipment and capital expenditure, premises and facilities, supplier payments, and cash flow across the year. Hospitals often have several income streams running at once, which means each one has to be recorded and reconciled correctly if the reporting is going to be reliable. On the tax side, the main considerations are Corporation Tax where the hospital trades through a limited company, and VAT, which depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances rather than a single blanket rule.
VAT for hospitals is not a simple one-size-fits-all answer. Whether a particular supply is exempt, taxable or outside the scope depends on the nature of that supply, the activities involved and the status of the organisation making it, so it needs to be considered item by item rather than assumed. Hospitals can have a mix of activities — patient-related services, retail or catering, property arrangements, equipment transactions and staffing — and each may be treated differently. We review the position properly, make sure returns reflect the underlying supplies, and keep the supporting records in order.
Yes. Medical equipment purchases, replacements and upgrades usually involve significant sums, and how they are recorded and treated matters for both your accounts and your tax position. We look at how the expenditure should be reflected, the capital allowances that may be available, the effect on your reported position and the pressure it places on cash flow over time. Where equipment is financed, leased or part-funded, we make sure the accounting treatment matches the arrangement and that the reporting gives you a clear picture rather than a distorted one.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, what you need and how the accounting and tax side currently works, then agree the scope and fees in writing. If you are moving from another accountant, we handle the professional clearance process with them directly and can work alongside your existing arrangements while the handover takes place, so nothing is missed during the transition. Once your records are with us, we confirm what we need from you and when, so the ongoing process is clear from the outset.
