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 covers the core accounting and tax work a hospital business needs, including bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax, tax and VAT support where these apply. Because hospitals carry significant staff costs, equipment spend, premises costs and supplier payments, the reporting is built around those areas so the figures reflect how the business genuinely runs. You can take the full service or focus on the specific areas where you need the most help.
The service is aimed at private hospitals, independent hospitals, hospital operators and smaller hospital groups, along with the trading and management companies that sit behind them. Requirements vary widely depending on how a hospital is structured, the services it provides, the number of staff it employs and the agreements it holds. Because of that, the accounting support is shaped around each organisation rather than delivered as a fixed package.
Yes. Payroll is usually one of the largest cost areas for a hospital, covering clinical, nursing, administrative and support staff, and sometimes a mix of salaried employees, part-time workers and bank or locum arrangements. We can manage payroll processing, payslips, PAYE and pension administration, and make sure the payroll figures feed cleanly into your management accounts and annual accounts so staff costs are recorded and reported accurately.
No. VAT treatment depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so it is not a case of all hospital services being exempt or all hospital-related supplies being taxable. A private hospital, for example, may have a mix of supplies with different VAT treatments, and the position can differ from that of an NHS hospital. We look at what your organisation actually does and advise on the treatment that applies to it.
We use fixed, transparent fees agreed in advance, so you know what the service costs before any work begins. The fee reflects the size and complexity of your hospital business, including things like the number of staff on payroll, the volume of transactions, how many income streams there are, and whether you need management accounts or year-end accounts only. There are no hidden charges, and if your requirements change we will talk through the options with you.
Accounting and tax work for a hospital business has to be carried out to recognised professional standards, and the team works within the relevant UK accounting, tax and anti-money laundering requirements. That includes keeping proper records, meeting filing and payment deadlines, and applying the correct treatment to areas such as Corporation Tax, PAYE and VAT where they are relevant to your organisation. If you have a lender, investor or board to report to, the accounts can be prepared in a form that supports that.
Yes. Capital expenditure on medical equipment, facilities and premises improvements can create significant and uneven cash flow pressure, particularly when income arrives at different points in the year. We can help you build budgets and cash flow forecasts that account for those commitments, monitor how spend is performing against plan, and make sure the treatment of equipment and other capital costs is handled correctly in your accounts.
Getting started usually begins with a conversation about your hospital business, your current accounting arrangements and what you would like to improve. If you decide to move across, we can liaise with your existing accountant to obtain the records and information needed, and manage the handover so the transition is as smooth as possible. From there we set out the scope of support and the fee, then begin the work.
