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 support private hospitals, independent hospitals, day-case and surgical facilities, hospital operators and hospital groups. The common thread is that these are hospital businesses with hospital-specific financial demands — significant payroll, medical equipment and capital expenditure, premises and facilities costs, multiple supplier relationships and often more than one income stream. Because each hospital is structured differently, we look at your organisation as a whole before recommending how the accounting work should be handled.
The core work usually covers bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax and VAT support where relevant. In practice, that means keeping staff costs accurately recorded across departments and shift patterns, tracking equipment purchases and capital expenditure, monitoring premises, supplier and professional services costs, and reporting income streams clearly so you can see what is actually driving the numbers. We can take on the full finance function or focus on the specific areas where you need the most support.
Pricing is based on the scope of work your hospital actually needs, so we start by understanding your transaction volumes, payroll size, reporting requirements and the level of ongoing support you want. We then set out a fixed, transparent package with no hidden fees, so you know what you are paying for and why. If your requirements change — for example, if the hospital expands or takes on more staff — we review the arrangement rather than leaving you with a package that no longer fits.
Hospital payroll tends to be more involved than payroll in most other sectors, with clinical, administrative and support staff on varying contracts, shift patterns, overtime and differing pay arrangements. We manage the regular processing, deductions, pension contributions and reporting obligations so employees are paid accurately and on time, and so the associated costs are properly reflected in your accounts. Clear payroll records also make it much easier to understand staffing costs as a proportion of overall operating expenditure.
VAT treatment for hospitals is not a straightforward picture and it depends heavily on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances of each case. Some activities may fall outside the scope of VAT, others may be exempt, and others may be taxable, and the position can differ between private hospitals and other providers. We review how your hospital operates and advise on the treatment that applies to your particular activities, rather than applying a general rule.
Where a hospital business is operated through a company, Corporation Tax will generally apply to its taxable profits, and getting the figures right depends on accurate bookkeeping and a proper understanding of allowable costs and reliefs. The position can differ depending on how the organisation is structured, so it is worth reviewing your entity structure and reporting arrangements rather than assuming a standard approach applies. We handle the compliance side and help you plan ahead so there are no surprises when liabilities fall due.
Yes — cash flow and budgeting are two of the areas where hospital businesses feel the most pressure, because large payroll runs, equipment purchases, premises costs and supplier payments rarely line up neatly with when income arrives. We build forecasts around your actual cost base and income streams so you can see ahead, plan for significant expenditure such as medical equipment and capital projects, and make decisions with a clearer picture of what is affordable and when.
Getting started is straightforward. We begin with a conversation about your hospital, how it is structured, what accounting and tax work is currently being done and where you feel the gaps are. From there we review your existing records and requirements, agree the scope of support, and handle the handover from your current accountant where relevant. You do not need to have everything perfectly organised beforehand — part of our job is helping you get the records into good shape.
