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 typically covers the core compliance and reporting work a hospital or hospital business needs: bookkeeping, annual accounts, Corporation Tax where applicable, VAT support where relevant, payroll for clinical and non-clinical staff, management accounts, budgeting and cash flow forecasting. Because hospital operations involve significant staff costs, medical equipment, premises and multiple supplier arrangements, we tailor the scope to your structure rather than working from a standard checklist, and we agree exactly what is included before any work begins.
We support private hospitals, independent hospitals, hospital operators and hospital groups, as well as businesses running hospital-based services. Their accounting needs differ enormously — a single-site independent hospital has a very different financial profile to a group operating across several locations — so we look at your income streams, staffing model, premises and equipment commitments before recommending an approach. Our focus is on private and independent hospitals and hospital businesses rather than public-sector organisations.
We use fixed, transparent packages wherever possible, so you know what you are paying for and when. The fee reflects the size and complexity of your operations — the number of sites, staff numbers, income streams, equipment and supplier arrangements all have an effect — and it is set out clearly before we start. There are no hidden extras, and if your requirements change over time we will discuss any adjustment with you first rather than simply adding costs on.
Hospital payroll is rarely straightforward. Clinical rotas, shift patterns, enhanced rates, bank and agency staff, pension contributions and varying contract terms all need to be processed accurately and on time. We can manage payroll end to end, covering payslips, PAYE and RTI submissions, pension administration and year-end reporting, while keeping staffing expenditure visible in your management accounts so you can see how payroll costs are tracking against budget.
VAT treatment for hospitals is not uniform. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, which means some income streams and costs may be treated differently to others. We review how VAT applies to your particular mix of services, supplies and overheads, help you keep records that stand up to scrutiny, and flag where a closer look at a specific arrangement may be worthwhile. NHS hospitals and private hospitals do not automatically receive identical treatment.
Yes. Medical equipment purchases, fit-outs and premises work can tie up significant capital, so it is worth planning them alongside your cash flow rather than in isolation. We can help you budget for larger purchases, understand how capital expenditure feeds into your accounts and tax position where applicable, and build forecasts that show what your cash position looks like before, during and after a major commitment.
Switching is usually far less disruptive than hospitals expect. We would start with an initial conversation about your organisation, what you currently have in place and what you would like to improve, then handle the handover of records and correspondence with your existing accountant where needed. We confirm the information required from you, agree the scope and package, and make sure nothing falls through the gap on compliance deadlines during the transition.
The simplest route is an initial conversation. Tell us how your hospital or hospital business is structured, how it operates and what you need from an accountant — whether that is catching up on bookkeeping, improving management reporting, tightening up payroll, or getting on top of tax and VAT compliance. From there we can recommend a suitable package and set out clearly what the work will involve.
