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 work with private hospitals, independent hospitals, hospital operators, hospital groups and the wider hospital businesses that support them. That can include organisations running a single site as well as those operating across several locations with a more complex group structure. What they tend to have in common is a mix of substantial fixed costs, a sizeable staff payroll and income arriving through more than one stream, which makes reliable accounting and reporting particularly valuable. Because the requirements of each hospital differ, we start by understanding your structure and activities before suggesting how the work should be handled.
The core of the work usually covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting, cash flow forecasting, Corporation Tax and VAT support where those taxes apply to your organisation. Alongside the compliance side, we look at the operational costs that shape hospital finances, such as staff costs, medical equipment, premises, facilities, suppliers and professional services, and report on them in a way that is easy to act on. The exact combination depends on your structure, the income streams you have and how much of the day-to-day finance work you want to keep in-house. You can take the full package or focus on the areas where you need the most support.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees or surprise invoices. Pricing is based on the scope of the work, which in a hospital setting is influenced by factors such as the number of sites, the size of the payroll, how many income streams there are, the volume of transactions and whether you need management accounts and VAT or Corporation Tax support. Once we understand your requirements, we set out the scope clearly so you can see exactly what is included. If your circumstances change, the arrangement can be reviewed rather than left to drift.
Everything we do is prepared in line with UK accounting and tax rules, and we keep up to date with HMRC guidance and reporting requirements as they change. We also take the time to explain the basis on which figures have been prepared, so you understand the position rather than simply receiving a set of accounts. If you would like to know more about the people who would be handling your work and the professional standards they work to, we are happy to discuss that openly before you commit to anything. Transparency about how the work is done is part of what makes the relationship work well.
How Corporation Tax applies depends on how your hospital is structured. A hospital operated through a limited company will generally pay Corporation Tax on its taxable profits, with adjustments for items such as capital allowances on medical equipment and other allowable expenditure. Other structures, including partnerships and charitable organisations, are treated differently, and there may be reliefs or exemptions that affect the final position. We review your structure and activities to work out what applies to you, then handle the calculations, the reporting and the deadlines so nothing is missed.
VAT is not a simple exempt-or-taxable question for hospitals. The treatment depends on the nature of each supply, the activities involved, the status of the organisation and the specific circumstances in which the supply is made, so different parts of a hospital's operation can be treated differently. That means it is worth reviewing income streams, charges for services, equipment purchases and supplier costs carefully rather than assuming a single rule covers everything. We can review your position, help with registration questions where relevant and make sure returns and records reflect what is actually happening in the business.
Yes. Payroll is often one of the largest and most complicated costs in a hospital, covering a range of roles, shift patterns and contract types, so getting it accurate and on time matters both financially and operationally. We can also help you account for medical equipment and other capital expenditure properly, including how purchases are recorded, how they affect your accounts and how reliefs such as capital allowances may apply. Tracking these costs alongside day-to-day supplier payments and premises costs gives you a much clearer view of how the hospital is performing and where the money is going.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your current accounting and tax position, including what has already been filed and what is coming up. If you are moving from another accountant, we can liaise with them directly to obtain the records and information needed, so the transition does not fall on your shoulders. Once everything is in place, we agree how the ongoing support will work and when you can expect to hear from us, so you always know where things stand.
