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 depends on what your hospital needs, but most hospital businesses come to us for a combination of bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support. Where relevant, that also covers Corporation Tax and VAT. Because hospital operations involve staff costs, medical equipment, premises, suppliers and several income streams, we shape the reporting around those areas so the figures are genuinely useful rather than just compliant paperwork.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as the businesses that manage or support hospital operations. Their accounting requirements differ widely depending on their legal structure, the services they provide, their staffing arrangements, premises and equipment, and the mix of income they receive. If you are unsure whether your organisation fits, it is usually quickest to talk it through with us and we can tell you honestly whether we are the right fit.
We work on fixed, transparent packages based on the scope of work your hospital actually needs, so you know what you are paying for rather than receiving an open-ended bill. Factors that influence the package include the number of entities involved, transaction volumes, payroll headcount, whether VAT returns and Corporation Tax filings are required, and how much management reporting support you want. There are no hidden fees, and if your requirements change we will discuss any adjustment with you before it happens.
Yes. Payroll is often one of the largest and most complex cost areas for a hospital, particularly where staff are paid on a mix of salaries, hourly rates, overtime, shift patterns, enhancements and varying contract types. We handle payroll processing, payslips, deductions, pension contributions and the associated reporting, making sure staff are paid accurately and on time and that the payroll figures feed cleanly into your management accounts and annual accounts.
VAT treatment for hospitals is not straightforward and cannot be reduced to a single rule. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams within the same organisation can be treated differently. We review what your hospital actually does and advises on how VAT applies in your case, rather than applying a blanket assumption that everything is exempt or everything is taxable.
Where your hospital operates through a structure that is subject to Corporation Tax, we can prepare and submit the relevant returns and calculate the liability, taking into account allowable expenses such as staff costs, equipment, premises and other operating expenditure. Tax treatment varies depending on how the organisation is set up, so we look at your specific structure and circumstances before setting out what applies to you.
Yes. Medical equipment and other significant capital purchases can create real pressure on cash flow and raise questions about how costs should be treated in your accounts and tax filings. We help hospitals plan for these purchases, understand the accounting and tax implications where they apply, and build them into budgets and cash flow forecasts so a major investment does not derail day-to-day finances.
It starts with a conversation about your hospital — its structure, income streams, staffing, premises and the accounting and tax issues you are dealing with. If you are currently with another accountant, we can manage the handover and liaise with them so the transition is orderly and nothing is missed. From there we set out what support looks like for your organisation and put the arrangements in place, so you can get on with running the hospital.
