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 work a hospital business needs to stay on top of its finances, including bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow support, financial reporting, and Corporation Tax and VAT support where they apply to your organisation. Because hospital businesses vary so much, the mix is tailored around your structure, income streams, staff costs, premises, medical equipment and supplier commitments. The aim is to keep your records accurate, your reporting useful and your tax position properly managed, rather than pushing everything into one fixed package.
Our support is aimed at private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses operating in the UK. That includes single-site hospitals and organisations running several sites or entities. We do not hold ourselves out as specialists in accounting for NHS Trusts, NHS Foundation Trusts or other public-sector bodies, so if your organisation sits in that space it is worth checking first whether our support is the right fit.
Pricing is based on the scope and complexity of the work rather than a one-size-fits-all figure, and we set it out in fixed, transparent packages so you know what you are paying for. The main factors are usually the number of entities, the volume of transactions, payroll headcount, how many income streams there are and how much reporting you need. There are no hidden fees, and we agree the scope in advance so there are no surprises later.
Accounting and tax work for a hospital business needs to be carried out to UK accounting standards and in line with HMRC requirements, and that is the framework we work within. We also understand that hospitals often need to satisfy lenders, investors or other stakeholders, so the records and reports we prepare need to stand up to that scrutiny. If you need to carry out your own due diligence on how we are regulated or supervised, we are happy to talk that through with you directly.
VAT in the hospital sector is not straightforward, and it is not something that can be answered with a blanket rule. Whether a particular supply is exempt, taxable or treated in another way depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. Equally, private hospitals and NHS hospitals do not automatically have identical VAT positions. We review your actual arrangements and income streams before advising, so the treatment applied reflects your situation rather than an assumption.
Where Corporation Tax applies to your hospital business, we can help with preparing and submitting returns, reviewing what is allowable and making sure deadlines are met. On the reporting side, we prepare annual accounts and management accounts that show how staff costs, equipment, premises, supplier payments and different income streams are affecting your position. That combination gives you both compliance and a clearer view of performance during the year.
Management accounts give you a regular view of how the hospital is performing rather than a once-a-year snapshot, which matters when fixed costs are high and income can fluctuate. They can highlight pressure points such as rising payroll, significant equipment or facilities costs, or slower collection from particular income streams, and they support budgeting and cash flow planning. Used properly, they turn your accounting records into something you can act on.
Getting started is straightforward. We begin by understanding your hospital or hospital business and the way it operates, then review the accounting and tax requirements that apply to it, including anything already in place. From there we agree an approach and level of ongoing support that suits you, and we can liaise with your existing accountant to handle the handover of records. If you are unsure where to begin, a conversation about your current setup is usually the easiest first step.
