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 accounting and tax work a hospital or hospital business needs to run properly. That typically means bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, Corporation Tax support where applicable, and VAT support where it is relevant to your activities. Because the scope depends on how your hospital is structured and what it does, we agree the areas you need rather than applying a fixed package to every client.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses operating in a similar space. Each of these can have very different accounting requirements depending on their legal structure, their income streams, the number of staff they employ, the premises and medical equipment they hold, and the suppliers and professional services they rely on. We tailor the support to suit the organisation in front of us.
Yes. Management accounts are often the most useful tool for hospital operators, because they show how income streams, staff costs, premises, equipment and supplier payments are actually performing over a period rather than only at year end. We can prepare regular management accounts and financial reports that give you a clearer picture of trading and support better decisions on pricing, staffing, capital expenditure and investment.
VAT treatment for hospitals is not a simple yes or no answer. It depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances of the entity. Some supplies may be treated differently to others, and a mixed picture is common where a hospital provides services alongside other commercial activities. We review your particular arrangements and explain the position that applies to you rather than making assumptions.
We use fixed, transparent packages so you know where you stand, with no hidden fees and no surprise invoices. The fee reflects the scope and complexity of the work — the size of the hospital business, transaction volumes, payroll numbers, reporting requirements and the tax work involved. We discuss the scope with you first and agree the arrangement before any work begins.
Yes. Payroll is one of the biggest cost areas for most hospital businesses, and it often involves a mix of contracted staff, variable hours and different pay arrangements. We can manage payroll processing, payslips, deductions and the associated reporting so your team is paid correctly and your payroll records stay accurate. That also feeds into your management accounts and budgeting, which is where payroll visibility really pays off.
The key areas tend to be Corporation Tax where the organisation is a company, VAT where relevant to its supplies, and the tax treatment of capital spending such as medical equipment and premises improvements. Employment taxes and payroll obligations are also significant given the staffing levels involved. Because these interact with each other, it helps to have them reviewed together rather than treated as separate exercises.
The simplest route is to get in touch and tell us about your hospital or hospital business — its structure, how it earns income and what accounting support you currently have in place. If you are switching accountants, we can manage the handover so the transition is straightforward for you. From there, we agree the scope of work and get the records and reporting running the way you need them.
