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.
Our work for hospitals typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, Corporation Tax where applicable, wider tax support and VAT support where relevant. Exactly what is included depends on the size and structure of the hospital or hospital business, and on how much you already handle in-house. We agree the scope up front so you know what to expect, and we can adjust it as your requirements change.
We support private hospitals, independent hospitals, hospital operators, hospital groups and the wider hospital businesses that operate alongside them. Requirements vary widely across that range — a single-site independent hospital and a multi-site hospital group will have very different reporting needs, staffing arrangements and cost structures. We look at how your organisation is set up and what it actually does before recommending how the accounting should be handled.
We work on fixed, transparent packages wherever possible, so you know the cost before the work begins rather than receiving an open-ended bill. Fees reflect the scope and complexity of what you need — for example, the volume of transactions, the size of the payroll, whether management accounts are required each month or each quarter, and whether VAT or Corporation Tax support is involved. There are no hidden fees, and if your circumstances change we discuss any adjustment with you first.
Yes. The work is carried out by qualified accountants who keep up to date with current UK accounting standards and tax rules, and we work within the professional and regulatory framework that applies to accountancy practices. If you would like to understand how a specific piece of compliance or reporting applies to your hospital, we are happy to talk it through in plain English before any work is done.
Hospitals tend to have a distinctive financial profile: substantial staff payroll, expensive medical equipment and capital expenditure, significant premises and facilities costs, and a large number of supplier and professional services payments. Income can also arrive through several different streams with different timings, which complicates cash flow and reporting. On top of that, Corporation Tax applies differently depending on how the hospital is structured, and VAT treatment depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances rather than following a single blanket rule.
VAT for hospitals is rarely straightforward, because treatment depends on the nature of the supply, the activities involved, the organisation's status and the particular circumstances of the transaction. Some activities, income streams and supplies may be treated differently from others, and private and independent hospitals will not necessarily have the same position as one another. We review how your hospital operates and apply the rules to your actual situation rather than assuming a standard answer.
Yes. Large equipment purchases and other capital expenditure can have a significant effect on both your cash position and your reported results, so they need to be planned and recorded carefully. We can help you build capital expenditure into your budgeting and cash flow forecasting, make sure the accounting treatment is correct, and provide management accounts that show clearly how those investments are affecting the hospital's finances. Where tax relief or VAT treatment is relevant, we look at your specific circumstances before advising.
Getting started is straightforward. We begin with an initial conversation about your hospital or hospital business, your current accounting arrangements and what you need help with. If you are moving from another accountant, we can handle the handover of information and records on your behalf so the transition is as smooth as possible. From there, we confirm the scope and fees, put the necessary arrangements in place, and begin providing support at a pace that suits your organisation.
