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 clients come to us for a combination of bookkeeping, annual accounts, management accounts, payroll, financial reporting and tax support. That often includes budgeting and cash flow forecasting, Corporation Tax where it applies, and VAT support where relevant to your supplies. Because hospital businesses vary so much in structure and scale, we agree the scope together rather than pushing a fixed list of services.
We work with privately run hospitals and hospital businesses, including private hospitals, independent hospitals, day-case and specialist hospital operators, and hospital groups running more than one site. If you run a hospital or a hospital-based business and need accounting, tax or payroll support that understands the way your organisation operates, we can help. Our work focuses on private and independent hospital organisations rather than public-sector bodies.
We use fixed, transparent packages based on the scope of work you actually need, so you know what you are paying before anything begins. There are no hidden fees and no vague hourly estimates that creep upwards without explanation. If your requirements change — for example if you add a site, expand payroll or take on a new income stream — we review the arrangement with you rather than leaving you with an unexpected bill.
Compliance sits at the centre of what we do. Accounts are prepared in line with UK accounting standards, statutory filings are made on time with Companies House and HMRC where they apply, and VAT is handled according to the rules that apply to your specific supplies and activities. We monitor changes that affect hospital businesses and flag anything that needs your attention before it becomes a problem.
VAT treatment for hospitals is not as simple as exempt or taxable. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. Some supplies may be exempt, others may be taxable, and some may fall outside the scope altogether. We review how your hospital generates income and advise on the treatment that applies to you, rather than applying a blanket assumption.
Yes. Hospital payroll is rarely straightforward — it often involves a mix of clinical, nursing, administrative and support staff, alongside shift patterns, overtime, varying hours, pensions and auto-enrolment obligations. We can run payroll on your behalf, keeping deductions, payslips and RTI submissions accurate and on time, so your team is paid correctly and your records stay in order.
Medical equipment and facilities projects tend to involve significant upfront cost with the benefit spread over several years, which is where planning really matters. We help you think through capital expenditure, depreciation and how a purchase will affect cash flow and profitability, and we build that into budgeting and management accounts so you can see the impact before you commit. That gives you a clearer basis for deciding when and how to invest.
It starts with a conversation about your hospital, its structure, its income streams and what you need from an accountant. We then review your current accounting and tax position, including records, payroll, reporting and compliance, and set out how we would support you going forward. If you are switching from another accountant, we can manage the handover and deal with the administrative side so the transition is straightforward.
