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 you need, but most hospital businesses come to us for a combination of bookkeeping, payroll, management accounts, annual accounts and financial reporting. Alongside that we can help with budgeting, cash flow forecasting, Corporation Tax where it applies, VAT support where relevant, and practical advice on costs such as staff, medical equipment, premises and supplier payments. The aim is to give you a clear, accurate picture of how the hospital is performing, not just a set of figures filed once a year.
We work with hospitals and hospital businesses — private hospitals, independent hospitals, day-case and inpatient facilities, hospital operators and hospital groups, as well as smaller hospital-based organisations with their own premises and workforce. If your organisation treats patients, employs clinical and administrative staff and carries significant equipment, premises and supplier costs, the accounting and tax questions you face tend to be quite specific, and that is the space we are set up for. We do not provide specialist services for NHS Trusts, NHS Foundation Trusts or other public-sector bodies.
We use fixed, transparent packages agreed in advance, so you know what you are paying for before any work starts. Pricing reflects the scope and complexity of your hospital business — things such as the number of staff on payroll, the range of income streams, whether you need management accounts, and how much bookkeeping support you would like from us. There are no hidden fees or surprise invoices, and if your requirements change we will talk it through with you before anything is agreed.
We work in line with UK accounting and tax requirements, and we can act as your agent with HMRC for matters such as Corporation Tax and VAT. If you would like to understand more about how we work, who will look after your hospital's affairs and how we keep pace with changing rules, we are happy to talk you through it in plain English before you commit to anything.
It varies by structure. A limited company hospital will typically deal with Corporation Tax, while partnerships and other structures have their own rules, so the starting point is always how your organisation is set up. Payroll taxes matter to almost every hospital given the size of clinical and support teams, and VAT can be a significant consideration — but the treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it needs looking at case by case rather than assuming one answer fits all. Capital spending on medical equipment may also raise questions around reliefs and timing, depending on the asset and the facts.
Hospitals rarely have a single source of income. Patient fees, insurer arrangements, contracted services, diagnostic work, consulting room usage and ancillary activities such as retail or pharmacy all behave differently in the accounts, and some carry different VAT consequences. We set up your bookkeeping and reporting so each stream is tracked clearly, which makes it easier to see what is genuinely profitable and to answer questions from lenders, investors or HMRC without a last-minute scramble.
Yes. Large equipment purchases, lease arrangements, refurbishments and facility costs tend to be among the biggest financial decisions a hospital makes, and they have a direct effect on both cash flow and your tax position. We can help you plan for that spending, keep the accounting records straight, and make sure the tax treatment of what you buy or lease is considered properly in advance rather than after the invoice arrives.
It is usually simpler than people expect. We begin with a conversation about your hospital, how it is structured and what you need, then review your current records, accounts and tax position. If you would like us to take over, we handle the handover with your existing accountant and let HMRC know we are acting for you. From there we agree a scope of work and get on with it, keeping you updated as things progress.
