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.
The exact mix depends on your hospital or hospital business, but it typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and tax support including Corporation Tax and VAT where those apply. Because hospitals carry unusual cost profiles — staff, medical equipment, premises, facilities and a broad supplier base — we build the service around what your organisation actually needs rather than applying a fixed checklist to every client.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide related services. Their accounting needs can differ significantly depending on structure, activities, income streams, staffing arrangements, premises, equipment and operating costs across Peterborough and the surrounding area. If you are unsure whether your organisation fits, it is worth a conversation — most hospital businesses have more in common than they expect.
Pricing is based on the scope and complexity of your requirements, which for a hospital depends on factors such as turnover, number of staff on payroll, number of entities, reporting obligations, transaction volume and the level of support you want. We work on fixed, transparent packages wherever possible, so you know what you are paying for up front, with no hidden fees. The best way to get an accurate picture is to tell us about your hospital and what you need help with.
Yes. Payroll is often one of the largest and most time-consuming areas for a hospital, particularly with varied shift patterns, different contract types, pension contributions and regular changes to the workforce. We can handle payroll processing, payslips, RTI submissions and the related reporting, so your team is paid accurately and on time while your records stay in order.
VAT for hospitals is rarely a simple picture. Treatment depends on the nature of each supply, the activities involved, the organisation's status and the specific circumstances, so it is not the case that all hospital services are exempt or that all hospital-related supplies are taxable. Where a hospital has a mix of activities — clinical services, retail, catering, property income or equipment sales, for example — the VAT position can change from one income stream to another, and it is worth reviewing carefully rather than assuming.
Yes. Significant equipment purchases, refurbishments and facility upgrades can have a substantial effect on both your tax position and your cash flow, particularly where expenditure is spread across different periods. We can help you plan for that spending, understand how it affects your accounts and Corporation Tax position where relevant, and manage the impact on cash flow so a major purchase does not catch you off guard.
Where a hospital operates through a limited company, Corporation Tax will generally apply, and we can prepare and submit the necessary returns, calculate liabilities and make sure relevant reliefs and allowances are considered. For hospitals with more complex structures, such as multiple entities or group arrangements, we can look at how the different parts fit together from a tax perspective. Tax treatment depends on your structure and circumstances, so we review the detail before advising.
Getting started is usually straightforward. We begin with a conversation about your hospital, how it is structured and what you need from an accountant, then review your existing records and accounting arrangements. If you are moving from another accountant, we can handle the transition process, including correspondence with your current adviser and HMRC, so you are not left juggling the admin yourself. From there, we agree a scope of work and put ongoing support in place.
