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 core accounting and tax work a hospital or hospital business needs to stay on top of its finances, including bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, wider tax support, and VAT support where relevant. The exact mix depends on how your organisation is structured, how it operates and what you already handle in-house. Some hospitals want a complete outsourced function, while others need support with specific areas such as payroll or management reporting.
It is designed for private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses in and around Grazeley. That includes single-site hospitals as well as organisations running multiple locations or a group structure. Because accounting requirements vary so much between one hospital and another, we look at your structure, services, income streams and cost base before recommending how the support should work.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and what is included before any work begins. Pricing reflects the size and complexity of your hospital business, the range of services you need, the volume of transactions and the level of reporting required. There are no hidden fees, and if your requirements change we will discuss the options with you rather than letting costs drift.
Yes. Our work is carried out in line with UK accounting standards and tax legislation, and we keep up to date with changes that affect hospital businesses, including payroll obligations, reporting requirements and tax rules. Where a question depends on your specific circumstances, such as how a particular supply should be treated for VAT, we look at the facts rather than offering a generic answer. You can ask us directly about our qualifications and professional memberships at any point.
Staff payroll and rota patterns, medical equipment and capital expenditure, premises and facilities costs, supplier payments and professional services all create significant and often irregular outgoings. On top of that, hospitals frequently deal with multiple income streams that arrive on different timescales, which makes cash flow and budgeting harder to manage. Producing accurate financial reporting and staying on top of Corporation Tax and VAT considerations adds further pressure, particularly where the organisation has a complex structure.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances. It is not a case of everything being exempt or everything being taxable, and NHS hospitals and private hospitals do not automatically receive identical treatment. We review what you actually supply and how, then advise on the position that applies to your organisation and help you keep the supporting records in order.
Yes. Large equipment purchases and other capital expenditure have a real effect on cash flow, tax position and how your accounts should be presented. We help you plan for significant purchases, account for them correctly, and understand the impact on your financial reporting and tax position so that decisions are made with a clear view of the consequences.
It usually starts with a conversation about your hospital business: how it is structured, what accounting and tax work you currently have in place, and where you feel things could be better. If you are with another accountant, we can manage the handover of records and information on your behalf to keep the transition straightforward. From there we agree the scope of support and put a plan in place, then review it as your organisation develops.
