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 typically covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with Corporation Tax where applicable and VAT support where it is relevant to the supplies being made. Because hospitals differ so much in size and structure, we shape the service around what your organisation actually needs rather than forcing everything into a fixed bundle. Many hospital businesses start with core compliance work and add management reporting or payroll support as their requirements develop.
We work with private hospitals, independent hospitals, hospital operators and hospital groups. Their accounting requirements vary considerably depending on how they are structured, the activities they carry out, the income streams they generate and the scale of their staffing, premises, medical equipment, suppliers and operating costs. If you are unsure whether your organisation fits, it is worth a conversation — we can tell you honestly whether we are the right fit.
We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. The scope of the work is what drives the fee, which is why we take time to understand your hospital's structure, transaction volumes and reporting needs before putting a package together. If your requirements change — for example, you take on more staff or add a new income stream — we revisit the arrangement rather than leaving you with something that no longer fits.
We are a professional accountancy practice and our work is carried out in line with the standards and regulations that apply to the services we provide. If you would like details of the specific qualifications, memberships or regulatory bodies relevant to your engagement, just ask and we will confirm them before you commit to anything. We would always rather you check than assume.
Staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and cash flow tend to dominate the picture, and many hospitals also need to track several different income streams separately in their reporting. On the tax side, Corporation Tax applies where relevant, and VAT treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — so it is not something that can be assumed either way. Getting that analysis right early usually saves complications later.
VAT treatment for hospitals is not uniform. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so a blanket assumption in either direction is risky. We look at what your hospital actually supplies and how it is structured before advising on how VAT should be treated, and we keep that under review as your activities change.
Yes. Switching is usually more straightforward than people expect, and we can liaise with your existing accountant to obtain the records and information needed for a clean handover. Once everything is in place, we review the position and set out how the ongoing support will work so you are not left wondering what happens next.
Get in touch and tell us about your hospital or hospital business — how it is structured, what it does and what you need help with. We will talk through your accounting and tax requirements, explain how we would approach them, and set out a clear next step. There is no pressure and no obligation at that stage.
