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 support we provide is built around the accounting and tax needs of hospitals and hospital businesses. In practice, that often covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting, financial reporting, Corporation Tax where applicable, and VAT support where relevant. Because hospital businesses vary so much, we agree the scope with you first, so the work we do reflects your structure, your income streams and the way you operate, rather than a fixed package that ignores your circumstances.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital businesses based in and around Hanham Bristol. Their accounting needs vary depending on how they are set up, the services they provide, how many staff they employ, the premises and medical equipment they hold, and the range of income streams they generate. If you are unsure whether your organisation fits, it is worth a conversation — the key question is whether your accounting and tax requirements relate to running a hospital or hospital business.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for before the work begins. The fee reflects the scope and complexity of your requirements — for example the volume of bookkeeping, the size of the payroll, the number of income streams and the level of reporting you need. There are no hidden fees, and if your circumstances change we will discuss any adjustment with you in advance.
Yes. Payroll is one of the largest and most sensitive costs in most hospitals, covering a mix of roles, shift patterns and contract types. We can manage payroll processing, help you keep accurate records of staff costs, and make sure the figures that feed into your management accounts and financial reporting are reliable. That gives you a much clearer view of your wage bill and how it affects cash flow across the year.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances — it is not a case of every hospital service being exempt or every hospital-related supply being taxable. Because hospitals often have a mix of income streams and costs, including medical equipment, premises and professional services, the VAT position can be more nuanced than it first appears. We can review your situation and help you understand how VAT applies to what you do.
Where Corporation Tax applies to your hospital business, we can help with preparing and submitting the relevant returns and making sure the figures are consistent with your annual accounts. We also prepare management accounts and financial reporting that give you a proper picture of performance — income streams, operating costs, capital expenditure on medical equipment and premises, and the overall financial position — so you can plan with confidence rather than guesswork.
Cash flow is a common pressure point for hospitals because costs such as payroll, supplier payments and equipment purchases can arrive well before income does. We can help you build budgets and cash flow forecasts that reflect your actual pattern of income and expenditure, flag likely tight spots in advance, and keep reporting up to date so decisions are based on current information rather than last year's figures.
Getting started is simple. We begin with a conversation about your hospital or hospital business — how it is structured, what you currently have in place and what is causing you the most difficulty. If you are switching accountants, we can handle the handover with your existing adviser so the transition is smooth. From there we agree the scope and put the right ongoing support in place, adjusting it as your needs evolve.
