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.
We support private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses. That can include organisations running a single site as well as those operating across several locations or under a group structure. Because hospitals differ so much in size, ownership and the services they provide, we start by understanding how your organisation is set up before recommending how the accounting work should be handled.
The scope depends on what the hospital or hospital business needs, but it commonly covers bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow planning, financial reporting, and Corporation Tax where applicable. Tax and VAT support can also be included where relevant. Because hospital income streams and cost bases vary considerably, we agree the level of support with you rather than applying a fixed template to every organisation.
Pricing is based on the work involved, which means the size and structure of the hospital, the number of sites, the volume of transactions, the number of staff on payroll and the level of reporting you need. We work on fixed, transparent packages wherever possible so you know what you are paying and when, with no hidden fees or surprise invoices. We will always explain what is included before any work begins.
Yes. Payroll is often one of the largest and most time-sensitive costs in a hospital, covering clinical, administrative, facilities and support staff across different shift patterns and pay arrangements. We can manage payroll processing, payslips, deductions and the associated reporting, and make sure payroll figures feed properly into your management accounts and year-end position rather than being treated as a separate exercise.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances, so there is no single answer that applies across the board. Some supplies may be treated differently from others, and mixed income streams can make this more complicated. We review your position and explain how VAT applies to your particular activities rather than assuming a blanket treatment.
Yes. Medical equipment and other capital expenditure can have a significant effect on a hospital's accounts, from how costs are recorded and depreciated to how they affect cash flow and future budgeting. We help you account for these purchases properly, plan for major expenditure in advance and understand the impact on your financial reporting and tax position.
Cash flow is a common pressure point for hospitals, particularly where income arrives through several streams while staff costs, supplier payments, premises and equipment commitments fall due on fixed dates. We can prepare management accounts and cash flow forecasts that show where the pressures and opportunities are, and help build budgets that reflect the reality of running a hospital rather than an idealised version of it.
It starts with a conversation about your hospital or hospital business, your current accounting arrangements and what you would like to be different. If you are switching accountants, we can handle the handover and deal with your existing adviser on your behalf. From there, we set out what support makes sense, agree the scope and pricing, and put everything in place so the transition is straightforward.
