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.
Most hospital businesses need a combination of core accounting work rather than a single service. In practice, that usually means bookkeeping, payroll, annual accounts, management accounts, budgeting and cash flow forecasting, financial reporting, and tax support such as Corporation Tax returns where applicable and VAT support where relevant. Because hospitals have distinctive cost profiles — staff costs, medical equipment, premises, facilities, suppliers and professional services — we shape the scope around your structure and activities rather than applying a fixed template. You can choose a fuller package or focus on specific areas where you need the most support, and the scope is agreed with you up front.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital-based businesses with similar operating models. Their accounting needs differ widely depending on whether they are an owner-managed site, part of a larger group, or a service-led operation with several income streams. Size and structure matter too, since staffing levels, premises arrangements and equipment investment all affect how the numbers behave. If you are unsure whether your organisation fits, a short conversation is usually enough to work that out.
We work on fixed, transparent packages rather than open-ended hourly billing, and the fee reflects the scope you actually need. Factors that influence this include the number of sites or entities, transaction volumes, payroll headcount, whether you need management accounts or cash flow reporting, and how complex your VAT and Corporation Tax position is. Because hospitals vary so much in size and structure, pricing is always agreed in advance so there are no hidden fees or unexpected invoices. If your requirements change, the scope and fee are reviewed together rather than adjusted quietly.
Our work is carried out in line with UK accounting and tax rules, and accounts, returns and filings are prepared to meet the standards and deadlines that apply to your hospital business. If professional body membership or a specific accreditation matters to you, ask us directly and we will tell you exactly what applies — it is a fair question for any firm you are considering. It is also worth confirming that whoever handles your affairs is comfortable with the particular reporting and tax issues that arise in a hospital setting.
Yes. Payroll is often one of the largest and most complicated costs for a hospital, especially where you have a mix of full-time staff, part-time staff, bank or flexible shifts, and varying hourly rates. We can handle payroll processing, payslips, deductions, pension contributions and the associated reporting, keeping everything consistent with your accounting records. Having payroll and accounts handled together usually makes the numbers easier to reconcile and reduces the risk of discrepancies appearing at year end.
Tax treatment for hospitals is rarely straightforward, and it depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances rather than on a single blanket rule. Some supplies may be treated differently from others, and mixed activities can create additional complexity. Similarly, Corporation Tax applies where it applies, depending on how the business is structured and taxed. We review your position properly and explain what is relevant to you so that filings are accurate and defensible.
Significant equipment purchases and other capital expenditure can put real pressure on cash flow, particularly when the timing of income does not line up with the timing of payments. We help you plan for these costs, account for them correctly and understand their effect on your profitability and reserves. Alongside budgeting and forecasting, that gives you a clearer picture of when funds are available and when they are not, which makes decisions about expansion, replacement or refurbishment far less of a guess.
Getting started usually begins with a conversation about your hospital or hospital business, followed by a review of your current accounting and tax arrangements. If you are moving from another accountant, we can manage the handover, including requesting the records and information needed to pick things up cleanly, and we will let you know what you need to provide. Most switches are straightforward and can be planned around your year end or reporting cycle. From there, ongoing support is set up around how you operate.
