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 service covers the core accounting and tax work a hospital business needs, including bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow forecasting and financial reporting. Alongside that we handle Corporation Tax where applicable, VAT support and general tax advice, and we look at how these apply to your specific situation. Many hospital clients also ask us to help with supplier reporting, cost analysis and planning for larger purchases such as medical equipment, because those items have a significant effect on both profitability and cash flow.
It is designed for hospital businesses rather than general healthcare providers. That includes private hospitals, independent hospitals, hospital operators and hospital groups, along with smaller specialist hospital settings offering inpatient or day-case care. If your organisation runs hospital facilities and has to manage clinical and administrative payroll, premises, medical equipment, suppliers and several different income streams, the service is built with that in mind. Accounting requirements differ depending on structure, activities and income sources, so we scope the work to match how your hospital actually operates.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The fee depends on the size and complexity of your hospital business — for example, how many staff are on payroll, how many income streams you have, whether you operate from one site or several, and how much reporting you need. We will talk through your requirements first and explain exactly what is included before anything is agreed.
Yes. Our work is carried out by qualified accountants who follow UK accounting standards and HMRC requirements, and we keep our knowledge current as rules and reporting expectations change. That means your accounts, tax filings and payroll submissions are prepared properly and on time, with a clear audit trail behind them. We are also happy to explain the basis on which figures have been prepared, which is useful when you need to share information with lenders, investors or other stakeholders.
Corporation Tax is usually the main one where the hospital is run through a limited company, and it depends on how profits are calculated after allowable costs such as payroll, premises and equipment. VAT is more nuanced: whether a particular supply is exempt, taxable or outside the scope depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it should be reviewed rather than assumed. Different hospitals can have quite different VAT positions, so we look at your actual activities and income streams before advising on how to treat them.
Yes. Payroll is one of the largest and most complex cost areas in any hospital, covering clinical staff, administrative teams and often a mix of full-time, part-time and variable-hours arrangements. We can take on the whole process, from setting up new starters and processing changes through to payslips, pension contributions and the relevant HMRC submissions. Having payroll handled accurately and on schedule makes budgeting far more reliable and removes a considerable amount of internal administration.
Medical equipment and other capital items need to be recorded correctly, with the right treatment for depreciation, leases, financing and any grants or allowances that may apply. We help you keep track of what has been purchased, how it is being funded and what it means for your reported position, so large investments do not create nasty surprises. Practical cash flow planning around these purchases is often just as valuable as the accounting treatment itself, particularly when equipment is bought in stages.
Our focus is on private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses operating outside the public sector. We do not present ourselves as specialists in NHS Trusts, NHS Foundation Trusts or government bodies, and we would not want to give that impression. If your organisation sits in the public sector, we are happy to be upfront about whether we are the right fit before you commit to anything.
