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 and hospital groups, including organisations running a single site and those managing several locations. The right approach depends on how your organisation is structured, the services it provides and how it earns income, so we start by understanding your setup before recommending anything. If you are unsure whether your organisation fits, it is worth a conversation rather than a guess.
Typical support includes bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting, and Corporation Tax or VAT support where those apply to your organisation. For hospitals, we also focus on the areas that drive the numbers, such as staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and multiple income streams. You can take a full package or the specific elements you need.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying and why. The fee reflects the size and complexity of your hospital business, including the volume of transactions, the number of staff on payroll, the number of sites and the level of reporting you need. There are no hidden fees, and we will always explain the scope before anything is agreed.
Yes. Payroll is often the largest cost a hospital carries, and it usually involves a mix of clinical and non-clinical staff, varying hours, overtime and shift patterns. We can manage payroll processing, payslips, deductions and the associated reporting so the figures flowing into your accounts and management information stay consistent. It also means your team is paid accurately and on time, which matters in a sector where rota coverage cannot slip.
VAT treatment for hospitals is not a blanket rule. It depends on the nature of the supply, the activities involved, your organisation's status and the specific circumstances, so different services and income streams can be treated differently. We review your particular situation and make sure the position taken is properly supported, rather than applying a one-size-fits-all assumption that could cause problems later.
Yes. We look after Corporation Tax where it applies, along with VAT and the filing and reporting obligations that come with operating a hospital business. That includes making sure deadlines are met, figures reconcile with your accounts and any questions from HMRC are handled properly. Because hospital income can come from several different streams, getting the tax position right early tends to save time and stress later.
Management accounts give you a regular view of how the hospital is performing, covering income, staff costs, equipment spending, premises and supplier commitments. Cash flow forecasting then shows what is coming in and going out over the months ahead, which is useful when capital expenditure or seasonal patterns create pressure. Together they help you make decisions with real numbers rather than estimates.
It starts with a conversation about your hospital or hospital business, what you currently have in place and what you would like to improve. We then review your accounting and tax requirements, agree the scope and take care of the handover from your existing accountant so nothing is missed. Once things are running, we provide ongoing support and adjust it as your organisation changes.
