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 clients need a combination of bookkeeping, payroll, management accounts, annual accounts and financial reporting, with tax support where it applies and VAT support where relevant. Because hospital businesses vary so much, we agree the scope with you upfront based on your structure, your income streams and the size of your team. Some hospitals want a full outsourced finance function, while others need help with specific areas such as payroll for clinical staff or budgeting and cash flow planning. You will always know what is covered and what is not.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses with a smaller number of sites. Their accounting needs differ depending on how they are owned and funded, how many services they provide, whether they hold property or lease it, and how their income arrives. We focus on understanding your particular setup before recommending anything, so the support fits the way 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 when. The fee reflects the level of work involved, which depends on factors such as transaction volumes, payroll headcount, the number of income streams and how much reporting you need. There are no hidden extras, and if your requirements change as your hospital grows we will discuss any adjustment with you before it happens. The best starting point is a conversation about what you need.
We manage filing deadlines for you, keep your records organised and flag anything that needs your attention well before it becomes urgent. That includes Companies House and HMRC obligations, along with the reporting your hospital needs internally to run effectively. Hospital businesses also operate in a regulated environment, and while accounting is only one part of that, well-maintained records make it far easier to respond to requests from lenders, insurers, regulators and other parties. If you would like to know more about our professional memberships, we are happy to talk that through.
Yes, payroll is usually one of the most important areas for hospitals because of the number of people involved and the variety of working patterns. We can process payroll for clinical and non-clinical teams, handle starters, leavers, overtime, sick pay, pension contributions and the associated reporting, and help you understand your total staff cost position. Accurate payroll also feeds directly into your management accounts, which means you get a clearer picture of one of your biggest cost lines each month.
VAT is rarely a simple yes-or-no answer for hospitals. The treatment depends on the nature of the supply being made, the activities involved, the organisation's status and the specific circumstances, so a hospital can have a mix of treatments across its different services. We look at what you actually provide, how it is charged for and who it is provided to, then help you apply the rules correctly and keep the supporting records in order. Where the position is unclear, we will explain the options rather than guess.
Yes, these are significant financial commitments for most hospitals and they need to be planned for rather than absorbed as they arise. We can help you track equipment purchases and other capital spending, understand how they affect your accounts and tax position over time, and build them into budgeting and cash flow forecasts. That way, a large purchase or a premises project does not come as a surprise to your finances six months later.
Getting started is usually simpler than people expect. We begin with a conversation about your hospital or hospital business, what is working well and what is causing you difficulty, then review your current accounting and tax position. If you decide to move across, we can handle the practical side of the transfer with your existing accountant and confirm what information we need from you. From there we agree how often you want to hear from us and put the ongoing support in place.
