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 work with private hospitals, independent hospitals, specialist and day-case hospital operators, and hospital groups. Because these organisations vary so much in size and structure, the support is shaped around the individual hospital — its services, its staffing model, its premises and equipment, and the way income reaches the business. If you are unsure whether your hospital or hospital business is a good fit, it is worth a conversation, as the requirements are usually clearer once we understand how you operate.
A typical package covers bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow support, along with tax and VAT assistance where it applies. For hospitals specifically, that often means handling rota-driven payroll and staff costs, tracking medical equipment and capital expenditure, recording supplier and professional services payments, and reporting on multiple income streams accurately. The mix is adjusted to suit the hospital rather than applied as a fixed template, so you only pay for what your organisation genuinely needs.
Pricing is based on the scope and complexity of the work — the size of the hospital, the number of staff on payroll, the volume of transactions, the number of income streams and how much reporting you need. We favour fixed, transparent packages agreed in advance, so there are no hidden fees or unexpected invoices appearing later. Once we understand your requirements, you get a clear picture of what the service includes and what it costs before anything begins.
We can, and it is an area where detail matters. VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — it is not simply a case of everything being exempt or everything being taxable. Partially exempt status, different income streams and mixed supplies can all affect how VAT is accounted for, so we look at your particular position rather than applying a general rule.
Yes. Where Corporation Tax applies to your hospital business, we can help with preparation and compliance, and with making sure the figures behind the return are accurate and properly supported. We also prepare annual accounts and management accounts that give you a clearer view of performance, covering staff costs, equipment, premises, suppliers and the various income streams flowing through the organisation. Good reporting is what makes tax planning and budgeting far more straightforward.
We do, and it is often one of the most valuable areas of support for a hospital. Significant fixed costs, equipment purchases and uneven income timing can put real strain on cash flow, so we help with budgeting, forecasting and planning for capital expenditure such as medical equipment and facility improvements. That way, large costs are anticipated and accounted for rather than becoming a surprise partway through the year.
Switching is usually more straightforward than people expect. Once you decide to move, we can liaise with your existing accountant to obtain the records we need, and we handle the handover arrangements so you are not left chasing anyone. The main thing is making sure nothing is missed in the transition, which is why we review your current accounting and tax position early on before putting ongoing support in place.
It begins with a conversation about your hospital or hospital business — its structure, activities, current accounting arrangements and what you would like to improve. From there, we review your accounting and tax requirements and set out how we can help, followed by a clear scope and fixed pricing. Once that is agreed, we put the ongoing support in place, whether that is day-to-day bookkeeping and payroll, regular management accounts, annual accounts, or tax and VAT assistance.
