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.
It covers the core accounting and tax work a hospital business needs. That typically means annual accounts, day-to-day bookkeeping, management accounts, payroll, budgeting and cash flow forecasting, financial reporting, and tax support including Corporation Tax where applicable and VAT support where relevant. Because hospital finances are shaped by staff costs, medical equipment, premises, supplier payments and multiple income streams, the reporting is structured around those areas so it reflects what is genuinely happening in the business.
It is designed for hospitals and hospital businesses — private hospitals, independent hospitals, hospital operators and hospital groups. Some clients come to us for routine compliance and payroll, while others want management accounts and financial reporting that support budgeting, equipment investment, expansion or funding conversations. If your organisation delivers hospital services through treatment centres, clinics or a group structure, we can look at how the accounting should be organised around that.
We work on fixed, transparent fees rather than open-ended hourly billing wherever possible, so you know what you are paying for and there are no hidden fees. The fee reflects the scope of the work — the size and structure of the hospital business, the number of people on payroll, the volume of transactions, how many income streams there are, and whether you need management accounts, tax work or VAT support. Once we understand your requirements, we set out the services and the fee clearly before any work begins.
Your accounts, tax returns and payroll need to be prepared in line with UK accounting and tax rules, and the records behind them need to stand up to scrutiny from HMRC and anyone else who reviews them. When you speak to us, we will explain which rules and obligations apply to your hospital business, what records you need to keep and which deadlines matter. It is also worth asking any accountant about their professional memberships and how they keep their technical knowledge current, so you can feel confident in the support you are receiving.
VAT in a hospital setting is rarely straightforward. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a question of everything being exempt or everything being taxable. Hospitals can have a mix of income streams — clinical services, private patient work, retail or catering, room hire, property income — and each may be treated differently. We look at what you actually do, help you apply the correct treatment, keep appropriate records and manage returns and deadlines.
Yes. Payroll is one of the largest costs in most hospitals and one of the easiest places for errors to creep in, particularly where staff work shifts, rotas vary month to month, or you employ a mix of clinical and non-clinical people. We can manage payroll processing, handle starters and leavers, deal with tax codes, pensions and the related reporting, and make sure the figures feed properly into your management accounts so you can see the real cost of running your operation.
Significant purchases such as scanners, theatre equipment, beds, IT systems and building improvements form a major part of hospital spending, and they need to be recorded and reported properly. We can help you keep track of what has been bought, how it should be treated in your accounts, and how it affects your cash flow and tax position over time. Where specific tax relief may be available on an asset, we will explain how it applies to your circumstances rather than assuming one approach fits every case.
Yes, switching is usually more straightforward than people expect. We can manage the handover, request the information we need from your existing accountant and make sure nothing important is missed along the way. It helps to have your most recent accounts, tax returns, payroll records and a clear idea of what you want from the relationship going forward. Many hospital businesses come to us because they want clearer reporting, better visibility of cash flow or more responsive support — whatever the reason, it starts with a conversation about where you are now and what you need.
