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, hospital operators and hospital groups. That means the support is shaped around the structure you operate under, whether that is a single hospital site or several sites run by one organisation. Because accounting and tax treatment can differ depending on how a hospital is set up and what it actually does, we begin with a review of your structure and activities before suggesting how the ongoing work should run.
The core work usually covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning and financial reporting. Corporation Tax support is included where it applies to your organisation, and VAT support is available where relevant to your activities. For hospitals specifically, we also look at how staff costs, medical equipment and capital expenditure, premises, suppliers and professional services feed into your reporting, so the figures give you a clear picture rather than a set of numbers you have to interpret yourself.
Pricing is based on the scope of work your hospital or hospital business actually needs, which means it reflects factors such as the number of sites, payroll size, transaction volumes, reporting requirements and the level of support you want. We work on fixed, transparent packages agreed in advance, so you know what you are paying for and there are no hidden fees appearing later. If your requirements change, the scope is reviewed and discussed with you first.
We hold ourselves to the professional and regulatory standards expected of a UK accounting practice, which includes proper confidentiality, record keeping and compliance processes. Rather than making loose claims about specialisms we cannot support, we are upfront about what we do and where your hospital's circumstances need closer attention. If an area falls outside what we handle, we will tell you clearly rather than taking on work that does not fit.
VAT treatment for hospitals depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances. It is not accurate to assume all hospital-related services are exempt, nor that everything a hospital supplies is taxable, and the position can differ between private and independent hospitals depending on what they provide. We review your activities individually so the VAT treatment applied is appropriate to your situation rather than copied from a generic template.
Hospitals often generate income through several routes and spend heavily on medical equipment, premises and staffing, so we make sure those are recorded in a way that shows what is really happening. Income streams can be tracked separately, and larger purchases such as medical equipment and capital expenditure are treated correctly rather than simply expensed. That gives you reporting you can use when reviewing performance, planning expenditure or speaking to lenders and other professional advisers.
Yes. Switching is usually more straightforward than people expect, and we handle the transition carefully so there is no gap in your records or missed deadlines. We will review your existing accounts and tax position, identify anything that needs attention, and take over the ongoing work in an organised way. If your current bookkeeping is behind or incomplete, we will work through it methodically rather than leaving you to sort it out yourself.
The first step is a conversation about your hospital or hospital business — how it is structured, how it operates, what your reporting currently looks like and where you need more support. From there we confirm the scope of work, agree the package, and put a plan in place for taking over or continuing your accounting, payroll and tax compliance. There is no pressure and no obligation at that initial stage; it is simply a chance to establish whether we are the right fit.
