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 look after the financial side of running a hospital or hospital business. That typically includes bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow planning, financial reporting and tax compliance such as Corporation Tax and VAT support where these apply. Alongside the routine work, we help interpret what the numbers mean for the hospital — how staff costs, equipment, premises, suppliers and different income streams are affecting performance, and where the pressure points are likely to appear next.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses such as day-case units, diagnostic and specialist treatment facilities and inpatient centres. The right approach depends on how the organisation is structured, what services it provides, how it is funded and what its cost base looks like. A single-site independent hospital and a multi-site hospital group have quite different reporting, payroll and tax requirements, so the work is shaped around the circumstances rather than applied as a standard template. We focus on private and independent hospital organisations rather than public-sector bodies.
We use fixed, transparent packages, so you know what you are paying for before the work begins, with no hidden fees or unexpected extras appearing later. The scope depends on the size of the hospital business, the volume of transactions, payroll headcount, the number of income streams and the level of reporting and tax support required. Rather than publishing a single price that would fit nobody properly, we set out a clear scope and a fixed fee based on your actual requirements, and we are happy to talk through what is and is not included.
Yes. Payroll is often the largest single cost for a hospital, and it comes with real complexity — clinical and non-clinical teams, differing pay arrangements, variable hours, overtime, enhancements and the pensions and statutory obligations that go with them. We can manage payroll processing, payslips, deductions and the associated reporting so it is handled accurately and on time. Because payroll flows directly into the accounts, keeping it well organised also makes management reporting and budgeting considerably more reliable.
Corporation Tax applies where the hospital business is operated through a limited company, and the position depends on the structure, profits and any reliefs or allowances that may be available — which is why it is assessed case by case. VAT is more nuanced still. Treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not accurate to say all hospital services are exempt or that all hospital-related supplies are taxable. We review the position and help ensure the treatment applied is appropriate and properly supported.
Medical equipment and facilities are significant, often lumpy costs, and decisions about them affect both cash flow and the reported financial position. We help with budgeting and cash flow planning so major purchases are planned rather than absorbed as a surprise, and we make sure the accounting treatment of capital expenditure is handled correctly. Alongside that, we help track the operating costs that sit behind a hospital's margins — premises, maintenance, consumables, supplier contracts and professional services — so you can see where money is going and plan accordingly.
Switching is usually much less disruptive than people expect. We handle the practical side, including requesting the relevant information from your existing accountant, reviewing what has been done previously, and picking up the records cleanly so nothing falls through the gap. If there are historical points that need tidying up, we will flag them early and explain the options. The aim is a smooth handover that leaves you with better financial information and no disruption to deadlines.
It begins with a conversation about the hospital or hospital business — how it is structured, how it earns income, what it spends money on and what you need from an accountant. From there we review the current accounting and tax position, agree a clear scope of work and a fixed fee, and set out how the ongoing support will run. If you are unsure whether your requirements fit, that initial discussion is the right place to find out, and there is no obligation to proceed until you are comfortable with what is proposed.
