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.
The core work typically covers bookkeeping, payroll for hospital staff, annual accounts, management accounts, budgeting, cash flow forecasting and financial reporting, along with Corporation Tax and VAT support where these apply. Because hospital businesses vary so much, the mix is agreed around your structure, activities and reporting needs rather than fixed in advance. Many hospital operators also want help interpreting the numbers, not just preparing them, so management reporting is often a significant part of the arrangement.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with other hospital businesses that need accounting and tax support. The right approach depends on factors such as how the organisation is structured, the services it provides, how many people it employs, what premises and equipment it relies on and where its income comes from. If you are unsure whether your organisation fits, it is worth a conversation — the answer is usually clearer than you might expect.
Pricing is based on the scope and complexity of the work, so it reflects what your hospital business actually needs rather than a flat rate applied to everyone. We use fixed, transparent packages with no hidden fees, and the fee is agreed before any work begins so there are no surprises later. As your requirements change — for example if payroll grows or reporting becomes more detailed — the arrangement can be reviewed to keep it appropriate.
We provide professional accounting and tax services and work to the standards and compliance requirements that apply to the services we deliver. If you have specific questions about regulatory requirements relevant to your organisation — for example around how your hospital is structured or how particular income streams should be treated — we can talk those through with you directly. Where a matter falls outside our remit or requires specialist input, we will say so rather than guess.
Hospital payroll is rarely straightforward. It often involves a mix of full-time and part-time staff, varying shift patterns, overtime, statutory payments and different contractual arrangements, all of which need to be processed accurately and on time. We handle payroll processing, pay calculations and the associated reporting, and we make sure the payroll figures reconcile properly with the rest of your accounts so the numbers you rely on are consistent.
VAT treatment for hospital businesses is not a simple all-or-nothing picture. It depends on the nature of the particular supply, the activities involved, the organisation's status and the specific circumstances, which means different income streams and costs can be treated differently. It also does not follow that every hospital, private or otherwise, has identical VAT treatment. Because of that, VAT positions are best reviewed case by case rather than assumed, and we can help you work through what applies to your organisation.
Yes. Medical equipment and other capital expenditure can have a significant effect on cash flow, particularly when purchases are large or spread over time, and the accounting and tax treatment needs to be handled correctly. We can help with budgeting, forecasting and planning around major purchases, and with reflecting them accurately in your accounts and financial reporting. That gives hospital operators a clearer view of what is affordable and when.
The first step is a conversation about your hospital or hospital business — how it is structured, how it operates and what you need from an accountant. If you are already working with another accountant, we can manage the handover and deal with the administrative side so the transition is as smooth as possible. From there, we agree the scope of support and put a clear arrangement in place before the work begins.
