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 work a hospital or hospital business needs, including bookkeeping, annual accounts, management accounts, payroll, budgeting and cash flow forecasting, plus financial reporting that gives a clear view of performance. Depending on your structure and activities, we can also support Corporation Tax, VAT and general tax compliance. The mix is shaped around your organisation, so a single-site independent hospital and a multi-site hospital group may need quite different levels of support.
We support private hospitals, independent hospitals, hospital operators and hospital groups, along with the hospital businesses that sit alongside them. Their accounting needs vary depending on how they are structured, what services they provide, how they bill patients and insurers, how many staff they employ and how much they invest in premises and medical equipment. If you are unsure whether your organisation fits, the simplest approach is to get in touch and talk it through.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and there are no hidden fees. The level of pricing depends on the size and complexity of your hospital business, the volume of transactions, the number of staff on payroll, your reporting requirements and whether VAT or Corporation Tax support is needed. We will set out clearly what is included before any work begins.
Accounting and tax work in the UK is governed by professional standards and regulations, and we are happy to explain the qualifications and professional memberships held by the team looking after your hospital's affairs. We keep up to date with UK accounting and tax requirements so that filings, records and reporting meet the standards expected of your organisation. If you have specific compliance questions about your structure or sector, we can address those directly.
Corporation Tax applies to limited companies, so how income, allowable costs, equipment purchases and capital allowances are treated can make a real difference to your tax position. VAT is more nuanced: treatment depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so it is not a case of all hospital services being exempt or all hospital-related supplies being taxable. Because of that, VAT treatment should be reviewed against what your hospital actually provides.
Yes, payroll forms a large part of what many hospitals need, given the number of staff across clinical, nursing, administrative and support roles, often on varied contracts and shift patterns. We can manage payroll processing, payslips, pensions considerations and the related reporting, and make sure payroll costs feed correctly into your management accounts and year-end figures. That helps keep staff costs accurate and reduces the risk of last-minute surprises.
Medical equipment, refits and facilities upgrades are usually significant investments, and how they are treated in your accounts and tax calculations affects both your reported position and your cash flow. We can help you plan for larger purchases, review how assets are recorded and depreciated, and consider the capital allowances position where relevant. Understanding the timing of these costs makes budgeting and forecasting far more realistic.
Getting started is straightforward: we begin by understanding your hospital or hospital business, then review your current accounting records and tax position before agreeing the support you need. If you already work with an accountant, we can handle the handover and liaise on your behalf so the transition is smooth and nothing is missed. Once everything is in place, we provide ongoing support so your bookkeeping, accounts, payroll and reporting stay on schedule.
