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 typically covers bookkeeping, payroll for clinical and non-clinical staff, annual accounts, management accounts, budgeting, cash flow forecasting, financial reporting and support with Corporation Tax and VAT where those apply to you. Because hospital businesses differ so much in structure and activity, we agree the scope with you up front and build the service around what your organisation genuinely needs, whether that is full outsourcing or support with specific areas.
We work with private hospitals, independent hospitals, hospital operators and hospital groups, along with hospital businesses that provide supporting services or facilities. Accounting requirements vary depending on whether you operate a single site or several, how your income streams are structured, how many staff you employ and what equipment, premises and supplier commitments you carry. We take the time to understand those details before recommending how we can help.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and when. The fee reflects the size and complexity of your hospital business, including the number of staff on payroll, the volume of transactions, the number of income streams and the level of reporting you need. There are no hidden extras, and we will always be clear about what is included before you commit.
VAT treatment in the hospital sector is not a simple yes-or-no answer. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, so some income may be exempt, some may be outside the scope and other supplies may be standard-rated or subject to a different treatment. We help you review your income streams and costs, keep appropriate records and take a considered position rather than assuming one rule covers everything.
Staff costs are usually one of the largest items in a hospital's budget, covering clinical teams, administrative staff, support roles and often a mix of full-time, part-time, bank or locum arrangements. We run payroll accurately and on time, account for the relevant deductions and contributions, and make sure staff costs are recorded in a way that feeds properly into your management accounts and annual reporting.
Yes. Large equipment purchases and other capital expenditure can have a significant effect on cash flow, particularly when they coincide with quieter trading periods or scheduled supplier payments. We can help you plan for those outlays, review how they should be treated in your accounts and build forecasts that show the impact on your position over the coming months rather than only at year end.
Where Corporation Tax applies to your organisation, we handle the calculations, prepare and file what is required and make sure allowances and reliefs relevant to your circumstances are considered properly. On the reporting side, we prepare annual accounts and management accounts that give a clear picture of income streams, operating costs and overall performance, so you can make decisions with confidence rather than guesswork.
It begins with a conversation about your hospital or hospital business — how it is structured, what you currently have in place and where you feel least confident. We then review your accounting and tax requirements, confirm the scope of support and agree a clear, fixed fee before any work begins. If you are switching accountants, we can liaise with your existing adviser and manage the handover so the transition stays straightforward.
