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 normally covers the core compliance and reporting work a hospital needs: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow, along with Corporation Tax where it applies and VAT support where relevant. Because hospital businesses tend to have a mix of income streams and heavy operating costs, the emphasis is on keeping records accurate, meeting deadlines and producing numbers that are genuinely useful for decision-making rather than simply filed away.
This service is aimed at private hospitals, independent hospitals, hospital operators and hospital groups, as well as hospital businesses running facilities such as day-case units, diagnostic centres and outpatient services. If your organisation provides hospital-based care and treatment and needs reliable accounting, tax and reporting support, the service can be adapted to your structure and activities.
Pricing is built around fixed, transparent packages based on the scope of work your hospital actually needs, so you know what you are paying for and there are no hidden fees. We look at factors such as the number of payroll employees, transaction volumes, the complexity of your income streams, reporting requirements and whether VAT and Corporation Tax support is needed. Once the scope is clear, you receive a clear proposal before any work begins.
Accounts, returns and filings are prepared in line with UK accounting and tax requirements, and we work to the deadlines that apply to your hospital business. We keep you informed about what is due and when, explain the figures behind each submission in plain English, and flag anything that needs a decision from you. You will always know which records we need, what has been filed and what the position looks like.
VAT treatment varies and depends on the nature of the supply, the activities involved and the organisation's status, so there is no single answer that applies to every hospital. Some hospital-related supplies may fall outside the scope of VAT, while others may be taxable, and mixed supplies can make the position more complicated. We review your specific circumstances and help you apply the correct treatment rather than working from broad assumptions.
Yes. Equipment purchases, facility improvements and other capital expenditure can place real pressure on cash flow, so we help you plan the timing and funding of significant spending alongside your day-to-day costs. Management accounts and cash flow forecasts show what is affordable and when, and we can look at capital allowances and other relevant tax reliefs where they apply to your expenditure.
Yes. Switching is usually more straightforward than hospitals expect, and there is no need to wait until the end of your financial year. We handle the handover, request the necessary records and information from your existing accountant, and make sure continuity is maintained so nothing is missed on filings, payroll or reporting.
Absolutely. Hospital businesses of different sizes have different needs, and support scales accordingly, whether you run a single independent hospital or operate across several sites. Smaller hospitals often value the bookkeeping, payroll, annual accounts and tax support most, while larger organisations may need more detailed management accounts, financial reporting and cash flow oversight.
