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 usually covers the full finance function, or the parts of it you need help with. In practice that means bookkeeping and record keeping, payroll for staff across different roles and shift patterns, management accounts, annual accounts, budgeting and cash flow forecasting, and clear financial reporting on income streams and costs. Where they apply, we also handle Corporation Tax and VAT support, and we can help with the reporting you need for lenders, investors or internal decision making.
We support private hospitals, independent hospitals, hospital operators, hospital groups and the trading or property entities connected to them. Requirements differ hugely depending on structure, the services and facilities provided, and how income is generated, so we look at each organisation individually rather than applying a generic approach. If you are unsure whether your setup is a good fit, it is worth a conversation before making any changes.
Pricing is based on the work involved — the size and structure of the hospital or hospital business, the volume of transactions, the number of staff on payroll and the level of reporting and compliance required. We use fixed, transparent packages wherever possible, with no hidden fees, and we agree the scope in advance so there are no surprises. As your requirements change, the arrangement can be reviewed so you are only paying for what you actually need.
You should expect your accountant to be appropriately qualified, to work within a recognised professional and regulatory framework, and to hold suitable professional indemnity cover. It also matters that they can explain their approach to deadlines, filings, record keeping and confidentiality in plain terms. We are happy to talk through the credentials, professional memberships and regulatory arrangements that apply to the team handling your work, so you can make an informed decision before appointing anyone.
Hospitals tend to have a large, fairly fixed cost base made up of staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments and professional services, which makes cash flow and budgeting more complex than in many other sectors. Income can come through several different streams, so reporting needs to separate them clearly enough to show real performance. Corporation Tax considerations apply where relevant, and VAT treatment is not something that can be assumed — it depends on the nature of the supplies, the activities involved, the organisation's status and the specific circumstances, so it needs looking at case by case.
VAT for hospitals and hospital-related supplies is genuinely nuanced. The treatment depends on what is being supplied, the activities involved, the status of the organisation and the specific facts, so it is not safe to assume everything is exempt, or that everything is taxable. We review the individual position, look at how income and costs are structured, and make sure returns and records reflect the correct treatment for your circumstances.
Yes. Payroll is often one of the biggest administrative and financial tasks for a hospital, so it is worth getting right, including starters, leavers, varying shift patterns and the associated reporting. On the capital side, we can help you plan for medical equipment purchases and other significant expenditure by building those costs into budgets and cash flow forecasts, so large outlays do not catch you out and financing decisions are based on realistic figures.
It is usually simpler than people expect. We begin by understanding your hospital or hospital business, then review your current accounting and tax position, including records, payroll and compliance status. From there we agree the scope of support, handle the handover with your existing accountant where needed, and put the ongoing work in place so nothing falls between the cracks.
