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.
We support hospitals and hospital businesses, including private hospitals, independent hospitals, hospital operators and hospital groups. Because hospital structures vary so much, the accounting and tax requirements of each organisation tend to be different, whether that relates to income streams, staffing models, premises, medical equipment, supplier arrangements or the way the business is owned and managed. We take the time to understand your specific setup before recommending how your accounting should be handled.
Most hospitals need a combination of annual accounts, bookkeeping, management accounts, payroll, budgeting and cash flow support, financial reporting, and tax compliance such as Corporation Tax where applicable and VAT support where relevant. The emphasis differs from one hospital to the next. A hospital with a large workforce may need significant payroll support, while one investing heavily in medical equipment and facilities may be more focused on capital expenditure tracking, cash flow planning and management reporting.
We work on fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying and what is included. The right package depends on factors such as the size and structure of your hospital business, the number of staff on payroll, the volume of transactions, the complexity of your income streams and the level of reporting you need. We will talk through your requirements and set out the scope clearly before any work begins, with no hidden fees.
Accounting work for hospitals should always be carried out within UK accounting and tax standards, with proper records, correct filings and deadlines met. You should expect any accountant to be open about the professional body memberships and regulatory oversight that apply to their work, and we are happy to talk through ours with you directly. What matters practically is that your accounts, payroll and tax filings are prepared accurately and on time, and that you understand the basis on which they have been prepared.
VAT treatment for hospitals is not a simple yes-or-no answer. It depends on the nature of the supplies being made, the activities involved, the status of the organisation and the specific circumstances of each case, so different income streams within the same hospital can be treated differently. Private hospitals and NHS hospitals do not automatically receive identical accounting or tax treatment either. We review your particular position and help you apply the correct treatment to your activities and transactions.
Yes. Where Corporation Tax applies to your hospital business, we can help with preparation and filing, along with the record-keeping and reporting that supports it. Hospitals often generate income from several sources at once, which can make it harder to see accurate profitability by service or department. Management accounts and clear financial reporting help separate those income streams and match them against the costs they generate, giving you a much better picture of where the business is performing well.
Medical equipment and capital expenditure are usually among the largest financial commitments a hospital makes, and they can have a significant effect on cash flow, tax relief and long-term planning. We help you record those costs properly, understand their impact on your accounts, and build them into budgeting and cash flow forecasts so major purchases or upgrades do not come as a financial shock. That forward planning is often just as valuable as the compliance work itself.
Getting started is usually straightforward. We begin with a conversation about your hospital or hospital business and what you need support with, then review your current accounting and tax position. If you are switching from another accountant, we can handle the handover of information and liaise on your behalf so the transition is as smooth as possible. From there, we agree a scope of work and put ongoing bookkeeping, payroll, reporting and tax support in place.
