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 the core financial work a hospital or hospital business needs throughout the year: bookkeeping, payroll, annual accounts, management accounts, financial reporting, budgeting and cash flow planning, together with Corporation Tax and VAT support where those obligations apply. Because hospitals tend to have complex cost bases and several income streams, the emphasis is on keeping records accurate and reporting clear enough to be useful. Practical support might also include help with budgeting for medical equipment, reviewing supplier and premises costs, and preparing figures for lenders or investors. The exact mix depends on your structure, size and activities.
We work with private hospitals, independent hospitals, hospital operators, hospital groups and other hospital-based businesses that need reliable accounting and tax support. Their circumstances differ widely — a single-site independent hospital has very different reporting and cash flow needs from a group operating across several locations. We take the time to understand how your organisation is set up, what services it provides and how income and costs flow through it. If you are unsure whether your organisation fits, it is always worth a conversation.
Pricing is based on the scope and complexity of the work rather than a fixed figure applied to every hospital, since a small independent hospital and a multi-site hospital group have very different requirements. We favour fixed, transparent packages so you know what you are paying for, with no hidden fees and no surprise invoices for routine work. Before anything is agreed, we discuss what you need, what is included and how the arrangement will work in practice. That way you can compare options on a like-for-like basis and budget with confidence.
Yes. Payroll is one of the most significant cost areas for any hospital, covering a wide range of roles, shift patterns, contracted hours and pension arrangements. We can manage payroll processing, handle the associated reporting obligations and make sure staff costs are recorded accurately in your accounts and management information. Because payroll feeds directly into budgeting and cash flow planning, keeping it accurate and up to date makes the rest of your financial reporting far more reliable.
VAT treatment for hospitals is not a simple yes-or-no question. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances of each case, so it is important not to assume that everything is exempt or that everything is taxable. Hospitals can also have a mix of activities, which may create partial exemption considerations and more complex reporting. We review your position in detail, explain what applies to you and help make sure your VAT returns and records reflect your actual circumstances.
Yes. Medical equipment and facilities are major investments, and how they are accounted for and funded can have a real effect on your cash position and your tax position. We can help you plan for significant purchases, understand the accounting and tax treatment that applies, and build a clearer picture of how expenditure fits alongside your ongoing running costs. That kind of forward planning makes it easier to manage cash flow through busy periods and avoid unpleasant surprises later in the year.
We prepare annual accounts and deal with Corporation Tax filings for hospital businesses where those obligations apply, making sure the figures are accurate, consistent and submitted on time. Alongside the year-end work, we can provide management accounts and financial reporting during the year, so you are not relying on a single set of numbers once every twelve months. If your organisation operates differently — for example as a partnership or another structure — we will confirm what applies to you and handle the relevant reporting.
Getting started is straightforward. We begin with a conversation about your hospital or hospital business, then review your current accounting arrangements, records and compliance position to see what needs attention. If you are switching from another accountant, we can liaise with them directly and handle the handover, so you do not need to manage that process yourself. You also do not need everything perfectly organised before you speak to us — bringing what you have is enough to get the conversation moving.
